Cannulating LIMA graft using right transradial approach: Two simple and innovative techniques. Patel T, Shah S, Patel T, Ahmedabad, India. Angiography and intervention of a LIMA (left internal mammary artery) graft cannot be performed easily while working through right transradial approach (TRA), because of complexity in anatomical relations of right and left subclavian arteries with…
Comparison of transradial and femoral approaches for percutaneous coronary interventions: A systematic review and hierarchical Bayesian meta-analysis. Bertrand OF, Blisle P, Joyal D, Costerousse O, Rao SV, Jolly SS, Meerkin D, Joseph L. Quebec Heart and Lung Institute, Quebec City, Quebec, Canada; McGill University, Montreal, Quebec, Canada. BACKGROUND: Despite lower risks of access site-related complications with…
Comparison of A Priori Versus Provisional Heparin Therapy on Radial Artery Occlusion After Transradial Coronary Angiography and Patent Hemostasis (from the PHARAOH Study) Pancholy SB, Bertrand OF, Patel T. Systemic anticoagulation decreases the risk of radial artery occlusion (RAO) after transradial catheterization and standard occlusive hemostasis. We compared the efficacy and safety of provisional heparin use only when…
When size matters: Feasibility of using larger diameter radial catheters Abdulla Damluji MD, MPH, Ian C. Gilchrist MD, FSCAI Pioneer transradial angiography (TRA) in the 1940s was thwarted by the engineering limits imposed by the available primeval 8- to 10-French catheters that were passed into the radial artery and the resultant arterial spasm and thrombosis [1].…
Feasibility of complex coronary and peripheral interventions by trans-radial approach using large sheaths Santiago F. Coroleu, Francesco Burzotta, Carlos Fernandez-G³mez et al. Background: Trans-radial approach (TRA) reduces vascular access-site complications but has some technical limitations. Usually, TRA procedures are performed using 5 Fr or 6 Fr sheaths, whereas complex interventions requiring larger sheaths are approached…
Shorter duration of hemostatic compression is associated with a lower incidence of early and chronic RAO, without increase in bleeding complications, although maintaining radial patency during hemostatic compression, eliminates the adverse effect of duration of compression.A single center experience with same-day transradial-PCI patients: A contrast with published guidelines Ian C. Gilchrist MD, Denise A. Rhodes,…
Percutaneous antegrade transarterial treatment of iatrogenic radial arteriovenous fistula Summaria F, Romagnoli E, Preziosi P, Italy. Site of access vascular complications is infrequent after transradial interventions. We report the case of a 66-year-old man referred to our hospital because of right forearm swelling, oedema and pain with functional forearm disability, 1 year after a transradial…
Impact of vascular approach (transradial vs. transfemoral) on the efficacy of thrombus aspiration in acute myocardial infarction patients. Sciahbasi A, Burzotta F, Rigattieri S et al. Italy. BACKGROUND: Manual thrombus aspiration improves the efficacy of percutaneous coronary interventions (PCIs) in ST-elevation acute myocardial infarction (STEMI). The transradial approach (TRA) is an emerging vascular approach for…
Comparison of Percutaneous Coronary Intervention Safety Before and During the Establishment of a Transradial Program at a Teaching Hospital. Leonardi RA, Townsend JC, Bonnema DD et al. South Carolina. This study sought to examine the safety of percutaneous coronary intervention (PCI) before and during de novo establishment of a transradial (TR) program at a teaching hospital.…