983-34 Percutaneous Trans Radial Coronary Revascularization

Percutaneous Trans Radial Coronary Angioplasty (PTRCA) was attempted in 515 consecutive patients (pts): 428 males, 87 females, mean age of 62.6 ± 10.7 years (31–87). 57% of pts had unstable angina, mean LVEF was 61.2 ± 10.5% (25%–83%). 68% had multivessel disease. Failure to puncture the radial artery occurred in 8 pts (1.5%) and to catheterize selectively the coronary artery ostium in 7 pts (1.4%). These 15 pts underwent successful transfemoral PTCA and 500 pts effectively underwent PTRCA using a 6F catheter: 362 pts had conventional balloon angioplasty, 119 pts had coronary stenting and 19 had rotational ablation, No acute major complications occurred during the procedure. In hospital major cardiac events included one non Q-wave MI after rotablator procedure, one non Q-wave MI (side branch occlusion) after non elective stenting, and one death three days after non elective coronary stenting, Bleeding orvascular access complications occurred in 8 pts (l.6%): 6 hematoma, and 2 surgical repairs, one of which for AV fistula 22 days after procedure. No bleeding requiring blood transfusion occurred. Conclusion This new PTRCA is a safe and effective way to perform coronary revascularization with high initial success and low complication rate.