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Variation in access site

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The same guide catheters can be used for transradial access as well as transfemoral access. As a general rule, the same shape/size of the femoral artery apply using the left radial artery while for the right radial a ½ size smaller guide is often required. Dedicated transradial guide catheters include the Barbeau, Ikari, and brachial/radial curves. Such curves can be used for access to either the left or right coronary system and provide support against the contralateral aortic wall (Figure 5.3).


Figure 5.3 The Barbeau and radial/brachial curve catheters can be used via the radial route and have a “one size fits all” design for intervention to either the left or right coronary systems.

(Diagram courtesy of Cordis International.)

Interventional Cardiology

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