Progress in angioplasty for chronic total occlusions. Shigeru Saito MD, FACC, FSCAI. As everybody can agree, chronic total occlusion (CTO) lesion is the lesion subset remaining in the last frontier for percutaneous coronary intervention (PCI). Because of the difficulty in randomization, we cannot have enough evidence for the clinical significance of successful recanalization of these…
Recanalization and reuse of early occluded radial artery within 6 days after previous transradial diagnostic procedure. Babunashvili A, Dundua D Late radial artery (RA) thrombosis occurs in 3-9% after transradial interventions. RA occlusion has made this approach unsuitable for repeat interventions and obviated the need for alternative vascular access for catheterization, e.g. left RA (with…
Transradial approach for percutaneous closure of patent ductus arteriosus with the Amplatzer duct occluder II: A case report. Cassese S, Losi MA, Rapacciuolo A. Percutaneous patent ductus arteriosus (PDA) closure is a safe and feasible treatment, and it is recommended over surgical approach in the majority of cases. Amplatzer duct occluder (ADO-AGA Medical Corporation, Golden…
Radial versus femoral access for orally anticoagulated patients. Antonios G. Ziakas, Konstantinos C. Koskinas, Stavros Gavrilidis et al. OBJECTIVES: To prospectively compare the efficacy and procedural safety of the radial versus femoral route for cardiac catheterization during uninterrupted warfarin therapy. Background: The optimal treatment strategy for cardiac catheterization in patients receiving long-term oral anticoagulation has…
Transradial Coronary Intervention-Radiant or Brilliant? András Komócsi and Dániel Aradi. We read with great interest the recently published review of Rao et al. regarding the clinical benefits of using the transradial approach for percutaneous coronary interventions (PCI). The paper outstandingly demonstrates how deeply a technical modification might influence our current clinical practice. Despite these benefits,…
Transradial access in percutaneous coronary interventions : Technique and procedure. Dahm JB, Wolpers HG, Becker J et al. After showing significantly lower complication rates in diagnostic coronary angiography, the radial artery access was successfully introduced as a useful vascular access site for transradial percutaneous coronary intervention in order to enhance patients’ comfort and reduce hospital…
No free lunch: Transradial access in patients on coumadin. TT Tsai. The Ying and Yang of percutaneous coronary intervention (PCI) continues to focus on balancing the risks of ischemic complications with bleeding. Once considered a “necessary evil” of PCI, efforts to decrease bleeding has taken center stage as mounting evidence links bleeding events to increased…
Transradial approach to lower extremity interventions. Korabathina R, Yadav SS, Coppola JT, Staniloae CS. Department of Cardiovascular Medicine, Saint Vincents Catholic Medical Center, New York, USA. Percutaneous interventions of the coronary and peripheral vessels have historically been performed using a femoral artery approach. There has been increasing recognition of post-procedural bleeding complications and its impact…
Sheathless transradial intervention using standard guide catheters. From AM, Gulati R, Prasad A, Rihal CS. The Division of Cardiovascular Diseases, Mayo Clinic College of Medicine and Mayo Foundation Rochester, Minnesota. OBJECTIVES: Our aim was to report our preliminary experience performing complex transradial interventions using a sheathless technique with standard large bore non-hydrophilic guiding catheters. BACKGROUND:…