Long Distance Tele-Robotic-Assisted Percutaneous Coronary Intervention: A Report of First-in-Human Experience

Long Distance Tele-Robotic-Assisted Percutaneous Coronary Intervention: A Report of First-in-Human Experience Tejas M. Patel a, Sanjay C. Shah a, Samir B. Pancholy b a Apex Heart Institute, Ahmedabad, India b The Wright Center for Graduate Medical Education, Geisinger Commonwealth School of Medicine, Scranton, PA, USA Abstract Background: Robotic-assisted percutaneous coronary intervention (R-PCI) has been successfully employed in the United States since 2011.…

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Association Between Health Insurance Status and In-Hospital Outcomes After ST-Segment Elevation Myocardial Infarction.

Association Between Health Insurance Status and In-Hospital Outcomes After ST-Segment Elevation Myocardial Infarction. Pancholy S, Patel G, Pancholy M, Nanavaty S, Coppola J, Kwan T, Patel T. Abstract Lack of health insurance is associated with adverse clinical outcomes; however, association between health insurance status and outcomes in patients presenting with ST-elevation myocardial infarction (STEMI) is…

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“Combo” technique for the use of 7F guide catheter system during transradial approach

“Combo” technique for the use of 7F guide catheter system during transradial approach Patel T1,2, Shah S1,2, Pancholy S3. 1Apex Heart Institute, Ahmedabad, India. 2Department of Cardiology, Sheth V.S. General Hospital and Smt. N.H.L. Municipal Medical College, Ahmedabad, India. 3Department of Cardiology, the Wright Center for Graduate Medical Education, the Commonwealth Medical College, Scranton, Pennsylvania. Abstract Even a…

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Working through challenges of subclavian, innominate and aortic arch regions during transradial approach.

Working through challenges of subclavian, innominate and aortic arch regions during transradial approach. Patel T1, Shah S, Pancholy S, Deora S, Prajapati K, Coppola J, Gilchrist IC.1Apex Heart Institute, Ahmedabad, India; Department of Cardiology, Sheth V.S. General Hospital and Smt. N.H.L. Municipal Medical College, Ahmedabad, 380 006, India. Abstract Objectives: The aim of this review…

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Balloon-assisted tracking: A must-know technique to overcome difficult anatomy during transradial approach.

Balloon-assisted tracking: A must-know technique to overcome difficult anatomy during transradial approach. Patel T, Shah S, Pancholy S, Rao S, Bertrand OF, Kwan T. OBJECTIVE: To examine the use and outcomes of balloon-assisted tracking (BAT) technique for dealing with complexities of arm and chest vasculature during transradial approach (TRA) at a single high volume radial…

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An educational platform on Renal Denervation and HBP

An educational platform on Renal Denervation and HBP One in four adults suffer from hypertension (HTN) worldwide. Overactive sympathetic nervous system plays a vital role in pathogenesis of HTN. RENAL SYMPATHETIC DENERVATION (RDN) is a new minimally invasive catheter based treatment that has demonstrated exceptional blood pressure reductions in patient with resistant HTN. While RDN…

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Safety and feasibility of transulnar catheterization when ipsilateral radial access is not available.

Safety and feasibility of transulnar catheterization when ipsilateral radial access is not available. Kedev S, Zafirovska B, Dharma S, Petkoska D. Macedonia. Abstract Objectives: We evaluated the safety and feasibility of transulnar approach when ipsilateral radial access was not available. Methods and results: From March 2011 until February 2013, 476 consecutive patients that underwent transulnar…

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Efficacy of transradial cerebral angiography in the elderly.

Efficacy of transradial cerebral angiography in the elderly. Park JH, Kim DY, Kim JW, Park YS, Seung WB. Korea. Abstract OBJECTIVE: Transradial angiography has become popular among many cardiologists as a diagnostic and therapeutic tool. However, transradial cerebral angiography is not utilized to the same extent. The purpose of this study is to present our…

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Treatment of recurrent radial artery pseudoaneurysms by prolonged mechanical compression.

Treatment of recurrent radial artery pseudoaneurysms by prolonged mechanical compression. Nazer B, Boyle A. Abstract: As radial artery pseudoaneurysm (PA) is a rare complication of transradial catheterization, data on their management are sparse. Here, we report the case of a 77-year-old woman who underwent right transradial diagnostic cardiac catheterization, and subsequently developed a symptomatic PA.…

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Angiographic evaluation of the radial artery diameter in patients who underwent coronary angiography or coronary intervention.

Angiographic evaluation of the radial artery diameter in patients who underwent coronary angiography or coronary intervention. Okuyan H, Hzal F, Taoy G, Timurkaynak T. Abstract OBJECTIVES: The aim of this study was to determine the radial artery diameter of patients through angiography and evaluate the feasibility of using wider sheaths for radial interventions. In addition,…

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Radial artery spasm associated with transradial cardiovascular procedures: Results from the RAS registry.

Radial artery spasm associated with transradial cardiovascular procedures: Results from the RAS registry. Goldsmit A, Kiemeneij F, Gilchrist IC, Kantor P, Kedev S, Kwan T, Dharma S, Valdivieso L, Wenstemberg B, Patel T. Abstract Objectives: To report the incidence and predictors of moderate/severe radial artery spasm (RAS) in patients undergoing cardiovascular percutaneous procedures through a…

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Influence of Arterial Access Site Selection on Outcomes

Influence of Arterial Access Site Selection on Outcomes in Primary Percutaneous Coronary Intervention: Are the Results of Randomized Trials Achievable in Clinical Practice? Mamas MA, Ratib K, Routledge H et. al. Manchester, United Kingdom Abstract OBJECTIVES: This study sought to investigate the influence of access site utilization on mortality, major adverse cardiac and cardiovascular events…

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Anticoagulation in transradial percutaneous coronary intervention.

Anticoagulation in transradial percutaneous coronary intervention. Appleton DL, Cooke RH, Rao SV, Jovin IS. Richmond, VA. Abstract: Transradial percutaneous coronary intervention is associated with significant reductions in access site complications and major bleeding as compared with the transfemoral approach. Bivalirudin is now the most commonly used anticoagulant for transradial percutaneous coronary intervention in the U.S.,…

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Adoption of radial access and comparison of outcomes to femoral access

Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012). Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC, Minutello RM, Messenger JC, Moussa I, Garratt KN, Piana RN, Hillegass WB, Cohen MG, Gilchrist IC, Rao SV.…

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