Catheter Insertion
Angiography & Intervention
Expected Concern
Longer procedure time (Ex. Total ischemic time for STEMI)
Higher contrast volume and longer fluoroscopy time
Spasm due to catheterization
Solutions for Simple and Secure procedure
With bilateral catheters
Save complication
-Save contrast volume *1
-Shorten fluoroscopy time *1.2
-Reduce spasm rate *1,2
Save time
-Shorten procedure time *2
Save cost
-One catheter for both RCA&LCA with less cost
Ex) Angiography: 149 vs.171€, pp<0.001 *1
Save complication
-Reduce spasm rate *3
Save time
-Shorten door to balloon time for STEMI
Ex) 68±46 vs. 74±50 min, p =0.02; conventional vs. single catheter *4
How to manipulate bilateral angiographic catheters
TRI Catheterization - How to use TIG catheter -
Practicing maneuver of coronary angiographic catheter TIG shape using vessel model
TRI Catheterization - How to use Jacky catheter -
Practicing maneuver of coronary angiographic catheter Jacky shape using vessel model
Tips & Tricks
Bilateral catheter Manipulation with Ease
Clock to the right, counter to the left
Ikari Left manipulation for intervention
For more information
Reference
- *1: Joan CM et al., Arq Bras Cardiol. 2019; 113(5): 960-968
- *2: Xanthopoulou I, Stavrou K, Davlouros P, et al. EuroIntervention. 2018;13(16):1950-1958.
- *3: Youssef AA, Hsieh YK, Cheng CI, We CJ. Eurointervention 2007; 3: 475-481.
- *4: Lee KH, Torii S, Oguri M, et al. [published online ahead of print, 2021 May 31]. Catheter Cardiovasc Interv. 2021
