{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:54:43Z","timestamp":1761958483533,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,10,9]],"date-time":"2009-10-09T00:00:00Z","timestamp":1255046400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content>Objectives:<\/jats:styled-content> We sought to determine whether 4\u2010Fr percutaneous coronary intervention (PCI) is associated with technical difficulties that might have an unfavorable impact on procedural parameters. <jats:styled-content>Background:<\/jats:styled-content> Four\u2010Fr PCI is often associated with difficulties in catheter manipulation, which may lead to greater time consumption and increased dye usage when compared with PCI employing larger guiding catheters. <jats:styled-content>Methods:<\/jats:styled-content> From July 2007 to March 2009, 62 patients underwent 4\u2010Fr PCI. Procedural characteristics were compared between patients who underwent 4\u2010Fr PCI in 2007 (early phase: 31 lesions in 26 patients) and those underwent in 2008 or later (later phase: 40 lesions in 36 patients). <jats:styled-content>Results:<\/jats:styled-content> Ad\u2010hoc coronary intervention (3% vs. 23%, <jats:italic>P<\/jats:italic> &lt; 0.05) and deep\u2010vessel intubation (46% vs. 91%, <jats:italic>P<\/jats:italic> &lt; 0.05) were observed less frequently in the late phase than the early phase. Fluoroscopy time (8 \u00b1 6 min vs. 17 \u00b1 15 min, <jats:italic>P<\/jats:italic> &lt; 0.05) and the amount of contrast dye used (64 \u00b1 33 mL vs. 90 \u00b1 46 mL, <jats:italic>P<\/jats:italic> &lt; 0.05) were significantly reduced in the late phase than the early phase. No access site\u2010related complications were observed in patients in either phase. <jats:styled-content>Conclusions:<\/jats:styled-content> The performance of 4\u2010Fr PCI requires a certain learning curve, following which a reduction in fluoroscopy time and use of contrast dye may be achieved. This improvement in procedural parameters and the low incidence of access site\u2010related complications might allow 4\u2010Fr PCI to serve as a minimally invasive approach for the treatment of coronary artery diseases. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.22308","type":"journal-article","created":{"date-parts":[[2009,10,10]],"date-time":"2009-10-10T10:16:52Z","timestamp":1255169812000},"page":"735-739","source":"Crossref","is-referenced-by-count":15,"title":["Coronary intervention with 4\u2010French catheters"],"prefix":"10.1002","volume":"75","author":[{"given":"Satoshi","family":"Takeshita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,3,23]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)90500-7"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21581"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(00)00861-4"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2006.01228.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1253\/circj.67.895"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00064-8"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(200004)49:4<357::AID-CCD1>3.0.CO;2-Z"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(95)90034-9"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199702)40:2<156::AID-CCD7>3.0.CO;2-A"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199703)40:3<297::AID-CCD18>3.0.CO;2-M"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1172"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2006.00121.x"},{"key":"e_1_2_6_14_2","first-page":"670","article-title":"Five French versus 6 French PCI: A case control study of efficacy, safety and outcome","volume":"14","author":"Rakhit RD","year":"2002","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_15_2","first-page":"353","article-title":"Comparison of 5 French versus 6 French guiding catheters for transradial coronary intervention: A prospective, randomized study","volume":"16","author":"Gobeil F","year":"2004","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200011)51:3<352::AID-CCD26>3.0.CO;2-O"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.22308","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.22308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T15:06:14Z","timestamp":1697468774000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.22308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,3,23]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["10.1002\/ccd.22308"],"URL":"https:\/\/doi.org\/10.1002\/ccd.22308","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2010,3,23]]}}}