Coronary InterventionCatheterizationFeasibilityTransfemoralJACCElevation MyocardialSurgical InterventionsOcclusionComplicationPeripheral InterventionsComplicationsPrimary PCI increasedAccessIntroducer2018STEMIVascularLesionsMortalityStentTranscatheterProcedureCardiovascularLusoriaProceduresReductionDTRADiagnosticComplexSurgeryWrist
Coronary Intervention16
- Robotic-assisted percutaneous coronary intervention can reduce the exposure of interventional cardiologists to radiation and minimize the risk of occupational orthopedic injuries from wearing heavy protective aprons. (nih.gov)
- The PRECISE (Percutaneous Robotically-Enhanced Coronary Intervention) study showed the efficacy and safety of robotic-assisted procedures for relatively low-risk lesions in single coronary arteries. (nih.gov)
- Radial artery access for coronary angiography was first described by Campeau in 1989, with coronary intervention performed by this route shortly after.1 Initial success rates with this access site were suboptimal. (trico.guru)
- Percutaneous coronary intervention (PCI) is an integral part of the treatment of coronary artery disease. (elsevierpure.com)
- An experience to evaluate the outcomes, feasibility, effectiveness and safety of transradial approach practice in patients undergoing primary percutaneous coronary intervention for acute ST elevation Myocardial infarction in Army Cardiac Centre. (pafmj.org)
- All patients undergoing primary percutaneous coronary intervention via transradial approach for acute ST elevation Myocardial infarction were included. (pafmj.org)
- Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. (medscape.com)
- Meta-analysis of ten trials on the effectiveness of the radial versus the femoral approach in primary percutaneous coronary intervention. (thieme-connect.de)
- SAN FRANCISCO -- Transradial access was as good as going through the groin for outcomes in ad hoc percutaneous coronary intervention reflecting real-world practice, and modestly reduced bleeding, a randomized trial from China showed. (medpagetoday.com)
- Launcher™ coronary guide catheters come with the performance advantages you expect from a market leader - including a wide variety of curve shapes for transradial and femoral percutaneous coronary intervention (PCI). (medtronic.com)
- We prospectively performed angiography of the arteries of the upper limb to delineate the anatomic features of the radial artery as a way to determine the feasibility of using it as a route for coronary intervention. (onacademic.com)
- Percutaneous coronary intervention (PCI) refers to a family of minimally invasive procedures used to open clogged coronary arteries (those that deliver blood to the heart). (heartahsia.com)
- One of the world's most experienced interventionalists, Dr. Saito is widely recognized for his contributions to the treatment of chronic total occlusions and the development of transradial coronary intervention bringing the procedure to Japan in 1995 after observing the practice in Taipei earlier that year. (crf.org)
- TIS offers a complete, solution-based product portfolio used in advanced coronary, peripheral endovascular and urological treatments with strategic initiatives in Transradial Access, Complex Coronary Intervention and Critical Limb Ischemia. (acc.org)
- I t has been almost a quarter of a century since the early reports describing transradial catheterisation and percutaneous coronary intervention (PCI) were published. (cardiovascularnews.com)
- Dr Marco Roffi comments on predictors and impact of bleeding complications in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI). (hcplive.com)
Catheterization5
- Catheterization and cardiovascular interventions , 88 (7), 1036-1043. (amsterdamumc.org)
- November 20, 2008 -- A recent study of 400 consecutive patients, published in Catheterization and Cardiovascular Interventions , looked at the transradial approach for catheterization, angioplasty and stenting in patients 75 years of age and older. (ptca.org)
- However, this new study, appearing in the November 1 issue of Catheterization and Cardiovascular Interventions , specifically looked at patients of advanced age, a population where complications are known to be higher. (ptca.org)
- We studied 2,211 consecutive patients submitted to transradial cardiac catheterization. (onacademic.com)
- He has also served as the principal investigator for more than 40 trials and sits on the editorial boards of Catheterization and Cardiovascular Interventions , Journal of Interventional Cardiology , International Journal of Cardiology , American Journal of Cardiology, Circulation , and Cardiovascular Revascularization Medicine . (crf.org)
Feasibility1
- Objectives: The aim of our study is to assess the feasibility and safety of transradial intervention (TRI) of coronary ostial lesions using the Szabo technique. (omeka.net)
Transfemoral8
- Due to failure to achieve radial access transfemoral and homolateral ulnar approach was adopted 2 (4%) and 1 (2%) respectively leading to 96% success and 4% failure for transradial access. (pafmj.org)
- The DRAGON (Determination of the Radial versus Groin Coronary Angioplasty) trial included 2,042 patients getting ad hoc PCI at 25 hospitals in China randomized 2:1 to transradial versus transfemoral access. (medpagetoday.com)
