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Radial approach

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The same curves suit most patients during left radial intervention, while a 0.5 downsizing of the left curve (e.g. to JL3.5 if JL4 would have been suitable from the femoral approach) is generally required when using the right arm. A Barbeau, Tiger, or Ikari catheter suitable for both the left and right coronaries can also be used from the right radial approach. Figure 4.3 shows Ikari catheters for radial approach


Figure 4.3 Ikari catheters for radial approach. (a) Ikari left. (b) Ikari right. Curve A to fit angle of brachiocephalic artery; straight portion B to generate strong back‐up force supported by opposite site of the aorta wall.

Interventional Cardiology

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