BookFuminobu Yoshimachi, editor.
Summary: This book offers a valuable contribution to the field of minimally invasive coronary intervention, presenting the latest developments in slender catheters, their development and the related research findings. With the growing interest in trans-radial interventions (TRIs) and distal radial approach, "Slender PCI" has been popular in Japan. Although "Slender PCI" started with using a small diameter catheter of a 5Fr Guiding Catheter, recently it becomes a generic term for all minimally invasive catheter Interventions. "Slender PCI" not only makes less painful but also reduces exposure to radiation and contrast agents. In addition, the book highlights the distal radial approach, 5Fr guiding catheter for treating complex lesion, 4Fr guiding catheters, 3Fr diagnosis catheters. The authors share their experiences and know-how throughout, providing abundant illustrations to enhance readers understanding.
Contents:
Intro
Preface
Acknowledgments
Contents
Chapter 1: Introduction
Chapter 2: What Is Slender PCI?
References
Chapter 3: Evidence for Slender Percutaneous Coronary Intervention
3.1 Introduction
3.2 Issues for TRI in the Early Years
3.3 Large Inner Lumen 6 Fr. Guiding Catheter
3.4 Miniaturization of the Outer Diameter of the Guiding Catheter
3.5 Slender Sheath Development
3.6 Slender Techniques
3.7 Evidence of TRI
3.8 Evidence of Small-Sized Guiding Catheter
3.9 Bleeding Complications
3.10 Future Perspectives for Slender PCI
References Chapter 4: Less Invasive Intervention: From a Forearm Radial to Distal Radial Approach
4.1 Introduction
4.1.1 Significance of Radial Artery Occlusion after Radial Access
4.1.2 History of Distal Radial Access
4.1.3 DRA Puncture Technique
4.1.4 Our Experience of DRA Access
4.1.5 Complications of DRA Access
4.1.6 Conclusion
References
Chapter 5: Distal Transradial Access for Arterial Angiography and Interventions: An Overview of Knowledge
5.1 Introduction
5.2 Rationale and Backgrounds
5.2.1 Applied Anatomy
5.2.2 Advantages for the Patient 5.2.3 Advantages for the Operator
5.3 Preparation and Technique
5.3.1 Patient Selection
5.3.2 Patient Preparation
5.3.3 Local Anesthesia
5.3.4 Ultrasound
5.3.5 Puncture Site
5.3.6 Puncture Direction
5.3.7 Puncture and Wire Insertion
5.3.8 Skin Incision
5.3.9 Sheath Selection
5.3.10 Medication
5.3.11 Wire Insertion
5.3.12 Catheter Selection
5.3.13 Hemostasis
5.4 How to Start a (l)dTRA Program
5.4.1 Learning Curve
5.4.2 Preparation
5.4.3 Role of a Proctor
5.4.4 General Recommendations
5.5 Potential Complications 5.5.1 Distal Radial Artery Occlusion (dRAO)
5.5.2 Digital Ischemia
5.5.3 Nerve Damage
5.5.4 Hematoma
5.5.5 Pseudoaneurysm (PSA)
5.5.6 Arteriovenous Fistula (AVF)
5.5.7 Avascular Necrosis Scaphoid (AVN)
5.5.8 Tendinitis
5.5.9 Hand Dysfunction
References
Chapter 6: Ultimate Less Radial Artery Occlusion Hemostasis Method on Slender PCI
6.1 Introduction
6.2 RAO Preventive Strategies History
6.3 Diagnosis and Treatment
6.4 Latest Progress in Reduction of Early RAO
6.5 Importance of Short and Soft Compression 6.6 Our Slender Approach and Postprocedural Care
6.7 Conclusion
References
Chapter 7: Distal Radial Approach for ST Elevation Myocardial Infarction
7.1 Introduction
7.2 Representative Case
7.3 Procedural Considerations
7.3.1 Patient Selection and Exclusion
7.3.2 Puncture
7.3.3 Hemostasis
7.4 Clinical Significance of Distal Transradial Access
7.4.1 Hemorrhagic Complication
7.4.2 Radial Artery Occlusion
7.4.3 Concerns Over Delay in Revascularization (Longer Door-to-Balloon Time)
7.5 Conclusion
References