Research Article
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Year 2022, Volume: 8 Issue: 4, 529 - 535, 04.07.2022
https://doi.org/10.18621/eurj.1091049

Abstract

References

  • 1. Campeau L. Percutaneous radial artery approach for coronary angiography. Catheter Cardiovasc Diagn 1989;16:3-7.
  • 2. Archbold RA, Robinson NM, Schilling RJ. Radial artery access for coronary angiography and percutaneous coronary intervention. BMJ 2004;329:443-6.
  • 3. Kolkailah AA, Alreshq RS, Muhammed AM, Zahran ME, El‐Wegoud MA, Nabhan AF. Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. Cochrane Database Syst Rev 2018;4:CD012318
  • 4. Neumann F-J, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J 2019;40:87-165.
  • 5. Kim S-M, Kim D-K, Kim D-I, Kim D-S, Joo S-J, Lee J-W. Novel diagnostic catheter specifically designed for both coronary arteries via the right transradial approach. Int J Cardiovasc Imaging 2006;22:295-303.
  • 6. Schneider VS, Lübking L, Stähli BE, Skurk C, Lauten A, Mochmann H-C, et al. Performance of one-compared with two-catheter concepts in transradial coronary angiography (from the randomized use of different diagnostic catheters-radial-trial). Am J Cardiol 2018;122:1647-51.
  • 7. Xanthopoulou I, Stavrou K, Davlouros P, Tsigkas G, Koufou E, Almpanis G, et al. Randomised comparison of JUDkins vs. tiGEr catheter in coronary angiography via the right radial artery: the JUDGE study. EuroIntervention 2018;13:1950-8.
  • 8. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928.
  • 9. Shroff AR, Fernandez C, Vidovich MI, Rao SV, Cowley M, Bertrand OF, et al. Contemporary transradial access practices: results of the second international survey. Catheter Cardiovasc Interv 2019;93:1276-87.
  • 10. Alushi B, Lauten A, Ndrepepa G, Leistner DM, Kufner S, Xhepa E, et al. Procedural and clinical performance of dual‐versus single‐catheter strategy for transradial coronary angiography: a meta‐analysis of randomized trials. Catheter Cardiovasc Interv 2020;96:276-82.
  • 11. Chow J, Tan CH, Tin AS, Ong SH, Tan VH, Goh YS, et al. Feasibility of transradial coronary angiography and intervention using a single Ikari left guiding catheter for ST elevation myocardial infarction. J Interv Cardiol 2012;25:235-44.
  • 12. Roberts EB, Wood A. Use of a single Q guide catheter for complete assessment and treatment of both coronary arteries via radial access during acute ST elevation myocardial infarction: a review of 40 consecutive cases. J Interv Cardiol 2011;24:389-96.
  • 13. Chen O, Goel S, Acholonu M, Kulbak G, Verma S, Travlos E, et al. Comparison of standard catheters versus radial artery-specific catheter in patients who underwent coronary angiography through transradial access. Am J Cardiol 2016;118:357-61.
  • 14. Turan B, Erkol A, Mutlu A, Daşli T, Erden İ. Effectiveness of left Judkins catheter as a single multipurpose catheter in transradial coronary angiography from right radial artery: a randomized comparison with conventional two‐catheter strategy. J Interv Cardiol 2016;29:257-64.
  • 15. Erden I, Golcuk E, Bozyel S, Erden EC, Balaban Y, Yalın K, et al. Effectiveness of handmade “Jacky‐like catheter” as a single multipurpose catheter in transradial coronary angiography: a randomized comparison with conventional two‐catheter strategy. J Interv Cardiol 2017;30:24-32.

Right and left coronary artery angiography with single Judkins left catheter via right radial artery

Year 2022, Volume: 8 Issue: 4, 529 - 535, 04.07.2022
https://doi.org/10.18621/eurj.1091049

Abstract

Objectives: The aim of this study was to assess the safety and efficacy of single Judkins left (JL) catheter to view right and left coronary artery in right transradial coronary angiography.


Methods:
A total of 266 patients underwent coronary angiography from the right radial artery were studied prospectively. Patients with ad-hoc percutaneous coronary intervention (PCI), peripheral angiography, ventriculography or aortography procedures (67 patients) were excluded from the study. Coronary angiography was performed with the JL catheter as single catheter group in 171 of the remaining 199 patients, and with the Judkins right and left catheters as the control group in the other 28 patients. Complications, procedure success, procedure time and fluoroscopy time were evaluated between the two groups.


Results:
Procedure success were 93% (159/171) in patients with a single catheter group and 96.4% (27/28) in patients with two catheter (Judkins right and left) group (control group) (p = 0.49). Complications (spasm) are the same between the two groups (8 of 171 [4.7%] patients in study group and 1 of 28 [3.6%] patients in control group, p = 0.79). Fluroscopy time in single JL catheter group was significantly higher (6.20 ± 4.97 min vs 3.76 ± 2.78 min, p = 0.01).


