title: Virtual 5-French intra-aortic pumping using a Glidesheath Slender and 6-French intra-aortic balloon catheter.
abstract: OBJECTIVE
  The aim of this study was to evaluate the feasibility and safety of the 6-Fr Glidesheath Slender, which has equivalent outer size to the conventional 5-Fr sheath, for use with the 6-Fr intra-aortic balloon pump (IABP) catheter.
  
  
  METHODS
  Between May 2014 and March 2015, 24 patients with acute coronary syndrome underwent percutaneous coronary intervention using a 6-Fr IABP catheter through a 6-Fr Glidesheath Slender for support. The adverse events, including access site complications, kinking of the sheath during the procedure, and any evidence of balloon pump failure, were retrospectively investigated.
  
  
  RESULTS
  Insertion of the IABP catheter through either the femoral or brachial artery was successful in all patients. The mean support time was 32.4±22.0h. No major hemorrhagic event or severe limb ischemia was observed. Kinking of the shaft occurred during insertion in one patient; however, the subsequent balloon pumping was well maintained and did not require exchange of the sheath or IABP catheter. No kind of IABP failure was observed.
  
  
  CONCLUSIONS
  Although this sheath was originally designed to allow radial access, our results suggest that the use of the Glidesheath Slender is feasible for insertion of the 6-Fr IABP catheter through the brachial and femoral arteries, and may reduce vascular complications in patients who undergo percutaneous coronary intervention.
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan. Electronic address: a-takahashi@wine.ocn.ne.jp.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Takahashi
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan.
authors.forename: Norimasa
authors.initials: N
authors.lastname: Taniguchi
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Mizuguchi
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yamada
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Nakajima
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Hashimoto
authors.affiliation: Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Hata
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D057785:Catheters; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D005263:Femoral Artery; D006353:Heart-Assist Devices / Q000009:adverse effects; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Glidesheath Slender; Intra-aortic balloon pump catheter