- In elderly patients, transradial coronary angiography and intervention has a high technical success rate and lower complication rates than the transfemoral approach. (ptca.org)
- There was one stroke, three cases of severe bleeding with the need for transfusion, and one local hematoma that required surgical intervention -- all of which occurred in the transfemoral group. (ptca.org)
- Over this span, a consistent message has emerged: transradial access, though technically more challenging, reduces access site and bleeding complications compared with the transfemoral approach. (cardiovascularnews.com)
- Each demonstrated a statistically significant 36-60% relative mortality reduction with transradial intervention compared to transfemoral primary PCI. (cardiovascularnews.com)
- It is worth reiterating that door-to-device times were slightly higher in the transradial approach, but mortality was still lower than that with transfemoral access. (cardiovascularnews.com)
- Background The transradial approach (TRA) is frequently used for neurointerventional procedures as it is safer, improves patient comfort, and decreases costs and procedural time in comparison with the transfemoral approach (TFA). (bmj.com)
JACC2
- In the August issue of JACC: Interventions, a study of 600,000 procedures showed a 58% reduction in bleeding complications with the radial approach. (ptca.org)
- JACC: Cardiovascular Interventions. (elsevierpure.com)
Elevation Myocardial1
- Of particular interest are a number of recently published studies suggesting a significant mortality benefit of transradial intervention in patients presenting with ST-segment elevation myocardial infarction (STEMI). (cardiovascularnews.com)
Surgical Interventions2
- Depending on the etiology of the vascular compromise, numerous conservative measures, as well as more aggressive surgical interventions, may be indicated. (medscape.com)
- A comprehensive response was launched jointly by the Ministry of Health, Earthquake Reconstruction and Rehabilitation Authority and the World Health Organization involving rescue and recovery, hospitalization, surgical interventions, building of infrastructure, development of technical guidelines to improve quality of care, human resource deployment and training. (who.int)
Occlusion2
- Radial artery occlusion after transradial interventions: a systematic review and meta-analysis. (thieme-connect.de)
- On a global scale, his seminal advances in radial and chronic total occlusion intervention have improved cardiovascular outcomes for all patients. (crf.org)
Complication1
- Eighty percent complication free transradial approach was achieved, 8 (16%) patients had pain and 2 (4%) developed hematoma. (pafmj.org)
Peripheral Interventions1
- Prof. Mark W. Little describes the technical aspects of Transradial Access in peripheral interventions utilizing TRUSELECT 2.0F microcatheter and recommend a framework for transition to a radial strategy. (bostonscientific.com)
Complications4
- Percutaneous brachial access associated with increased incidence of complications compared with open exposure for peripheral vascular interventions in a contemporary series. (thieme-connect.de)
- There were also 11 minor complications, defined as clinically apparent bleeding of the access site which was symptomatic, but did not lead to surgical intervention, transfusion, or a drop in the hemoglobin level of more than 3 g/dl. (ptca.org)
- Interestingly, the two minor complications in the transradial group were actually cross-overs, and the complications occurred during the femoral procedure at the access site. (ptca.org)
- Although vascular complications were clearly lower in patients treated via transradial primary PCI, bleeding rates were lower only in RIFLE-STEACS and the Cath-PCI registry, but not in RIVAL. (cardiovascularnews.com)
Primary PCI increased1
- From 2007 to 2011, transradial primary PCI increased from less than 1% to 6.8%, and these numbers are gradually continuing to climb. (cardiovascularnews.com)
Access7
- RAIN Sheath Transradial Hydrophilic Thin-walled Introducer is part of a complete portfolio of advanced, integrated solutions for radial access. (cordis.com)
- [ 6 ] All show that access site-related bleeding is reduced with the transradial approach in STEMI. (medscape.com)
- Cite this: Transradial Access in Primary PCI: A Call to Arms - Medscape - Feb 10, 2014. (medscape.com)
- Certainly the femoral will still be required for some procedures, but it certainly seems that you could make a very strong case in ST-segment elevation MI that this [transradial access] really should be the standard. (medpagetoday.com)
- While there is little debate that access site bleeding is decreased with transradial intervention, the RIVAL trial results suggested similar rates of death, myocardial infarction, stroke and major bleeding with each approach 1 . (cardiovascularnews.com)
- As the societies continue to embrace transradial PCI and the academic centres begin to teach the radial artery as default access instead of a niche technique, comfort with transradial access should continue to improve. (cardiovascularnews.com)
- Ultimately, it is probable that transradial access will become the default strategy in primary PCI. (cardiovascularnews.com)
Introducer2
