BACKGROUND: Use of a universal diagnostic catheter may decrease procedural time and catheter-exchange related spasm when compared with a dual-catheter strategy. The aim of this study was to identify preprocedural predictors of failure to complete a coronary angiogram with a universal catheter alone. METHODS: Consecutive patients (n = 782) who underwent a right transradial/transulnar coronary angiogram with a single operator were retrospectively reviewed. Multivariable predictors of failure to complete the procedure with a universal catheter alone were identified using logistic regression analysis and presented as odds ratio (OR) and 95% confidence interval (CI). RESULTS: Of the study population (n = 558), a total of 216 (38.7%) required exchange to a coronary-specific catheter (44.4% for right coronary artery alone, 25.5% for left coronary artery alone, 30.1% for both) and 342 (61.3%) underwent angiography with a universal catheter alone. Patients who required a catheter exchange were more likely to have the following characteristics compared with patients who underwent an angiogram with a universal catheter alone: age >75 years (27.3% vs 16.4%; P<.01), female sex (34.3% vs 23.1%; P<.01), diabetes mellitus (50.0% vs 38.3%; P<.01), hypertension (88.0% vs 74.6%; P<.001), and chronic kidney disease (29.2% vs 17.8%; P<.01). After multivariable adjustment, age ≫75 years (OR, 1.92; 95% CI, 1.21-3.04), female sex (OR, 1.94; 95% CI, 1.20-3.14), hypertension (OR, 2.08; 95% CI, 1.22-3.57), and chronic kidney disease (OR, 1.58; 95% CI, 1.01-2.46) predicted failure of a universal catheter alone to complete angiography. CONCLUSION: Consideration may be given to use an initial dual-catheter strategy if one or more of the following are present: elderly age, female sex, hypertension, and chronic kidney disease.
BACKGROUND: Use of a universal diagnostic catheter may decrease procedural time and catheter-exchange related spasm when compared with a dual-catheter strategy. The aim of this study was to identify preprocedural predictors of failure to complete a coronary angiogram with a universal catheter alone. METHODS: Consecutive patients (n = 782) who underwent a right transradial/transulnar coronary angiogram with a single operator were retrospectively reviewed. Multivariable predictors of failure to complete the procedure with a universal catheter alone were identified using logistic regression analysis and presented as odds ratio (OR) and 95% confidence interval (CI). RESULTS: Of the study population (n = 558), a total of 216 (38.7%) required exchange to a coronary-specific catheter (44.4% for right coronary artery alone, 25.5% for left coronary artery alone, 30.1% for both) and 342 (61.3%) underwent angiography with a universal catheter alone. Patients who required a catheter exchange were more likely to have the following characteristics compared with patients who underwent an angiogram with a universal catheter alone: age >75 years (27.3% vs 16.4%; P<.01), female sex (34.3% vs 23.1%; P<.01), diabetes mellitus (50.0% vs 38.3%; P<.01), hypertension (88.0% vs 74.6%; P<.001), and chronic kidney disease (29.2% vs 17.8%; P<.01). After multivariable adjustment, age ≫75 years (OR, 1.92; 95% CI, 1.21-3.04), female sex (OR, 1.94; 95% CI, 1.20-3.14), hypertension (OR, 2.08; 95% CI, 1.22-3.57), and chronic kidney disease (OR, 1.58; 95% CI, 1.01-2.46) predicted failure of a universal catheter alone to complete angiography. CONCLUSION: Consideration may be given to use an initial dual-catheter strategy if one or more of the following are present: elderly age, female sex, hypertension, and chronic kidney disease.
Authors: Vera S Schneider; Laura Lübking; Barbara E Stähli; Carsten Skurk; Alexander Lauten; Hans-Christian Mochmann; Patrick Schauerte; Matthias Riedel; Lisa Steinbeck; Ursula Rauch-Kröhnert; Jens Klotsche; Ulf Landmesser; Georg Fröhlich; David M Leistner Journal: Am J Cardiol Date: 2018-08-20 Impact factor: 2.778
Authors: Binita Shah; Joseph Burdowski; Yu Guo; Bryan Velez de Villa; Andrew Huynh; Meena Farid; Mansi Maini; Claudia Serrano-Gomez; Cezar Staniloae; Frederick Feit; Michael J Attubato; James Slater; John Coppola Journal: Am J Cardiol Date: 2016-05-28 Impact factor: 2.778
Authors: Binita Shah; Sripal Bangalore; Frederick Feit; Gregory Fernandez; John Coppola; Michael J Attubato; James Slater Journal: Am Heart J Date: 2013-03 Impact factor: 4.749
Authors: Peter J Mason; Binita Shah; Jacqueline E Tamis-Holland; John A Bittl; Mauricio G Cohen; Jordan Safirstein; Douglas E Drachman; Javier A Valle; Denise Rhodes; Ian C Gilchrist Journal: Circ Cardiovasc Interv Date: 2018-09 Impact factor: 6.546
Authors: Payam Dehghani; Atif Mohammad; Ravi Bajaj; Tony Hong; Colin M Suen; Waseem Sharieff; Robert J Chisholm; Michael J B Kutryk; Neil P Fam; Asim N Cheema Journal: JACC Cardiovasc Interv Date: 2009-11 Impact factor: 11.195