Commitment Pays Off When Training for Transradial PCI. There is increasing interest in using the radial artery in the wrist, rather than the femoral artery in the groin, for passing slender catheters into the heart during angioplasty and stenting, largely because it is safer and more comfortable for patients. But when launching a program to…
SCAI: Transradial program may require time investment, but ‘worth it’. San Diego — When launching a program to train cardiologists in the radial technique, cardiac cath labs should be prepared to face logistical challenges for a substantial period of time, despite the safety and comfort benefits to the patient, based on a case study presented…
Impact of Length and Hydrophilic Coating of the Introducer Sheath on Radial Artery Spasm During Transradial Coronary Intervention. A Randomized Study. Sudhir Rathore, Rodney H. Stables, Maheshwar Pauriah, Abdul Hakeem, Joseph D. Mills, Nick D. Palmer, Raphael A. Perry, John L. Morris. Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom. OBJECTIVES: The…
Hydrophilic-Coated Radial Sheaths: A Leap Forward, But Watch Where You Land. Ian C. Gilchrist, Mark Kozak, Pennsylvania. Radial artery spasm is one of the impediments to transradial cardiac catheterization. Although the incidence of spasm as a reason for procedural failure appears to markedly decrease with operator experience, it never completely disappears. In addition to preventing…
Radial Artery Access Ted E. Feldman, MD, FSCAI, Chief Medical Editor, BMC Today. Radial access is gaining in both interest and application in catheterization laboratory practice in the United States. The gains are based not only on a growing database on the radial approach, but also due to the way patients react to radial versus…
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…