Transradial access

Original Contribution

Hyper Adducted Right Radial Artery (HARRA) Method to Reduce Radiation Exposure and Promote Ergonomics

04/03/2020

Richard Casazza, MAS, RT(R)(CI), Brooklyn, New York, and Alexander G. Truesdell, MD, FACC, FSCAI, FSVM, Virginia Heart, Falls Church, Virginia

Richard Casazza, MAS, RT(R)(CI), Broo...

An adducted arm/wrist increases the distance between the operator and radiation source. As radiation exposure is cumulative, 2-3 inches of distance multiplied times 1000 procedures has a significant long-term dose-reduction effect.

An adducted arm/wrist increases...

04/03/2020

Cath Lab Digest

Your Path to Success: Expert Advice

Gaining Insight Into Peripheral Interventions...Radial Access Can Play a Role

04/03/2020

Michael J. Martinelli, MD, FACC, FSCAI

Sr. Vice President, Medical Affairs

Chief Medical Officer

Terumo Medical Corporation

Michael J. Martinelli, MD, FACC, FSCA...

It is in regard to the peripheral intervention program, and the treatment of peripheral arterial disease (PAD), that we talk to Dr. Martinelli today in order to gain his insights as to how his program not only addressed this disease process,...

It is in regard to the...

04/03/2020

Cath Lab Digest

Editor's Corner

A Light Bulb Goes On – My First Use of the Distal Radial Artery for the Left Arm Approach

06/07/2019

Morton J. Kern, MD

Last week, after returning from the Scottsdale Interventional Forum and hearing about distal transradial (dTRA) access, particularly for left arm cath, I decided to give it a try.

Last week, after returning from...

06/07/2019

Cath Lab Digest

Case Files by Dr. George

Radial and Ulnar Artery Occlusion Following Transradial and Transulnar Coronary Intervention Requiring Endovascular Revascularization

06/07/2019

Mohammad N. Zabad, MD, Sean Janzer, MD, and Jon C. George, MD

Division of Cardiology, Interventional Cardiology and Endovascular Medicine,

Einstein Medical Center, Philadelphia, Pennsylvania

Mohammad N. Zabad, MD, Sean Janzer, M...

In the case presented herein, we discuss a patient who presented with right hand weakness and paresthesia following multiple previous coronary interventions using radial and ulnar arteries. She was found to have occlusion of both arteries,...

In the case presented herein, we...

06/07/2019

Cath Lab Digest

Case Series

Can Radial Access Be a Practical Alternative to Treat Peripheral Vascular Disease (PVD)?

05/01/2019

Richard R. Heuser, MD, FACC, FACP, FESC, MSCAI, Chief of Cardiology, St. Luke’s Medical Center; Professor of Medicine, University of Arizona School of Medicine; Phoenix Heart Center, Phoenix, Arizona

Richard R. Heuser, MD, FACC, FACP, FE...

We have been using the R2P Destination Slender (Terumo) and the attendant equipment in over 2 dozen cases during the last 6 to 8 months. We present three case examples to illustrate the promise of these sheaths, wires, and balloons, as well...

We have been using the R2P...

05/01/2019

Cath Lab Digest

Your Path to Success: Expert Advice

Physicians Are Pushing Boundaries With Transradial Access

05/01/2019

Gary Clifton, Vice President, Terumo Business Edge, talks with Richard Heuser, MD, and Gavin Lennan RT(R), Cath Lab Manager.

Gary Clifton, Vice President, Terumo ...

From a clinical standpoint, there are many benefits to going radial, including patient comfort, a reduced risk of complications, and a shorter recovery time, at 1.5-3 hours with radial compared to 4-12 hours (usually 6-8 hours, on average)...

From a clinical standpoint,...

05/01/2019

Cath Lab Digest

Original Contribution

Comparison of Hemostasis Times With a Kaolin-Based Hemostatic Pad (QuikClot Radial) vs Mechanical Compression (TR Band) Following Transradial Access: A Pilot Prospective Study

08/15/2017

Jonathan S. Roberts, MD; Jianli Niu, MD, PhD; Juan A. Pastor-Cervantes, MD

Jonathan S. Roberts, MD; Jianli Niu,...

Hemostasis following transradial access (TRA) is usually achieved by mechanical compression. We investigated use of the QuikClot Radial hemostasis pad compared with the TR Band to shorten hemostasis after TRA.

Hemostasis following transradial...

08/15/2017

Journal of Invasive Cardiology

Original Contribution

ULnar Artery Transient Compression Facilitating Radial Artery Patent Hemostasis (ULTRA): A Novel Technique to Reduce Radial Artery Occlusion After Transradial Coronary Catheterization

08/15/2016

Michael J. Koutouzis, MD, PhD; Christos D. Maniotis, MD, PhD; Grigorios Avdikos, MD; Andreas Tsoumeleas, MD; Constantinos Andreou, MD, PhD; Zenon S. Kyriakides, MD, PhD

Michael J. Koutouzis, MD, PhD; Chris...

We evaluate the safety and efficacy of a novel technique with simultaneous compression of the ulnar artery in order to reduce the incidence of radial artery occlusion (RAO) after transradial cardiac catheterizations.

We evaluate the safety and...

08/15/2016

Journal of Invasive Cardiology

Commentary

A Call for Comprehensive Forearm Access?

12/29/2015

Neal Sawlani, MD¹; Sunil V. Rao, MD²; Deepak L. Bhatt, MD, MPH¹

Neal Sawlani, MD1; Sunil V. Rao, MD2...

A commentary on Gokhroo et al highlighting the potential benefits of transulnar angiography.

A commentary on Gokhroo et al...

12/29/2015

Journal of Invasive Cardiology

Original Contribution

Ulnar Artery Interventions Non-Inferior to Radial Approach: AJmer Ulnar ARtery (AJULAR) Intervention Working Group Study Results

12/29/2015

Rajendra Gokhroo, DM¹; Kamal Kishor, MD, DM¹; Bhanwar Ranwa, DM¹; Devendra Bisht, DM²; Sajal Gupta, DM¹; Deepak Padmanabhan, DM²; A. Avinash, DM¹

Rajendra Gokhroo, DM1; Kamal Kishor,...

This prospective, single-center study randomized 2532 patients to either transulnar (TUA) or transradial access (TRA), and found TUA to be non-inferior to TRA when performed by an experienced operator.

This prospective, single-center...

12/29/2015

Journal of Invasive Cardiology