Balloon-assisted tracking technique as 'a way forward' for transradial intervention

Jerzy Wojciuk, Marcel A. Beijk, Grahame Goode, Michael Brack, Gavin Galasko, Ranjit More, David Roberts, Jonas Eichhöfer, Billal Patel, Anoop Chauhan, Andrew Wiper

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: In percutaneous coronary interventions, use of the radial artery may be limited by vascular anatomy or vascular complications, such as radial artery spasm, dissection or perforation. The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or radial artery spasm. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. OBJECTIVE: We analysed data of all percutaneous coronary intervention patients in whom the BAT technique was undertaken in daily practice and report acute and long-term outcomes. RESULTS: A total of 62 patients were included and, in most patients, the BAT technique was performed for radial spasm. Most patients were administered benzodiazepines or nitrates before the BAT technique was performed. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98%. 11% of patients developed a complication within 24 h (haematoma, prolonged pain or visible vascular damage at the end of procedure); all completely recovered at follow-up. No complications occurred during long-term follow-up. CONCLUSION: BAT is a low-risk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.
Original languageEnglish
Pages (from-to)440-447
JournalCoronary Artery Disease
Volume30
Issue number6
DOIs
Publication statusPublished - 1 Sep 2019
Externally publishedYes

Cite this

Wojciuk, Jerzy ; Beijk, Marcel A. ; Goode, Grahame ; Brack, Michael ; Galasko, Gavin ; More, Ranjit ; Roberts, David ; Eichhöfer, Jonas ; Patel, Billal ; Chauhan, Anoop ; Wiper, Andrew. / Balloon-assisted tracking technique as 'a way forward' for transradial intervention. In: Coronary Artery Disease. 2019 ; Vol. 30, No. 6. pp. 440-447.
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abstract = "BACKGROUND: In percutaneous coronary interventions, use of the radial artery may be limited by vascular anatomy or vascular complications, such as radial artery spasm, dissection or perforation. The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or radial artery spasm. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. OBJECTIVE: We analysed data of all percutaneous coronary intervention patients in whom the BAT technique was undertaken in daily practice and report acute and long-term outcomes. RESULTS: A total of 62 patients were included and, in most patients, the BAT technique was performed for radial spasm. Most patients were administered benzodiazepines or nitrates before the BAT technique was performed. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98{\%}. 11{\%} of patients developed a complication within 24 h (haematoma, prolonged pain or visible vascular damage at the end of procedure); all completely recovered at follow-up. No complications occurred during long-term follow-up. CONCLUSION: BAT is a low-risk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.",
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Wojciuk, J, Beijk, MA, Goode, G, Brack, M, Galasko, G, More, R, Roberts, D, Eichhöfer, J, Patel, B, Chauhan, A & Wiper, A 2019, 'Balloon-assisted tracking technique as 'a way forward' for transradial intervention' Coronary Artery Disease, vol. 30, no. 6, pp. 440-447. https://doi.org/10.1097/MCA.0000000000000772

Balloon-assisted tracking technique as 'a way forward' for transradial intervention. / Wojciuk, Jerzy; Beijk, Marcel A.; Goode, Grahame; Brack, Michael; Galasko, Gavin; More, Ranjit; Roberts, David; Eichhöfer, Jonas; Patel, Billal; Chauhan, Anoop; Wiper, Andrew.

In: Coronary Artery Disease, Vol. 30, No. 6, 01.09.2019, p. 440-447.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Balloon-assisted tracking technique as 'a way forward' for transradial intervention

AU - Wojciuk, Jerzy

AU - Beijk, Marcel A.

AU - Goode, Grahame

AU - Brack, Michael

AU - Galasko, Gavin

AU - More, Ranjit

AU - Roberts, David

AU - Eichhöfer, Jonas

AU - Patel, Billal

AU - Chauhan, Anoop

AU - Wiper, Andrew

PY - 2019/9/1

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N2 - BACKGROUND: In percutaneous coronary interventions, use of the radial artery may be limited by vascular anatomy or vascular complications, such as radial artery spasm, dissection or perforation. The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or radial artery spasm. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. OBJECTIVE: We analysed data of all percutaneous coronary intervention patients in whom the BAT technique was undertaken in daily practice and report acute and long-term outcomes. RESULTS: A total of 62 patients were included and, in most patients, the BAT technique was performed for radial spasm. Most patients were administered benzodiazepines or nitrates before the BAT technique was performed. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98%. 11% of patients developed a complication within 24 h (haematoma, prolonged pain or visible vascular damage at the end of procedure); all completely recovered at follow-up. No complications occurred during long-term follow-up. CONCLUSION: BAT is a low-risk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.

AB - BACKGROUND: In percutaneous coronary interventions, use of the radial artery may be limited by vascular anatomy or vascular complications, such as radial artery spasm, dissection or perforation. The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or radial artery spasm. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. OBJECTIVE: We analysed data of all percutaneous coronary intervention patients in whom the BAT technique was undertaken in daily practice and report acute and long-term outcomes. RESULTS: A total of 62 patients were included and, in most patients, the BAT technique was performed for radial spasm. Most patients were administered benzodiazepines or nitrates before the BAT technique was performed. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98%. 11% of patients developed a complication within 24 h (haematoma, prolonged pain or visible vascular damage at the end of procedure); all completely recovered at follow-up. No complications occurred during long-term follow-up. CONCLUSION: BAT is a low-risk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.

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