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Reduction of scatter radiation during transradial percutaneous coronary angiography: A randomized trial using a lead-free radiation shield. Politi L, Biondi-Zoccai G, Nocetti L et al. Italy. Abstract Background: Occupational radiation exposure is a growing problem due to the increasing number and complexity of interventional procedures performed. Radial artery access has reduced the number of complications…

Impella assisted transradial coronary intervention in patients with acute coronary syndromes and cardiogenic shock: Case series. Bell BP, Iqtidar AF, Pyne CT. Abstract Operators may feel apprehension when considering the transradial approach in patients with cardiogenic shock due to concerns of the need for femoral access for mechanical support. There is however potential benefit of…

Perforation of the sinus of valsalva by guiding catheter during the percutaneous coronary intervention via the right transradial approach: A very unusual complication. Tomassini F, Gagnor A, Varbella F. Abstract Iatrogenic dissection of the sinus of Valsalva or of the ascending aorta is a rare, but potentially fatal event, during the percuteneous coronary intervention (PCI).…

Evaluation of the “Learning Curve” for Left and Right Radial Approach During Percutaneous Coronary Procedures. Sciahbasi A, Romagnoli E, Trani C et al. Italy. Abstract The transradial approach for percutaneous coronary procedures may be effectively performed through the right radial approach (RRA) or left radial approach (LRA) after an appropriate “learning curve.” However, studies evaluating…

Reaccessing an Occluded Radial Artery: A “Proximal Entry” Technique. Patel T, Shah S, Sanghavi K, Pancholy S. Abstract Radial artery occlusion (RAO) is an infrequent but important consequence of transradial access. It prevents subsequent use of the same radial artery for coronary angiography and intervention. We describe a new “proximal entry” technique in 3 cases…

A technique to access difficult to find upper extremity veins for right heart catheterization: The levogram technique. Pancholy SB, Sweeney J. Abstract Upper extremity venous access provides a safer alternative for performance of right heart catheterization compared to femoral venous access. We describe a technique to access deep veins of the upper extremity, in patients…

A single center experience with same-day transradial-PCI patients: A contrast with published guidelines. Gilchrist IC, Rhodes DA, Zimmerman HE. Abstract Objectives: Our goal was to compare recently published Consensus Statement from the SCAI/ACC on appropriateness for same-day PCI with patient characteristics from a real-world same-day PCI experience in the United States. Background: Recent practice statement…

Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI. Caputo RP, Tremmel JA, Rao S, Gilchrist IC, Pyne C, Pancholy S, Frasier D, Gulati R, Skelding K, Bertrand O, Patel T. Abstract In response to growing U.S. interest, the Society for Coronary Angiography and Interventions recently formed…

Impact of transradial and transfemoral coronary interventions on bleeding and net adverse clinical events in acute coronary syndromes. Hamon M, Mehta S, Steg PG et al. France. Abstract Aims: The aim of the present study was to examine the impact of the transradial approach (TRA), in comparison to the transfemoral approach (TFA), on PCI-related bleeding…