Percutaneous Coronary Intervention Complications and Guide Catheter Size

Abstract

Compared with 6-F guides, PCIs performed with 7- and 8-F guides were associated with more contrast medium use, renal complications, bleeding, vascular access site complications, greater need for post-procedure transfusion, and 8-F guides with increased nephropathy requiring dialysis, in-hospital major adverse cardiac events, and mortality. These data suggest that selection of smaller guide catheters may result in improved clinical outcome in patients undergoing contemporary PCI.

Vascular complications after balloon aortic valvuloplasty in recent years: Incidence and comparison of two hemostatic devices

“…However, rates of VC were fairly low (major 2.7%; minor 6.6%), lower that in older series enrolling on average slightly younger patients , and in line with the reported range in other contemporary BAV registries . Of note, this rate matches also with those observed in percutaneous coronary intervention (PCI) registries where arterial sheaths with lower profile are used (6–8 Fr) and hemostasis is met with the same VCD . Moreover, even in our relatively short study period, a slight decrease in the rate of minor VC was seen.…”

“…This article focused on vascular access complications after BAV. Our study confirms that VC remain the most frequent drawback of BAV, despite technical improvements with reduction of the caliper of arterial sheaths , and increased operators' experience secondary to the sharp increase of BAV and TAVI procedures in the last decade . However, rates of VC were fairly low (major 2.7%; minor 6.6%), lower that in older series enrolling on average slightly younger patients , and in line with the reported range in other contemporary BAV registries .…”

A novel percutaneous coronary intervention technique for chronic total occlusion: Contralateral angiography with a single guiding catheter

“…Trans‐radial intervention (TRI) with fewer bleeding complications has been selected more often as a less invasive intervention . This not only reduces injury to the radial artery but there is also an economic effect with shorter hospital stay and a GC is employed, which is small in diameter . In today's age, the advantage of using a slender GC in TRI is understood and such evidence is accumulating .…”

Instrumentation

“…For coronary application, pro fi les typically range from 5F to 8F with a tendency to smaller pro fi les [ 28 ] . The outer pro fi le must match to the selected size of the chosen introducer.…”