Benefits of single-catheter strategy with Optitorque™ Universal Shapes
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Featured products: Radifocus™ Optitorque™ Angiographic catheter
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Tiger I, Tiger II, BLK, Jacky & Sarah are radial universal curves that enable angiography of both right and left coronary arteries using a single catheter.
Compared to a traditional two-catheter strategy, Optitorque™’s universal shapes provide similar procedural success rate for angiographic procedures, while bringing additional benefits for patients, operators and for the hospital.
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Similar procedural success compared to 2-catheter strategy<sup>1</sup>
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In this study, completion rate of the diagnostic procedure for left and right coronary arteries, without clinical complication, was identical for single-catheter strategy using Tiger II or traditional two-catheter strategy.
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Procedural success was defined by the completion of the procedure without clinical complication, including
- the need for surgical correction of the vascular access site,
- permanent neurologic deficit
- or procedurally related Q-wave or non Q-wave myocardial infarction
- or death
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Similar technical success & failure rates compared to 2-catheter strategy<sup>2</sup>
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In this study, single-catheter strategy using Tiger II and traditional two-catheter strategy had similar failure rates leading to either catheters change or access site change to achieve completion of the procedure.
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Catheter failure was defined as the need for study catheter change and/or access site change for completion of Coronary Angiography
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Reduced risk of spasm compared to 2-catheter strategy<sup>2</sup>
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In this study, single-catheter strategy using Tiger II enabled 83.8% of patients to not experience spasm during their angiographic procedure. Overall, Tiger II significantly lowered the occurrence of spasm, including mild, moderate and severe spasm, compared to traditional two-catheter strategy.
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Based on intention-to-treat (IIT) analysis
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Shorter diagnostic procedures compared to 2-catheter strategy<sup>2</sup>
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In this study, single-catheter strategy using Tiger II significantly shortened fluoroscopy time, as well as angiographic time by more than a minute, compared to traditional two-catheter strategy.
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Based on IIT analysis
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Less contrast media used compared to 2-catheter strategy<sup>2</sup>
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In this study, single-catheter strategy using Tiger II significantly reduced the contrast media volume used for diagnostic procedures, compared to traditional two-catheter strategy. Limited exposure to contrast lowers the risk of contrast induced nephropathy3, which is associated with long hospital stay, marked increase in morbidity and mortality.
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Procedural cost reduction compared to 2-catheter strategy<sup>3</sup>
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In this study, single-catheter strategy using Tiger I reduced the procedural cost by 13%, thanks to shorter procedure, using less contrast media & less spasmolytic drugs.
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References
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KIM S-M et al. Int J Cardiovasc Imaging 2006;22:295-303
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XANTHOPOULOU I et al. EuroIntervention 2018;13:1950-1958
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COSTA-MATEU J et al. Arq Bras Cardiol 2019;113:960-968
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Radifocus™ Optitorque™
Angiographic catheter