A novel method of PercuSurge distal protection in a five French guiding catheter without an Export aspiration catheter.
OBJECTIVE
Although the PercuSurge (PS) system is an efficient distal protection device, it has several limitations such as significant occlusion time causing myocardial ischemia and requirement of a large 7 or 8 Fr guiding catheter (GC). To address these problems, we developed a new method of use for the PS system using a deeply-engaged 5 Fr GC as an aspiration catheter instead of the Export aspiration catheter.


METHODS
We studied the initial feasibility and safety of 14 patients treated with a new PS procedure compared to 18 patients treated with the conventional method.


RESULTS
Clinical and demographic characteristics were similar between the two patient groups. Device success rate was also similar. The new method using a 5 Fr GC without the Export aspiration catheter significantly reduced fluoroscopic time, total procedure time, occlusion time and in-hospital costs.


CONCLUSIONS
This method may be an important alternative procedure that compensates for the disadvantages associated with the conventional use of the PS system by taking advantage of the flexibility and versatility of a 5 Fr GC.
Yoshimachi
Fuminobu
F
Department of Cardiology, Aomori Prefectural Central Hospital, 2-1-1 Higashi Tsukurimichi, Aomori City, 030-8553, Japan. yoshimachi-circ@umin.ac.jp
Ikari
Yuji
Y
Matsukage
Takashi
T
Masutani
Motomaru
M
Mori
Yasuhiro
Y
Saito
Shigeru
S
Okumura
Ken
K
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D003324:Coronary Artery Disease / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies