Sheath Insertion for TRI

How to TRY TRI

Contents
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Expected Concern
Solutions
Tips & Tricks of Coated Sheath
Reference

Expected Concern

RAO (Radial Artery Occlusion) 

RAO is the most frequent post-procedural complication of TRA, restricting the use of the same radial artery for future procedures and as a conduit for coronary artery bypass graft.

Recommendation for RAO reduction from consensus paper *1

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Spasm

RAS (Radial artery spasm) registry *2 concluded predictors of spasm are

Solutions

Low profile system for reduction of RAO and spasm

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How to use Glidesheath Slender™

 

Easy removal of coated sheath in case of spasm

Compared to uncoated sheaths, hydrophilic coated sheaths reduce the incidence of radial artery spasm.4 Hydrophilic coated sheath reduced the sheath removal pull back force and discomfort of patients when spams happened.5

View our recommendation
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Tips & Tricks of Coated Sheath

Transparent surgical dressing tape can prevent slipping out the sheath during procedure.

 

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Reference

 
  1. Bernat I, Aminian A, Pancholy S, et al. JACC Cardiovasc Interv. 2019;12(22):2235-2246.
  2. Goldsmit A et al. Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E32-6
  3. Aminian A, Saito S, Takahashi A, et al. Catheter Cardiovasc Interv. 2018;92(5):844-851.
  4. Rathore S, et al. JACC Cardiovasc Interv. 2010;3(5):475-483.
  5. Kiemeneij F, et al, Catheter Cardiovasc Interv. 2003;59(2):161-164