The Impact of Radial Access on PCI Complications: Advantages of this approach in the outcomes of percutaneous coronary intervention. John P. Vavalle, MD, and Sunil V. Rao, MD. The transradial approach for percutaneous coronary intervention (PCI) was first introduced by Campeau in 1989. However, the use of the radial artery for vascular access in PCI…
Radial Access for Primary PCI: The role of radial artery access in the evolution of percutaneous angioplasty and in minimizing complications. Martial Hamon, MD, and Javed Ehtisham, MD Primary percutaneous coronary intervention (PCI) has been shown to be more effective than thrombolytic therapy for treating ST-segment elevation myocardial infarction (STEMI). In terms of death,…
Transradial Basics: A practical approach to coronary catheterization and intervention via the radial artery. Matthew L. Bilodeau, MD, PHD, and Daniel I. Simon, MD, FACC, FAHA, FSCAI. The use of a percutaneous transradial artery approach for diagnostic coronary angiography was first described by Dr. Lucein Campeau.1 Dr. Ferdinand Kiemeneij adapted equipment and advanced the use…
The Transradial Approach: Does your fellowship training program teach it? Jennifer A. Tremmel, MD, MS. For more than 40 years, the femoral approach has been the dominant method of vascular access for diagnostic and interventional procedures in the United States.1 Brachial artery cannulation, the original access point for coronary procedures, was quickly relegated to a…
Transradial PCI allows more patients to be discharged the same day. Michael O’Riordan. San Diego, CA – Same-day discharge following radial-artery PCI is possible for many patients, including patients not considered candidates for same-day discharge by current criteria [1]. Investigators report that older and diabetic patients and those who underwent complex procedures, as well as…
Trans-Radial Coronary Angiography. Haroon Rashid| May 13, 2010. Trans radial access is much more comfortable for the subject as it does not compromise the mobility in the immediate post procedure period unlike trans femoral procedures. More over, access site bleeding problems are much lower compared to femoral arterial access. But the down side of trans…
Coronary Artery Occlusion and Myocardial Infarction Caused by Vasospasm within a Myocardial Bridge. Vales L, Kanei Y, Fox J. Myocardial bridging is a common congenital coronary anomaly that is clinically silent in the majority of cases. Case reports suggest myocardial ischemia and infarction can be caused by myocardial bridging. The proposed mechanisms by which myocardial…
Bilateral percutaneous ulnar artery approach for retrograde chronic total occlusion intervention. Hussein H, Gan HW, Fang HY, Wu CJ. Cardiology Department, National Heart Institute. The transradial approach for coronary diagnostic and therapeutic interventions is a well-established, safe, and effective technique that has shown a success rate comparable to that of the transfemoral approach for chronic…
Will the Transradial Approach Become the Preferred Approach in Subclavian Artery Stenting? Craig Walker, Cardiovascular Institute of the South, Houma, Louisiana. Subclavian artery stenting is well established in the therapy of subclavian artery stenosis resulting in subclavian steal,arm claudication, myocardial ischemia in patients with prior or intended coronary artery bypass utilizing the internal mammary artery,…