Klimek Katarzyna, Świątek Mateusz, Klocek Konrad, Tworek Michał, Zwolski Maciej, Milewski Krzysztof, Janas Adam
Center of Cardiovascular Research and Development American Heart of Poland, 40-028 Katowice, Poland.
Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.
J Clin Med. 2021 Sep 6;10(17):4020. doi: 10.3390/jcm10174020.
We sought to compare the safety and efficiency of Tiger-2 in the right radial and Judkins catheter in the left radial access. We retrospectively collected data of 487 patients, involving 172 patients after coronary angiography with Judkins on the left radial artery and 315 patients with Tiger-2 on the right radial artery access. There were no differences in baseline characteristics, except for hypertension ratio and mean age. There was a difference in pulse absence on the radial artery. The volume of contrast used was higher in the Judkins group. Both groups differed in the amount of drugs administered (NTG and heparin). Fluorescence times were comparable between groups. Radiation dosage and AK was significantly greater in the Tiger-2 group. The Tiger-2 catheters were significantly more often changed to another type of catheter (100 changes) than the Judkins (12 changes). However, there was no statistical difference in access site change. Judkins with left radial access seems to be a safer option because of the lower radiation exposure and less incidence of complications than Tiger-2 with right radial access, however, it requires a higher volume of contrast.
我们试图比较在右桡动脉使用Tiger-2导管和在左桡动脉使用Judkins导管的安全性和有效性。我们回顾性收集了487例患者的数据，其中172例患者经左桡动脉使用Judkins导管进行冠状动脉造影，315例患者经右桡动脉使用Tiger-2导管。除高血压比例和平均年龄外，两组患者的基线特征无差异。桡动脉搏动消失情况存在差异。Judkins组使用的造影剂体积更大。两组给药量（硝酸甘油和肝素）不同。两组间荧光时间相当。Tiger-2组的辐射剂量和急性肾损伤明显更高。与Judkins导管（12次更换）相比，Tiger-2导管更换为其他类型导管的情况明显更频繁（100次更换）。然而，穿刺部位更换情况无统计学差异。与经右桡动脉使用Tiger-2导管相比，经左桡动脉使用Judkins导管似乎是更安全的选择，因为辐射暴露更低且并发症发生率更低，不过它需要更大体积的造影剂。
