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Optimal arterial access withUnidrape 4 fenestration angiography pack

Percutaneous Coronary Intervention

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Facts: (1)

For which patients?: (2)(4)(6)

Which access?: (5)(7)(9)(11)(13)(14)

• Diagnostic and therapeutic coronarography is a very common procedure• Each year more than 10.000.000 patients undergo this procedure

• Chronic artery disease• Angina pectoris patient• Low ventricular ejection fraction• ST-Elevated Myocardial Infarction (STEMI)

• Two accesses are possible: similar efficacy, same survival rate – Radial access – Femoral access• Differences: – Femoral access is easier – Femoral access allows to insert large guiding catheters – Radial access reduces significantly vascular complications – Radial access allows earlier ambulation – Radial access reduces significantly major adverse events and death in STEMI patients – Radial access increases patient comfort

Summary:• With the 4 fenestration angiography drape, you can manage all the procedures with one product.• You can open 2 accesses : radial and femoral. If you meet any problem, you can immediately switch from radial to femoral access

Percutaneous Coronary Intervention

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Vygon offers you the possibility to create your own custom pack to meet your needs. Do not hesitate to contact your Vygon local representative to develop your project.

4 fenestration angiography drape

The right choice for all your procedures - Code 40.79.251

Impermeable on all the surfaceHighly resistant and absorbent drape

4 openings:- 2 for radial access- 2 for femoral access

Highly absorbent central zone

Transparent zone forkey-board computer and X-Ray machine management

Size 200 x 340 cmDesigned to fit all the cathlab tables

Vygon Custom Pack “Vyset”:

Contents1 Table cover1 Angiography drape1 Image intensifier cover2 Absorbent drapes

Size (cm)140 x 190200 x 340

Ø 5510 x 10

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For further information, please contact: questions@vygon.com D

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Laboratoires pharmaceutiques Vygon5, rue Adeline - 95440 ECOUEN - FRANCECustomer service : + 33 1 39 92 64 15

Fax : + 33 1 39 90 29 37www . v y g o n . c om

Bibliography(1) ACC/AHA Guidelines for Coronary Angiography: Executive Summary and Recommendations : A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Com-mittee on Coronary Angiography) Developed in collaboration with the Society for Cardiac Angiography and InterventionsPatrick J. Scanlon, David P. Faxon, Anne-Marie Audet, Blase Carabello, Gregory J. Dehmer, Kim A. Eagle, Ronald D. Legako, Donald F. Leon, John A. Murray, Steven E. Nissen, Carl J. Pepine, Rita M. Watson, James L. Ritchie, Raymond J. Gibbons, Melvin D. Cheitlin, Kim A. Eagle, Timothy J. Gardner, Arthur Garson, Jr, Richard O Russell, Jr, Thomas J. Ryan and Sidney C. Smith, Jr

(2) Louvard, Y., M. Pezzano, et al. (1998). «[Coronary angiography by a radial artery approach: feasibility, lear-ning curve. One operator’s experience].» Arch Mal Coeur Vaiss 91(2): 209-215.

(3) Kayashima, Y., T. Satou, et al. (2001). «[Usefulness of transradial angiography and interventional angiography for abdominal diseases: comparison with transfemoral or transbrachial approach].» Nihon Igaku Hoshasen Gak-kai Zasshi 61(1): 25-28.

(4) Ziakas, A., P. Klinke, et al. (2003). «Comparison of the radial and the femoral approaches in percutaneous coronary intervention for acute myocardial infarction.» Am J Cardiol 91(5): 598-600.

(5) Cox, N., F. S. Resnic, et al. (2004). «Comparison of the risk of vascular complications associated with femoral and radial access coronary catheterization procedures in obese versus nonobese patients.» Am J Cardiol 94(9): 1174-1177.

(6) Philippe, F., T. Meziane, et al. (2004). «[Comparison of the radial and femoral arterial approaches for coronary angioplasty in acute myocardial infarction].» Arch Mal Coeur Vaiss 97(4): 291-298.

(7) Yang, Y. J., B. Xu, et al. (2007). «Comparison of immediate and followup results between transradial and transfemoral approach for percutaneous coronary intervention in true bifurcational lesions.» Chin Med J (Engl) 120(7): 539-544.

(8) Rathore, S., A. Hakeem, et al. (2009). «A comparison of the transradial and the transfemoral approach in chronic total occlusion percutaneous coronary intervention.» Catheter Cardiovasc Interv 73(7): 883-887.

(9) Watt, J. and K. G. Oldroyd (2009). «Radial versus femoral approach for high-speed rotational atherectomy.» Catheter Cardiovasc Interv 74(4): 550-554.

(10) Dahm, J. B. and F. van Buuren (2010). «Transradial percutaneous coronary interventions: indications, success rates & clinical outcome.» Indian Heart J 62(3): 218-220.

(11) Jolly, S. S., K. Niemela, et al. (2011). «Design and rationale of the radial versus femoral access for coronary intervention (RIVAL) trial: a randomized comparison of radial versus femoral access for coronary angiography or intervention in patients with acute coronary syndromes.» Am Heart J 161(2): 254-260 e251-254.

(12) Jolly, S. S., S. Yusuf, et al. (2011). «Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial.» Lancet 377(9775): 1409-1420.

(13) Kelly, D., T. Levy, et al. (2008). «Brachial artery perforation repaired with percutaneous transfemoral covered stent deployment in a patient on abciximab.» J Invasive Cardiol 20(3): E82-83.

(14) Sansanayudh, N., K. Champasri, et al. (2010). «The efficacy and safety of transradial approach in comparison with transfemoral approach for coronary angiography and ad hoc coronary angioplasty in Thailand.» J Med Assoc Thai 93 Suppl 6: S145-151.