Conclusions:
Single JL catheter using to view right and left coronary artery in right transradial coronary angiography was safe and effective. In our study, the success rate of getting left and right coronary artery images with a single JL catheter as high as 93%. However, insisting on imaging with a single catheter extends the duration of fluoroscopy time.

References

  • 1. Campeau L. Percutaneous radial artery approach for coronary angiography. Catheter Cardiovasc Diagn 1989;16:3-7.
  • 2. Archbold RA, Robinson NM, Schilling RJ. Radial artery access for coronary angiography and percutaneous coronary intervention. BMJ 2004;329:443-6.
  • 3. Kolkailah AA, Alreshq RS, Muhammed AM, Zahran ME, El‐Wegoud MA, Nabhan AF. Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. Cochrane Database Syst Rev 2018;4:CD012318
  • 4. Neumann F-J, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J 2019;40:87-165.
  • 5. Kim S-M, Kim D-K, Kim D-I, Kim D-S, Joo S-J, Lee J-W. Novel diagnostic catheter specifically designed for both coronary arteries via the right transradial approach. Int J Cardiovasc Imaging 2006;22:295-303.
  • 6. Schneider VS, Lübking L, Stähli BE, Skurk C, Lauten A, Mochmann H-C, et al. Performance of one-compared with two-catheter concepts in transradial coronary angiography (from the randomized use of different diagnostic catheters-radial-trial). Am J Cardiol 2018;122:1647-51.
  • 7. Xanthopoulou I, Stavrou K, Davlouros P, Tsigkas G, Koufou E, Almpanis G, et al. Randomised comparison of JUDkins vs. tiGEr catheter in coronary angiography via the right radial artery: the JUDGE study. EuroIntervention 2018;13:1950-8.
  • 8. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928.
  • 9. Shroff AR, Fernandez C, Vidovich MI, Rao SV, Cowley M, Bertrand OF, et al. Contemporary transradial access practices: results of the second international survey. Catheter Cardiovasc Interv 2019;93:1276-87.
  • 10. Alushi B, Lauten A, Ndrepepa G, Leistner DM, Kufner S, Xhepa E, et al. Procedural and clinical performance of dual‐versus single‐catheter strategy for transradial coronary angiography: a meta‐analysis of randomized trials. Catheter Cardiovasc Interv 2020;96:276-82.
  • 11. Chow J, Tan CH, Tin AS, Ong SH, Tan VH, Goh YS, et al. Feasibility of transradial coronary angiography and intervention using a single Ikari left guiding catheter for ST elevation myocardial infarction. J Interv Cardiol 2012;25:235-44.
  • 12. Roberts EB, Wood A. Use of a single Q guide catheter for complete assessment and treatment of both coronary arteries via radial access during acute ST elevation myocardial infarction: a review of 40 consecutive cases. J Interv Cardiol 2011;24:389-96.
  • 13. Chen O, Goel S, Acholonu M, Kulbak G, Verma S, Travlos E, et al. Comparison of standard catheters versus radial artery-specific catheter in patients who underwent coronary angiography through transradial access. Am J Cardiol 2016;118:357-61.
  • 14. Turan B, Erkol A, Mutlu A, Daşli T, Erden İ. Effectiveness of left Judkins catheter as a single multipurpose catheter in transradial coronary angiography from right radial artery: a randomized comparison with conventional two‐catheter strategy. J Interv Cardiol 2016;29:257-64.
  • 15. Erden I, Golcuk E, Bozyel S, Erden EC, Balaban Y, Yalın K, et al. Effectiveness of handmade “Jacky‐like catheter” as a single multipurpose catheter in transradial coronary angiography: a randomized comparison with conventional two‐catheter strategy. J Interv Cardiol 2017;30:24-32.
There are 15 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery
Journal Section Original Articles
Authors

Sencer Çamcı 0000-0003-2152-0470

Hasan Ari 0000-0002-9681-2374

Selma Arı 0000-0001-8669-8750

Berat Uğuz 0000-0002-4834-5572

Gökhan Özmen 0000-0002-3679-344X

Mustafa Kınık 0000-0002-8415-9697

Ahmet Tutuncu 0000-0003-3747-9580

Burcu Çavlan 0000-0002-4327-9406

Mehmet Melek 0000-0002-9510-9206

Tahsin Bozat 0000-0002-7389-6253

Publication Date July 4, 2022
Submission Date March 22, 2022
Acceptance Date April 15, 2022
Published in Issue Year 2022 Volume: 8 Issue: 4

Cite

AMA Çamcı S, Ari H, Arı S, Uğuz B, Özmen G, Kınık M, Tutuncu A, Çavlan B, Melek M, Bozat T. Right and left coronary artery angiography with single Judkins left catheter via right radial artery. Eur Res J. July 2022;8(4):529-535. doi:10.18621/eurj.1091049

e-ISSN: 2149-3189 


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