Abstract
Transradial approach (TRA) for primary percutaneous coronary interventions (PCI) today becomes widely accepted. However, there is a significant variability in the way of performing primary PCI by different interventional cardiologists and no consensus exists about which coronary artery should be firstly catheterized and what sequence of catheters are used in primary PCI. Compared with multi-catheter technique, using a dedicated radial guiding catheter for both the diagnostic and interventional procedures is the ‘‘one-pass’’ technique, with potentially less procedure and fluoroscopic time, lower costs, and diminished radial artery spasm. Herein, in this chapter, we will discuss five types of sequence of catheters for primary PCI, manipulation of the Multi-aortic Curve (MAC) guiding catheter to perform left and right coronary angiography and intervention in six typical cases.
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Guo, J. (2017). Transradial Approach for STEMI: Focus on Technique Using a Single MAC Guiding Catheter for Transradial Primary PCI. In: Zhou, Y., Kiemeneij, F., Saito, S., Liu, W. (eds) Transradial Approach for Percutaneous Interventions. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7350-8_14
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DOI: https://doi.org/10.1007/978-94-017-7350-8_14
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