Transradial simultaneous kissing stenting (SKS) with SheathLess access.
Transradial coronary intervention is usually performed via a 5 or 6 Fr sheath due to the small calibre of radial arteries. Simultaneous kissing stenting (SKS) technique requires a guiding catheter 7 Fr or larger and is therefore difficult to perform via transradial approach. Conversion to femoral approach or additional arterial access is usually required to achieve this goal. To overcome this limitation, a hydrophilic 7.5 Fr SheathLess guiding catheter can be exploited. This catheter possesses approximately the same size outer diameter as a 6 Fr sheath and an internal diameter of a 7.5 Fr catheter. A smooth and successful performance of SKS through transradial approach is described using this catheter.
Liang
Michael
M
Department of Cardiology, Waikato Hospital, Hamilton, New Zealand.
Puri
Aniket
A
Linder
Rickard
R
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D017023:Coronary Angiography; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D011474:Prosthesis Design; D017534:Radial Artery; D015607:Stents; D016896:Treatment Outcome