{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:02:29Z","timestamp":1784682149182,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increased vessel tortuosity may hinder the success of transradial procedures. Longer thin\u2010walled, hydrophilic sheaths\u2009\u2265\u200975\u2009cm can be placed into the ascending aorta and have the potential to avoid femoral access crossover.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We studied consecutive cases of patients undergoing left heart catheterization (LHC) where a 75\u2009cm long thin\u2010walled, hydrophilic sheath was used from 1\/1\/22 to 9\/30\/24. Patient and procedural characteristics were collected. Procedural data included indication, contrast load, radiation dose, procedural time, procedural complications, and the need to convert to femoral access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our study sample included 71 patients (mean age 69, 45% male). Comorbidities included hypertension (82%), hyperlipidemia (76%), and congestive heart failure (30%). Previous coronary artery disease was present in 31% of patients, and 20% of patients had undergone previous percutaneous coronary intervention (PCI). Indications for LHC included symptoms of stable ischemic heart disease (21%), abnormal non\u2010invasive ischemic testing (52%), acute coronary syndrome (18%), and pre\u2010operative evaluation for surgery (8%). The reason to switch to the long thin\u2010walled, hydrophilic sheath was inability to engage the coronaries due to subclavian\/brachiocephalic artery tortuosity (86%) or radial artery spasm (14%). After switching to the long thin\u2010walled, hydrophilic sheath, 62\/71 (87%) cases successfully engaged the coronaries without converting to femoral access. The mean procedure time was 36\u2009min for diagnostic LHC cases (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946) and 72\u2009min for PCI cases (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925). No procedural complications occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case series suggests that use of the long thin\u2010walled, hydrophilic radial sheaths can avoid femoral access crossover in selected cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70267","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T05:26:44Z","timestamp":1760592404000},"page":"3814-3818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of Long Radial Artery Sheaths for Left Heart Catheterization"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7899-6296","authenticated-orcid":false,"given":"Aarash","family":"Roshandel","sequence":"first","affiliation":[{"name":"Department of Internal Medicine NYU Langone Health New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Shields","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine NYU Langone Health New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehab","family":"Abaza","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine NYU Langone Health New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louai","family":"Razzouk","sequence":"additional","affiliation":[{"name":"Leon H. Charney Division of Cardiology NYU Langone Health New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil V.","family":"Rao","sequence":"additional","affiliation":[{"name":"Leon H. Charney Division of Cardiology NYU Langone Health New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joey","family":"Junarta","sequence":"additional","affiliation":[{"name":"Leon H. Charney Division of Cardiology NYU Langone Health New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"issue":"6","key":"e_1_2_11_2_1","first-page":"764","article-title":"Radial Versus Femoral Randomized Clinical Trials: An Updated Meta\u2010Analysis of 52 Studies","volume":"163","author":"Romagnoli E.","year":"2012","journal-title":"American Heart Journal"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.04.034"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60404-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60292-6"},{"issue":"5","key":"e_1_2_11_6_1","first-page":"526","article-title":"Predictors of Radial Artery Spasm in Transradial Coronary Procedures","volume":"58","author":"Ruiz\u2010Salmer\u00f3n R. J.","year":"2005","journal-title":"Revista Espanola de Cardiologia"},{"issue":"5","key":"e_1_2_11_7_1","first-page":"651","article-title":"Subclavian Tortuosity and the Feasibility of Transradial Catheterization","volume":"71","author":"Agostoni P.","year":"2008","journal-title":"Catheterization and Cardiovascular Interventions"},{"issue":"6","key":"e_1_2_11_8_1","first-page":"696","article-title":"Feasibility and Safety of Long Sheaths for Complex Transradial Interventions: A Prospective Registry","volume":"11","author":"Aminian A.","year":"2015","journal-title":"EuroIntervention"},{"issue":"2","key":"e_1_2_11_9_1","first-page":"234","article-title":"Prospective Registry of a New Slender 7 Fr Glidesheath Slender for Complex Transradial Percutaneous Coronary Intervention","volume":"89","author":"Aminian A.","year":"2017","journal-title":"Catheterization and Cardiovascular Interventions"},{"issue":"2","key":"e_1_2_11_10_1","first-page":"135","article-title":"Use of a New 7\u2010Fr Glidesheath Slender for Complex Transradial Coronary Interventions","volume":"30","author":"Aminian A.","year":"2017","journal-title":"Journal of Interventional Cardiology"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.03.009"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaa038"},{"issue":"8","key":"e_1_2_11_13_1","first-page":"488","article-title":"Major Predictors of Transradial Approach Failure for Percutaneous Coronary Interventions","volume":"16","author":"Pristipino C.","year":"2015","journal-title":"Cardiovascular Revascularization Medicine: Including Molecular Interventions"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70267","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70267","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:22:10Z","timestamp":1784679730000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,15]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/ccd.70267"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70267","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,15]]},"assertion":[{"value":"2025-06-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}