RANDOMIZED EVALUATION OF 6 FRENCH VODA-TYPE GUIDING CATHETERS FOR LEFT CORONARY-ARTERY BALLOON ANGIOPLASTY

被引:7
作者
HOANG, V [1 ]
URBAN, P [1 ]
CHATELAIN, P [1 ]
METZ, D [1 ]
CAMENZIND, E [1 ]
BRZOSTEK, T [1 ]
RUTISHAUSER, W [1 ]
机构
[1] UNIV HOSP GENEVA,CTR CARDIOL,CH-1211 GENEVA 14,SWITZERLAND
来源
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS | 1995年 / 35卷 / 01期
关键词
CORONARY ANGIOPLASTY; GUIDING CATHETER;
D O I
10.1002/ccd.1810350110
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In order to evaluate 6 French (6F) Voda-type guiding catheters for left coronary artery balloon angioplasty, we randomized the choice of the guiding catheter in 100 consecutive patients between a Voda (group 1, n = 50) and a Judkins or Amplatz curve (group 2) guiding catheter. Angioplasty success rate (98% for both), need for guiding catheter crossover exchange (2 in group 1 vs. 1 in group 2), fluoroscopy time, and volume of injected contrast were similar in both groups, but the operator's appreciation of good backup support was better with the Voda-type guiding catheter (90% vs. 74%, P < 0.05). No complications attributed to the guiding catheter were noted in either group. Efficiency of the Voda-type guiding catheter appeared similar for both left anterior descending(n = 35, success rate 100%) and circumflex (n = 18, success rate 94%) coronary artery angioplasty. Voda-type guiding catheters are an efficient and safe approach to routine left coronary angioplasty. They appear to be as effective as a choice bewtween a Judkins or an Amplatz configuration and could be of particular use when a double angioplasty of the left anterior descending and circumflex arteries is attempted during the same procedure. (C) 1995 Wiley-Liss, Inc.
引用
收藏
页码:53 / 56
页数:4
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