Sheathless Angioplasty

Sheathless Angioplasty

Sheathless angioplasty is an innovative technique in interventional
cardiology that aims to reduce access site complications and allow for
the use of larger devices through smaller arteries.

Sheathless angioplasty involves performing angioplasty procedures, like coronary angioplasty, without the use of a traditional sheath (introducer catheter) to access the artery, aiming for a more minimally invasive approach

Who Needs ?

  • Patients requiring large-bore catheters for complex coronary interventions
  • Those with small or tortuous access vessels (e.g., small radial arteries)
  • Patients at high risk for vascular access complications
  • Cases where larger guide catheters are needed but vessel size is limited

Advantages post-procedure

  • Reduced access site complications (e.g., bleeding, hematoma)
  • Allows use of larger devices through smaller arteries
  • Potentially faster recovery and earlier ambulation
  • May reduce vascular trauma and spasm, especially in radial approaches
  • Can facilitate complex coronary interventions in patients with small
    access vessels
  • Possible reduction in post-procedure pain and discomfort

Key features

  • Eliminates the need for an introducer sheath
  • Guide catheter serves dual purpose as both guiding and access device
  • Often used with hydrophilic-coated guide catheters for easier insertion
  • Can be combined with other techniques like balloon-assisted tracking
  • Particularly useful in transradial interventions

What PATIENTS SAYS !!

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