Abstract

Sheathless guiding catheters are a valuable tool in the catheterization labor and may assist the operator when dealing with heavily calcifies and tortuous vessels. Nevertheless, when hostile anatomy prevents successful PCI from the radial access, transfemoral use of sheathless guide can assist in overcoming these challenges in a safe manner.

Highlights

  • As the population grows older and patients live longer with multiple morbidities, the care for these individuals is becoming increasingly challenging

  • For the first time to the best of our knowledge, about the use of a sheathless guiding catheters (GC) from a femoral approach for rotational atherectomy

  • A Canadian trial showed that the use of the Asahi sheathless catheter for percutaneous coronary Interventions (PCI) was associated with easier arm navigation and less patient discomfort when compared with standard GC [9]

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Summary

Case Reports

Zeev Israeli MD*, Irina Nordkin MD, Alexander Goldberg MD, Majdi Halabi MD Ziv Medical Center, affiliated with the Faculty of Medicine in Zefat, Bar Ilan University. Received date: December 04, 2019; Accepted date: December 27, 2019; Published date: January 03, 2020. Key Clinical Message Sheathless guiding catheters are a valuable tool in the catheterization labor and may assist the operator when dealing with heavily calcifies and tortuous vessels. When hostile anatomy prevents successful PCI from the radial access, transfemoral use of sheathless guide can assist in overcoming these challenges in a safe manner.

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