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Radifocus introducer 2 transradial kit

Manufactured by Terumo

The Radifocus Introducer II Transradial Kit is a medical device used for vascular access during diagnostic and interventional procedures. It provides a sterile pathway for the introduction of catheters and other instruments into the radial artery. The kit includes a sheath, a dilator, and associated accessories necessary for the procedure.

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3 protocols using radifocus introducer 2 transradial kit

1

Transradial Coronary Angiography and PCI Protocol

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The skin was infiltrated using 1% procaine hydrochloride (Teva). After insertion of the introducer with hydrophilic coating (Radifocus Introducer II Transradial Kit; needle 20 gauge, sheath 4 to 7 French, 10 cm; Terumo Europe), heparin sodium (70 IU/kg bolus for diagnostics and percutaneous coronary intervention [PCI] with planned use of a glycoprotein IIb/IIIa receptor inhibitor or 100 IU/kg bolus for elective PCI; Merckle), and the study medication (5 mg verapamil hydrochloride; Sanofi‐Aventis Chinoin, or 10 mL 0.9% w/v sodium chloride; Teva) were given intra‐arterially. Transradial coronary angiography and PCI were then performed according to the study protocol using standard techniques. The arterial sheath was removed immediately after the procedure and bleeding was stopped using a compression device (TR Band; Terumo Europe) for 6 to 8 hours.
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2

Radial Access Guidewire Comparison

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A 6 French radial sheath was used for radial access in all patients (Radifocus Introducer II Transradial Kit, Terumo). All patients received upfront transradial spasmolytic agents containing 1 mg of nitroglycerin, 1 mg of verapamil, and 5000 units of heparin. Subsequently, a 5 French or 6 French diagnostic catheter was used (Cordis); the choice of catheter was at the operators’ discretion.
The Silverway guidewire was compared with the Radifocus guidewire. No additional spasmolytic agents were administered after the initial dose. Final hemostasis was achieved using a transradial band (Terumo). Timing of entry of the guidewire into the catheter to reaching the aortic root was performed by a timer that was built in to our system (Philips).
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3

Brachial Artery Cannulation Approach

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The type of approach and puncture site was individually chosen by the interventional radiologist depending on the type of procedure.
The arm was extended on a specific arm board (STARSystem, Adept Medical) and the brachial artery was cannulated in the antecubital fossa with a micropuncture set (Radifocus® Introducer II Transradial Kit, Terumo) using a 22G Needle and a 0.18 in. wire after local anesthetic infiltration under live ultrasound-guidance. Spasmolytic agents were not applied, as mostly been using in radial access. If necessary, a larger sheath was subsequently inserted in Seldinger technique.
After completion of intervention, hemostasis was either achieved by manual compression or closure devices, followed by a compression bandage for 3 h. The decision was made by the interventionalist, based on various factors like puncture site, vessel size, sheath size and experience. Postprocedural evaluation of the puncture site and the peripheral perfusion was performed by default 1, 2, 3, and 6 h after finishing the procedure.
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