Feature | July 15, 2011| Adhir Shroff, M.D., MPH

Straight From the Wrist...

A review of recent transradial study data

Impact of Transradial and Transfemoral Coronary Interventions on Bleeding and Net Adverse Clinical Events in Acute Coronary Syndromes
Martial Hamon, et al     EuroIntervention 2011, 7:91-97

Study design   

• Post-hoc analysis of the OASIS 5 trial for patients undergoing an early invasive strategy.
• Patients received enoxaparin or fondaparinux.
• 7,885 patients underwent PCI using either femoral or radial access included in the analysis

Primary endpoint: Composite ischemia and major bleeding endpoints at 9 days, 30 days and 6 months; Net adverse clinical events defined as combination of ischemic endpoints and major bleeding

Result: No difference in ischemic endpoints based on approach; Radial approach associated with significantly less bleeding with either anticoagulation strategy

Bottom line: Radial approach limits bleeding without impacting ischemic outcomes

Reduction of Scatter Radiation During Transradial Percutaneous Coronary Angiography: A Randomized Trial Using a Lead-free Radiation Shield
Luigi Politi, et al    Catheterization and Cardiovascular Interventions (Epub ahead of print)

Study design: Prospective, randomized study of a lead-free radiation shield
Primary endpoint: Radiation exposure to the operator during diagnostic cardiac catheterization; Exposure measured at chest, left eye, left wrist and thyroid

Results: Despite similar fluoroscopy times and total radiation dose, radiation exposure decreased by 23% relative to control;  Radiation exposure was lower at all measured points

Bottom line: Use of a radiation drape can dramatically decrease radiation exposure to the operator


A Single Center Experience With Same-Day Transradial-PCI Patients: A Contrast With Published Guidelines
Ian C. Gilchrist, et al    Catheterization and Cardiovascular Interventions (Epub ahead of print)

Study design: Retrospective review of 100 sequential patients who underwent same day discharge following TR-PCI

Primary endpoint: Adherence to SCAI/ACC appropriateness criteria for outpatient PCI

Results: Only 15% of patients met appropriateness criteria; The most common contraindications to discharge from the Consensus statement included advanced age (n=26), insulin dependent DM (n=5), contrast allergies (n=4), presence of COPD (n=8) and multivessel CAD (n=4); No patients were readmitted or experienced a post-PCI complication

Bottom line: Use of the transradial approach with a structured follow-up process can lead to a successful same day discharge program

Related Content

Merit Medical Announces Advanced Interventional Cardiology Transradial Intervention Education Course
News | Radial Access| August 23, 2017
Merit Medical Systems Inc. will partner with internationally renowned interventional cardiologist Ferdinand Kiemeneij,...
radial access, transradial access trial using anticoagulants
News | Radial Access| June 15, 2017
June 15, 2017 — In patients undergoing t...
transradial approach, same-day cardiac procedures, radial access, $300 million annual savings, JACC Cardiovascular Interventions study
News | Radial Access| February 22, 2017
If hospitals can perform more transradial, same-day percutaneous coronary intervention (PCI), hospitals across the U.S...
Technology | Radial Access| February 17, 2017
Medtronic plc announced that its coronary portfolio will now include the DxTerity Diagnostic Angiography Catheter line...
HyperMed Imaging, HyperView portable tissue oxygenation measurement system, FDA clearance
Technology | Point of Care Testing| January 27, 2017
HyperMed Imaging Inc. announced that it has received clearance from the U.S. Food and Drug Administration (FDA) for the...
Videos | TCT| November 18, 2016
DAIC Editor Dave Fornell takes a video tour of some of the most innovative new interventional cardiology technologies
radial access drape, radial access sleeve drape, reducing radial access setup time

The author Richard Casazza wearing the radial access drape he helped develop at his hospital to reduce setup time.

Feature | Radial Access| October 07, 2016 | Richard Casazza, MS, RT(R)
The transradial revolution is one of the fastest growing trends in cardiology.
radial access, inserting stents, JACC Cardiovascular Interventions study
News | Radial Access| July 13, 2016
A new study in JACC: Cardiovascular Interventions supports access through the wrist, or radial access, as the default...
radial access, transradial
Feature | Radial Access| May 27, 2016 | Dave Fornell
The use of transradial artery vascular access for percutaneous coronary intervention (PCI) in the United States has s
radial access, robotic navigation
Feature | Radial Access| March 28, 2016 | Amir Kaki M.D., FACC, FSCAI, Medical Director Cardiac Cath Laboratories, Detroit Medical Center
Millions of percutaneous coronary interventions (PCIs) are performed each year around the world to treat obstructive
Overlay Init