Transradial Angiography with Dedicated Catheter: A Tertiary Care Center Experience | [Journal of Postgraduate Medical Institute • 2024]

Author(s):

1. Maryam Masoud: Department of Cardiology, Peshawar Institute of Cardiology,Peshawar -,Pakistan

2. Shah Zeb: Department of Cardiology, Peshawar Institute of Cardiology,Peshawar -,Pakistan

3. Ali Raza: Department of Cardiology, Peshawar Institute of Cardiology,Peshawar -,Pakistan

4. Abid Ullah: Department of Cardiology, Peshawar Institute of Cardiology,Peshawar -,Pakistan

5. Muhammad Ishaq Khan: Department of Cardiology, Peshawar Institute of Cardiology,Peshawar -,Pakistan

6. Rafiullah Jan: Department of Cardiology, Peshawar Institute of Cardiology,Peshawar -,Pakistan

Abstract:

Objective: To demonstrate the safety and feasibility of tiger catheter for trans-radialcoronary angiography. Methodology: It was a retrospective observational study conducted at the Peshawar Institute of Cardiology. A total of 2728 patients were included over a period of 1 year, from Apr 01, 2021, to Mar 31, 2022, who underwent radial angiography with a tiger catheter. All data was collected through the hospital database. Angiography clips were analyzed by senior consultant cardiologists for the occurrence of any complications. Results: Among 2728 patients, 60.63% of patients were males, and 39.36% were females. The mean fluoroscopy time was 0.85±0.36 minutes. The mean contrast volume used was 33.33±10.19 ml. The rate of any major complication was extremely low. Radial artery spasm was the most common complication and occurred in 3.9% of cases. Coronary artery ostial dissection occurred in only 4 cases, and all were successfully stented. Switching over to Judkins left (1.94%) and Judkins right (1.76%) catheter in cases of dificult en gagement was also very low. Conclusion: Our study has demonstrated that radial angiography performed with a Tiger catheter is associated with low contrast volume and fluoroscopy time and an extremely low rate of any major complication.

Page(s): 215-220

DOI: 10.54079/jpmi.38.3.3375

Published: Journal: Journal of Postgraduate Medical Institute, Volume: 38, Issue: 3, Year: 2024

Keywords:

Fluoroscopy time , Judkins catheter , Tiger catheter , Contrast volume , Radial angiography

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