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Start Over Author "Ying-Kai Xu" Journal current medical research and opinion
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1. Clinical effectiveness and radial artery remodeling assessment via very-high-frequency ultrasound/ultra biomicroscopy after applying slender 7Fr sheath for transradial approach in left main bifurcation disease

Author

Zi-Wei Zhao, Ying-Kai Xu, Qianyun Guo, Bei-Bei Zhang, Qi Zhao, Yingkai Li, Jiaqi Yang, Hua Shen, Yujie Zhou, and Yujing Cheng

Subjects
Adult, Male, medicine.medical_specialty, Clinical effectiveness, Coronary Artery Disease, 030204 cardiovascular system & hematology, Vascular Remodeling, 03 medical and health sciences, 0302 clinical medicine, Percutaneous Coronary Intervention, medicine.artery, medicine, Humans, 030212 general & internal medicine, Radial artery, Bifurcation, Aged, Ultrasonography, business.industry, Ultrasound, Very high frequency, General Medicine, Middle Aged, Radial Artery, Female, Radiology, business
Abstract

To explore the clinical effect and radial remodeling of transradial slender 7 Fr sheath for left main bifurcation disease (LM bifurcation).From January 2018 to September 2019, 236 patients with LM bifurcation undergoing transradial percutaneous coronary intervention (PCI) from two heart centers were divided into slender 7 Fr sheath group (Slender 7 Fr sheath group had a higher preoperative distal bifurcation angle (67.271 ± 22.886) than 6 Fr group (55.831 ± 20.245) (With larger main and side branch diameter, larger angle of bifurcation and higher SYNTAX score, transradial slender 7 Fr sheath obtained similar clinical effects as 6 Fr sheath without increasing the occurrence of adverse events. Similar follow-up RAD, IMT and radial artery injury were observed. Therefore, slender 7 Fr sheath has safety and feasibility in applying to transradial LM-Bifurcation PCI.

Published
2020

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