Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access
Abstract We evaluated the feasibility and safety of the 7-Fr hydrophilic coated thin-walled sheath for distal radial access (DRA) - percutaneous coronary intervention (PCI). We prospectively collected data from 100 patients who underwent PCI via DRA with a 7-Fr hydrophilic thin-walled sheath at a si...
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Nature Portfolio
2025-05-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-01149-1 |
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| author | Ji Woong Roh Oh-Hyun Lee Seok-Jae Heo Yongcheol Kim Eui Im Deok-Kyu Cho |
| author_facet | Ji Woong Roh Oh-Hyun Lee Seok-Jae Heo Yongcheol Kim Eui Im Deok-Kyu Cho |
| author_sort | Ji Woong Roh |
| collection | DOAJ |
| description | Abstract We evaluated the feasibility and safety of the 7-Fr hydrophilic coated thin-walled sheath for distal radial access (DRA) - percutaneous coronary intervention (PCI). We prospectively collected data from 100 patients who underwent PCI via DRA with a 7-Fr hydrophilic thin-walled sheath at a single center in Korea between August 2021 and April 2024. Co-primary outcomes were PCI success rate and access site complications assessed by vascular ultrasound during hospitalization and at 1-month follow up. The mean age of study population was 65.9 years, and all patients presented acute coronary syndrome. DRA-PCI was successful in all patients. Of the 43 patients evaluated forearm radial artery with intravascular imaging after PCI, there were 2 cases of thrombus and 1 intimal dissection. Access site complications included 2 small hematomas and 1 hand edema. Vascular ultrasound performed the day after PCI showed no forearm radial artery occlusion (RAO) but 2 distal RAO cases without serious complications. At 1 month follow-up, 2 consistent and 1 new case of distal RAO were observed without hand dysfunction. The SEVEN-BOX trial showed that DRA using a 7-Fr hydrophilic coated thin-walled sheath could be a feasible and safe option for complex PCI. Clinical trial registration: https://www.clinicaltrials.gov . Unique identifier: NCT05006027. |
| format | Article |
| id | doaj-art-e03cad479fc944fbbfe73d5f6c9d8477 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Nature Portfolio |
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| spelling | doaj-art-e03cad479fc944fbbfe73d5f6c9d84772025-08-20T03:10:17ZengNature PortfolioScientific Reports2045-23222025-05-0115111010.1038/s41598-025-01149-1Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial accessJi Woong Roh0Oh-Hyun Lee1Seok-Jae Heo2Yongcheol Kim3Eui Im4Deok-Kyu Cho5Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine, Yongin Severance HospitalDivision of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine, Yongin Severance HospitalDivision of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of MedicineDivision of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine, Yongin Severance HospitalDivision of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine, Yongin Severance HospitalDivision of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine, Yongin Severance HospitalAbstract We evaluated the feasibility and safety of the 7-Fr hydrophilic coated thin-walled sheath for distal radial access (DRA) - percutaneous coronary intervention (PCI). We prospectively collected data from 100 patients who underwent PCI via DRA with a 7-Fr hydrophilic thin-walled sheath at a single center in Korea between August 2021 and April 2024. Co-primary outcomes were PCI success rate and access site complications assessed by vascular ultrasound during hospitalization and at 1-month follow up. The mean age of study population was 65.9 years, and all patients presented acute coronary syndrome. DRA-PCI was successful in all patients. Of the 43 patients evaluated forearm radial artery with intravascular imaging after PCI, there were 2 cases of thrombus and 1 intimal dissection. Access site complications included 2 small hematomas and 1 hand edema. Vascular ultrasound performed the day after PCI showed no forearm radial artery occlusion (RAO) but 2 distal RAO cases without serious complications. At 1 month follow-up, 2 consistent and 1 new case of distal RAO were observed without hand dysfunction. The SEVEN-BOX trial showed that DRA using a 7-Fr hydrophilic coated thin-walled sheath could be a feasible and safe option for complex PCI. Clinical trial registration: https://www.clinicaltrials.gov . Unique identifier: NCT05006027.https://doi.org/10.1038/s41598-025-01149-1Distal radial accessPercutaneous coronary interventionRadial artery |
| spellingShingle | Ji Woong Roh Oh-Hyun Lee Seok-Jae Heo Yongcheol Kim Eui Im Deok-Kyu Cho Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access Scientific Reports Distal radial access Percutaneous coronary intervention Radial artery |
| title | Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access |
| title_full | Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access |
| title_fullStr | Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access |
| title_full_unstemmed | Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access |
| title_short | Feasibility of percutaneous coronary intervention using a 7-French thin-walled sheath via the distal radial access |
| title_sort | feasibility of percutaneous coronary intervention using a 7 french thin walled sheath via the distal radial access |
| topic | Distal radial access Percutaneous coronary intervention Radial artery |
| url | https://doi.org/10.1038/s41598-025-01149-1 |
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