Initial characterization of Ikari Guide catheter for transradial coronary intervention.
Ikari is a new guide catheter for transradial intervention (TRI) that produces stronger back-up force by utilizing an unfavorable angle between the subclavian and brachiocephalic arteries. We report the initial results of the Ikari guide catheter based on the experience of a single center. Six operators performed a total of 102 coronary interventions for 91 patients using the Ikari guide catheter, while 101 interventions were performed with the transfemoral approach (TFI) during the same period. A left Ikari catheter was used in 63 procedures, and a right Ikari catheter was used in 39. The success rate for the procedure was 97% with a 6 French Ikari catheter. All failures were due to tortuous brachiocephalic arteries. For the Ikari procedure, the average fluorescence time was 14.5   9.5 minutes and the dye volume used was 153   53 ml; these results were equal to or better than those of TFI during the same period (20.1   12.2 minutes and 184   61 ml, respectively). These preliminary data suggest that an acceptable success rate can be achieved in TRI using appropriate guides, such as an Ikari catheter.
Ikari
Yuji
Y
Division of Cardiology, Mitsui Memorial Hospital, 1, Kanda-Izumi-cho, Chiyoda-ku, Tokyo, 101-8643, Japan. ikari-tky@umin.ac.jp
Nakajima
Hiroyoshi
H
Iijima
Raisuke
R
Aoki
Jiro
J
Tanabe
Kengo
K
Nakayama
Tomohiro
T
Miyazawa
Akiyoshi
A
Hatori
Mitsuharu
M
Kyouno
Hiroyuki
H
Tanimoto
Shuzou
S
Amiya
Eisuke
E
Nakazawa
Gaku
G
Onuma
Yoshinobu
Y
Hara
Kazuhiro
K
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization / Q000295:instrumentation*; D003327:Coronary Disease / Q000628:therapy*; D004867:Equipment Design / Q000295:instrumentation; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000601:surgery*; D016896:Treatment Outcome