TY - JOUR
T1 - Balloon-assisted tracking technique as 'a way forward' for transradial intervention
AU - Wojciuk, Jerzy
AU - Beijk, Marcel A.
AU - Goode, Grahame
AU - Brack, Michael
AU - Galasko, Gavin
AU - More, Ranjit
AU - Roberts, David
AU - Eichhöfer, Jonas
AU - Patel, Billal
AU - Chauhan, Anoop
AU - Wiper, Andrew
PY - 2019/9/1
Y1 - 2019/9/1
N2 - BACKGROUND: In percutaneous coronary interventions, use of the radial artery may be limited by vascular anatomy or vascular complications, such as radial artery spasm, dissection or perforation. The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or radial artery spasm. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. OBJECTIVE: We analysed data of all percutaneous coronary intervention patients in whom the BAT technique was undertaken in daily practice and report acute and long-term outcomes. RESULTS: A total of 62 patients were included and, in most patients, the BAT technique was performed for radial spasm. Most patients were administered benzodiazepines or nitrates before the BAT technique was performed. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98%. 11% of patients developed a complication within 24 h (haematoma, prolonged pain or visible vascular damage at the end of procedure); all completely recovered at follow-up. No complications occurred during long-term follow-up. CONCLUSION: BAT is a low-risk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.
AB - BACKGROUND: In percutaneous coronary interventions, use of the radial artery may be limited by vascular anatomy or vascular complications, such as radial artery spasm, dissection or perforation. The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or radial artery spasm. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. OBJECTIVE: We analysed data of all percutaneous coronary intervention patients in whom the BAT technique was undertaken in daily practice and report acute and long-term outcomes. RESULTS: A total of 62 patients were included and, in most patients, the BAT technique was performed for radial spasm. Most patients were administered benzodiazepines or nitrates before the BAT technique was performed. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98%. 11% of patients developed a complication within 24 h (haematoma, prolonged pain or visible vascular damage at the end of procedure); all completely recovered at follow-up. No complications occurred during long-term follow-up. CONCLUSION: BAT is a low-risk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85071067311&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31233402
U2 - https://doi.org/10.1097/MCA.0000000000000772
DO - https://doi.org/10.1097/MCA.0000000000000772
M3 - Article
C2 - 31233402
SN - 0954-6928
VL - 30
SP - 440
EP - 447
JO - Coronary artery disease
JF - Coronary artery disease
IS - 6
ER -