Current practice of transradial coronary angiography and intervention

Results from the Korean transradial intervention prospective registry

Young Jin Youn, Jun Won Lee, Sung Gyun Ahn, Seung Hwan Lee, Junghan Yoon, Byung Ryul Cho, Sang Sig Cheong, Hee Yeol Kim, Jae Hwan Lee, Jang Ho Bae, Jin Bae Lee, Jon Suh, Keum Soo Park, Kyoo Rok Han, Myung Ho Jeong, Seung-Woon Rha, Sung Ho Her, Yun Hyeong Cho, Sang Wook Kim

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background and Objectives: Although increasing evidence has indicated that radial access is a beneficial technique, few studies have focused on Korean subjects. The aim of this study was to evaluate current practice of coronary angiography (CAG) and percutaneous coronary intervention (PCI) using radial access in South Korea. Subjects and Methods: A total of 6338 subjects were analyzed from Korean Transradial Intervention prospective registry that was conducted at 20 centers in Korea. After evaluating the initial access, subjects intended for radial access were assessed for their baseline, procedure-related, and complication data. Subjects were categorized into three groups: group of overall subjects (n=5554); group of subjects who underwent PCI (n=1780); and group of subjects who underwent primary percutaneous coronary intervention (PPCI) (n=167). Results: The rate of radial artery as an initial access and the rate of access site crossover was 87.6% and 4.4%, respectively, in overall subjects. Those rates were 82.4% and 8.1%, respectively, in subjects who underwent PCI, and 60.1% and 4.8%, respectively, in subjects who underwent PPCI. For subjects who underwent CAG, a 6-F introducer sheath and a 5-F angiographic catheter was the most commonly used. During PCI, a 6-F introducer sheath (90.6%) and a 6-F guiding catheter were standardly used. Conclusion: The large prospective registry allowed us to present the current practice of CAG and PCI using radial access. These data provides evidence to achieve consensus on radial access in CAG and PCI in the Korean population.

Original languageEnglish
Pages (from-to)457-468
Number of pages12
JournalKorean Circulation Journal
Volume45
Issue number6
DOIs
Publication statusPublished - 2015 Nov 1

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Percutaneous Coronary Intervention
Coronary Angiography
Registries
Catheters
Republic of Korea
Radial Artery
Korea
Population

Keywords

  • Coronary angiography
  • Percutaneous coronary intervention
  • Radial artery
  • Registries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine

Cite this

Current practice of transradial coronary angiography and intervention : Results from the Korean transradial intervention prospective registry. / Youn, Young Jin; Lee, Jun Won; Ahn, Sung Gyun; Lee, Seung Hwan; Yoon, Junghan; Cho, Byung Ryul; Cheong, Sang Sig; Kim, Hee Yeol; Lee, Jae Hwan; Bae, Jang Ho; Lee, Jin Bae; Suh, Jon; Park, Keum Soo; Han, Kyoo Rok; Jeong, Myung Ho; Rha, Seung-Woon; Her, Sung Ho; Cho, Yun Hyeong; Kim, Sang Wook.

In: Korean Circulation Journal, Vol. 45, No. 6, 01.11.2015, p. 457-468.

Research output: Contribution to journalArticle

Youn, YJ, Lee, JW, Ahn, SG, Lee, SH, Yoon, J, Cho, BR, Cheong, SS, Kim, HY, Lee, JH, Bae, JH, Lee, JB, Suh, J, Park, KS, Han, KR, Jeong, MH, Rha, S-W, Her, SH, Cho, YH & Kim, SW 2015, 'Current practice of transradial coronary angiography and intervention: Results from the Korean transradial intervention prospective registry', Korean Circulation Journal, vol. 45, no. 6, pp. 457-468. https://doi.org/10.4070/kcj.2015.45.6.457
Youn, Young Jin ; Lee, Jun Won ; Ahn, Sung Gyun ; Lee, Seung Hwan ; Yoon, Junghan ; Cho, Byung Ryul ; Cheong, Sang Sig ; Kim, Hee Yeol ; Lee, Jae Hwan ; Bae, Jang Ho ; Lee, Jin Bae ; Suh, Jon ; Park, Keum Soo ; Han, Kyoo Rok ; Jeong, Myung Ho ; Rha, Seung-Woon ; Her, Sung Ho ; Cho, Yun Hyeong ; Kim, Sang Wook. / Current practice of transradial coronary angiography and intervention : Results from the Korean transradial intervention prospective registry. In: Korean Circulation Journal. 2015 ; Vol. 45, No. 6. pp. 457-468.
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abstract = "Background and Objectives: Although increasing evidence has indicated that radial access is a beneficial technique, few studies have focused on Korean subjects. The aim of this study was to evaluate current practice of coronary angiography (CAG) and percutaneous coronary intervention (PCI) using radial access in South Korea. Subjects and Methods: A total of 6338 subjects were analyzed from Korean Transradial Intervention prospective registry that was conducted at 20 centers in Korea. After evaluating the initial access, subjects intended for radial access were assessed for their baseline, procedure-related, and complication data. Subjects were categorized into three groups: group of overall subjects (n=5554); group of subjects who underwent PCI (n=1780); and group of subjects who underwent primary percutaneous coronary intervention (PPCI) (n=167). Results: The rate of radial artery as an initial access and the rate of access site crossover was 87.6{\%} and 4.4{\%}, respectively, in overall subjects. Those rates were 82.4{\%} and 8.1{\%}, respectively, in subjects who underwent PCI, and 60.1{\%} and 4.8{\%}, respectively, in subjects who underwent PPCI. For subjects who underwent CAG, a 6-F introducer sheath and a 5-F angiographic catheter was the most commonly used. During PCI, a 6-F introducer sheath (90.6{\%}) and a 6-F guiding catheter were standardly used. Conclusion: The large prospective registry allowed us to present the current practice of CAG and PCI using radial access. These data provides evidence to achieve consensus on radial access in CAG and PCI in the Korean population.",
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AU - Youn, Young Jin

