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

Videos | Radial Access | October 22, 2019
Sunil Rao, M.D., chief of cardiology, Durham VA Health System and a professor at Duke University, and Prashant Kaul, M....
Cordis Announces U.S. Launch of Radial 360 Portfolio
Technology | Radial Access | May 15, 2019
Cordis, a Cardinal Health company, recently announced the full U.S. launch of its Radial 360 portfolio, offering a...
Ferdinand Kiemeneij, M.D., explains the history of the transradial access during an interview with DAIC at TCT 2017.

Ferdinand Kiemeneij, M.D., explains the history of the transradial access during an interview with DAIC at TCT 2017.

Feature | Radial Access | February 22, 2018 | Dave Fornell
Interventional cardiology has witnessed a rapid and constant evolution in both techniques and device technology since
Videos | Radial Access | February 16, 2018
The father of transradial artery access,...
SCAI Launches TRAnsition for VALUE Radial Access Educational Initiative
News | Radial Access | November 13, 2017
The Society for Cardiovascular Angiography and Interventions recently announced the launch of TRAnsition for VALUE, a...
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...
Overlay Init