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Abstract：
Background Acute coronary syndrome (ACS) is the leading cause of morbidity and mortality worldwide. The different reperfusion strategies have evolved over the years, and efforts have been directed to reduce its complications. Among these strategies, the one that has shown the best results is percutaneous coronary intervention, which has significantly improved the survival and prognosis of these patients; however, this procedure is not free of complications since multiple factors are involved. Among them is the time of patient care from the time of diagnosis until the coronary reperfusion therapy is performed. Methodology In this study, we describe the experience in our center with the 6-French Ikari Left guide catheter as a strategy of radial angiography-angioplasty with a single catheter to reduce the care times of patients with acute ST-elevation myocardial infarction (STEMI) in our center and compare it with the series reported by other international centers since. To establish an alternative to the usual approach that consists of the use of Judkins catheters, diagnosis, and guiding. Results Our study showed a success rate for diagnostic angiography and percutaneous coronary intervention (PCI) with the 6- French Ikari Left catheter comparable to those obtained in other centers, even with lower complication rates than the usual approach with Judkins\' Catheters. Conclusions The use of the 6-French Ikari Left catheter demonstrated shorter needle-device time and compared to other international series, it was shown to be shorter and related to shorter fluoroscopy time. Our study has a small sample and only included a highly selected population, which represents a limitation. This study is vulnerable to the different practices of the operators, with involvement in procedure time and use of contrast volume.
摘要：
背景急性冠脉综合征(ACS)是全球发病率和死亡率的主要原因。不同的再灌注策略多年来发展，并努力减少其并发症。在这些战略中，显示最佳结果的是经皮冠状动脉介入治疗，这显著改善了这些患者的生存和预后；然而，该手术并非没有并发症,因为涉及多种因素.其中包括从诊断到进行冠状动脉再灌注治疗的患者护理时间。方法论在这项研究中，我们描述了我们中心使用6-FrenchIkariLeft引导导管作为单导管进行放射状血管造影-血管成形术的策略,以减少我们中心急性ST段抬高型心肌梗死(STEMI)患者的护理时间,并将其与此后其他国际中心报告的系列进行比较.为了建立一种替代方法，包括使用Judkins导管，诊断,和指导。结果我们的研究显示，与其他中心获得的6-FrenchIkari左导管的诊断性血管造影和经皮冠状动脉介入治疗（PCI）的成功率相当。即使并发症发生率低于Judkins\'导管的常规方法。结论使用6-FrenchIkariLeft导管显示出较短的针头装置时间，与其他国际系列相比，结果显示时间较短,且与透视时间较短有关.我们的研究样本很小，只包括高度选择的人群，这代表了一种限制。这项研究容易受到运营商不同做法的影响，参与手术时间和造影剂体积的使用。