AU - Lee, Jun Won

AU - Ahn, Sung Gyun

AU - Lee, Seung Hwan

AU - Yoon, Junghan

AU - Cho, Byung Ryul

AU - Cheong, Sang Sig

AU - Kim, Hee Yeol

AU - Lee, Jae Hwan

AU - Bae, Jang Ho

AU - Lee, Jin Bae

AU - Suh, Jon

AU - Park, Keum Soo

AU - Han, Kyoo Rok

AU - Jeong, Myung Ho

AU - Rha, Seung-Woon

AU - Her, Sung Ho

AU - Cho, Yun Hyeong

AU - Kim, Sang Wook

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Background and Objectives: Although increasing evidence has indicated that radial access is a beneficial technique, few studies have focused on Korean subjects. The aim of this study was to evaluate current practice of coronary angiography (CAG) and percutaneous coronary intervention (PCI) using radial access in South Korea. Subjects and Methods: A total of 6338 subjects were analyzed from Korean Transradial Intervention prospective registry that was conducted at 20 centers in Korea. After evaluating the initial access, subjects intended for radial access were assessed for their baseline, procedure-related, and complication data. Subjects were categorized into three groups: group of overall subjects (n=5554); group of subjects who underwent PCI (n=1780); and group of subjects who underwent primary percutaneous coronary intervention (PPCI) (n=167). Results: The rate of radial artery as an initial access and the rate of access site crossover was 87.6% and 4.4%, respectively, in overall subjects. Those rates were 82.4% and 8.1%, respectively, in subjects who underwent PCI, and 60.1% and 4.8%, respectively, in subjects who underwent PPCI. For subjects who underwent CAG, a 6-F introducer sheath and a 5-F angiographic catheter was the most commonly used. During PCI, a 6-F introducer sheath (90.6%) and a 6-F guiding catheter were standardly used. Conclusion: The large prospective registry allowed us to present the current practice of CAG and PCI using radial access. These data provides evidence to achieve consensus on radial access in CAG and PCI in the Korean population.

AB - Background and Objectives: Although increasing evidence has indicated that radial access is a beneficial technique, few studies have focused on Korean subjects. The aim of this study was to evaluate current practice of coronary angiography (CAG) and percutaneous coronary intervention (PCI) using radial access in South Korea. Subjects and Methods: A total of 6338 subjects were analyzed from Korean Transradial Intervention prospective registry that was conducted at 20 centers in Korea. After evaluating the initial access, subjects intended for radial access were assessed for their baseline, procedure-related, and complication data. Subjects were categorized into three groups: group of overall subjects (n=5554); group of subjects who underwent PCI (n=1780); and group of subjects who underwent primary percutaneous coronary intervention (PPCI) (n=167). Results: The rate of radial artery as an initial access and the rate of access site crossover was 87.6% and 4.4%, respectively, in overall subjects. Those rates were 82.4% and 8.1%, respectively, in subjects who underwent PCI, and 60.1% and 4.8%, respectively, in subjects who underwent PPCI. For subjects who underwent CAG, a 6-F introducer sheath and a 5-F angiographic catheter was the most commonly used. During PCI, a 6-F introducer sheath (90.6%) and a 6-F guiding catheter were standardly used. Conclusion: The large prospective registry allowed us to present the current practice of CAG and PCI using radial access. These data provides evidence to achieve consensus on radial access in CAG and PCI in the Korean population.

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KW - Percutaneous coronary intervention

KW - Radial artery

KW - Registries

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