- Cordis sheaths portfolio includes the ultra-low profile, thin-walled, RAIN Sheath Transradial Introducer, designed to reduce the risk of radial artery trauma and spasm. (cordis.com)
- RAIN Sheath Transradial Hydrophilic Thin-Wall Introducer ist Teil eines kompletten Portfolios fortschrittlicher, angepasster Lösungen für den radialen Zugang. (cordis.com)
20181
- Methods A prospectively maintained database of transradial neurointerventional cases since 2018 was searched. (bmj.com)
STEMI3
- Mack, you made a beautiful argument in favor of the transradial approach with STEMI. (medscape.com)
- As evidence supporting mortality benefit with transradial intervention in STEMI continues to mount, we are left wondering whether these studies will lead to further uptake of transradial intervention. (cardiovascularnews.com)
- Along with the body of evidence supporting clinical benefit of transradial intervention, especially in the setting of STEMI, increased comfort with transradial techniques will inevitably lead to increased use. (cardiovascularnews.com)
Vascular2
- As well as general diagnostic radiology, Dr Khalifa is experienced and has expertise in both Vascular and Non Vascular intervention. (royalfree.nhs.uk)
- He has developed particular interests in hepatobilliary intervention, management of complex vascular malformations, complex below knee revascularisation, fibroid embolization, tumour embolization & tumour ablation. (royalfree.nhs.uk)
Lesions2
- We report 4 cases of patients in whom we used the transradial approach to treat complex lesions in the left anterior descending coronary artery with bifurcation balloon angioplasty reconstruction (2 cases), in the ostium of the first diagonal branch, and in the right coronary artery. (nih.gov)
- Transradial szabo technique for intervention of ostial lesions. (omeka.net)
Mortality1
- In-hospital mortality is lower in patients with the transradial approach. (medscape.com)
Stent1
- A diagnostic angiogram was performed and, if intervention was judged to be efficacious, the procedure continued as an ad-hoc intervention (balloon or stent). (ptca.org)
Transcatheter1
- Not only has he devoted his career to developing and refining CTO and transradial interventional techniques, but he is now one of the premier operators in Japan of transcatheter aortic and mitral valve interventions and is committed to bringing new structural heart technologies to Japan. (crf.org)
Procedure3
- Patients must still be carefully selected for surgery or stenting in order to reduce the risks related to the procedure and ensure the long-term benefit after such intervention. (wikipedia.org)
- Our results proved Transradial approach for primary PCI as a safe, feasible and cost effective procedure. (pafmj.org)
- The largest impediment to routine transradial primary PCI in the USA is the learning curve associated with the procedure itself. (cardiovascularnews.com)
Cardiovascular2
- In China, transradial accounts for about 95% of procedures, noted Run-Lin Gao, MD, of China's National Center for Cardiovascular Diseases, who commented at the press conference. (medpagetoday.com)
- The course is directed by Linda D. Gillam, MD , MPH, FACC, FASE, the Dorothy and Lloyd Huck Chair of Cardiovascular Medicine at Morristown Medical Center and medical director of the cardiovascular service line for Atlantic Health System and Jordan Safirstein, MD , FCC, FSCAI, Director of Transradial Intervention at Morristown Medical Center. (atlantichealth.org)
Lusoria1
- Patients with arteria lusoria, or an aberrant right subclavian artery (ARSA), provide a unique challenge for cerebral angiography and interventions when using the TRA. (bmj.com)
Procedures2
- Transradial cardiac procedures: the state of the art. (trico.guru)
- He has specialist expertise in performing procedures via the transradial approach, using the small vessels in the wrist, which is less invasive and speeds patient recovery. (royalfree.nhs.uk)
Reduction2
- The risk-reduction from intervention for carotid stenosis (stenting or endarterectomy) is greatest when the indication for intervention is symptoms (i.e., the patient is symptomatic) - typically stroke or TIA. (wikipedia.org)
- The reduction of phantom pain is assessed using the Numerical Rating Scale (NRS), the McGill Pain Questionnaire, and the Multidimensional Pain Inventory (MPI-D). These measurements are taken initially as a baseline, then after three weeks of intervention, and finally after three months in a follow-up examination. (who.int)
DTRA1
- Results Two diagnostic cerebral angiography cases and one intervention were successfully performed through a left dTRA. (bmj.com)
Diagnostic1
- In all randomized patients, the physicians succeeded in obtaining the diagnostic angiograms -- and about 1/4 continued on to ad-hoc intervention. (ptca.org)
Complex2
- Even in complex cases, there's no reason not to take a transradial-first approach, agreed Marie-Claude Morice, MD , of Institut Cardiovasculaire Paris Sud in Massy, France. (medpagetoday.com)
- One is that interventions are getting more complex and. (medpagetoday.com)
Surgery1
- While historically endarterectomy has been the treatment for carotid stenosis, stenting is an alternative intervention for patients who are not candidates for surgery. (wikipedia.org)