Abstract
during the “earlier” portions of the learning curve, and techniques based on 6 F systems should form the essential base of TRI strategy. Outside the United States, other options exist including sheathless guide catheters up to 7.5 F (with outer diameters similar to 6 F sheaths), and this was used for 3 cases in the current series. It is important to recognize that appropriate treatment of the coronary lesion takes precedence over the chosen access site. With regard to the unprotected left main, many lesions can be safely and effectively approached with a 6 F system, and are thus amenable to TRI. Ostial and mid-shaft left main lesions are relatively straightforward, and TRI is certainly feasible and potentially preferable, given decreased access site complications. Distal, bifurcation lesions may also be approached via TRI provided the treatment plan (one vs. two stent strategies, adjunctive equipment or rescue techniques) supports TRI access. This is a moving target based on operator comfort or experience, and some variation is reasonable given that the primary goal is treating the coronary lesion.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call