Randomized Comparison of Terumo® Coated Slender™ versus Terumo® Noncoated Traditional Sheath during Radial Angiography or Percutaneous Coronary Intervention
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Author
Sindberg, BirtheAagren Nielsen, Christel Gry
Poulsen, Marianne Hestbjerg
Bøhme Rasmussen, Martin
Carstensen, Steen
Thim, Troels
Jakobsen, Lars
Sørensen, Jacob Thorsted
Haastrup, Benedicte
Søndergaard, Hanne Maare
Mæng, Michael
Terkelsen, Christian Juhl
Metadata
Show full item recordURI
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85064415984&origin=inward; http://hdl.handle.net/2384/582906Abstract
Background. The transradial approach is generally associated with few complications. However, periprocedural pain is still a common issue, potentially related to sheath insertion and/or arterial spasm, and may result in conversion to femoral access. Radial artery occlusion (RAO) following the procedure is also a potential risk. We evaluate whether the design of the sheath has any impact on these variables. Methods. A total of 1,000 patients scheduled for radial CAG or PCI were randomized (1:1) to the use of a Slender or a Standard sheath during the procedure. Randomization was stratified according to chosen sheath size (5, 6, 7 French) and gender. A radial band was used to obtain hemostasis after the procedure, employing a rapid deflation technique. A reverse Barbeau test was performed to evaluate radial artery patency after removal of the radial band, and level of pain was assessed using a numeric rating scale (NRS). Results. Use of the Slender sheath was associated with less pain during sheath insertion (median NRS 1 versus 2, p=0.02), whereas no difference was observed in pain during the procedure, radial procedural success rates, use of analgesics and sedatives during the procedure, and radial artery patency following the procedure. Rate of RAO was 1.5% with no difference between groups. Conclusion. The use of the hydrophilic coated Slender sheath during radial CAG or PCI was associated with less pain during sheath insertion, whereas no difference in other endpoints was observed. A rapid deflation technique was associated with RAO of only 1.5%.DOI
10.1155/2019/7348167ae974a485f413a2113503eed53cd6c53
10.1155/2019/7348167
Scopus Count
Collections
The following license files are associated with this item:
- Creative Commons