Access

Keep an Open Mind About Distal Radial Access

03/04/2019

Ferdinand Kiemeneij¹, MD, PhD, Darren Klass², MD, PhD, and Sandeep Nathan³, MD, MSc

Ferdinand Kiemeneij1, MD, PhD, Darren...

Accessing the radial artery distal to the wrist in the anatomic snuffbox is a reasonable option for primary access, as well as a suitable bailout option.

Accessing the radial artery...

03/04/2019

Cath Lab Digest

Letters to the Editor

Letter to the Editor in Reference to: Ultrasound-Guided Vascular Access Routes: An Overview

03/03/2019

Faris G. Araj, MD, Julie Cox, BSN, RN, BS, University of Texas Southwestern Medical Center, Dallas, Texas

Faris G. Araj, MD, Julie Cox, BSN, RN...

The subclavian vein, compared to other central vascular access sites, offers the potential of lower infectious and thrombotic events(2,3), in addition to greater patient comfort during long-term use.

The subclavian vein, compared to...

03/03/2019

Cath Lab Digest

Distal Left Radial Artery Approach for Cardiac Catheterization: Advancements in Ergonomics With Techniques and Technologies

01/08/2019

Richard Casazza, MAS, RT(R)(CI), Brooklyn, New York

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

Pioneered by Dr. Ferdinand Kiemeneij, the distal radial artery approach is proving to be a game-changer for left radial artery cases.

Pioneered by Dr. Ferdinand...

01/08/2019

Cath Lab Digest

Making the Right Move: Use of the Distal Radial Artery Access in the Hand for Coronary Angiography and Percutaneous Coronary Interventions

11/27/2018

Enrique A. Flores, MD, FACC, RPVI, Interventional Cardiologist, Georgia Heart Specialist, Conyers, Georgia

Enrique A. Flores, MD, FACC, RPVI, In...

Here we describe our experience in the first 200 consecutive patients to undergo DRA access in the cardiac catheterization laboratory of Rockdale Medical Center (Conyers, Georgia)3, over half of whom had acute coronary syndrome.

Here we describe our experience...

11/27/2018

Cath Lab Digest

The Successful Transradial Program at Crittenton Hospital Medical Center

10/07/2018

Cath Lab Digest talks with Samer Kazziha, MD, FACP, FACC, FSCAI, FCCP, FSVMD, Executive Director Cardiovascular Services, and Jacqueline S. Jones, RN, MSN, ANP-BC, CEN-CMC, Rochester, Michigan.

Cath Lab Digest talks with Samer Kazz...

We are performing more complex interventions via transradial access. Transradial access is here to stay.

We are performing more complex...

10/07/2018

Cath Lab Digest

Your Path to Success: Expert Advice

High-Performing Labs Are Utilizing Radial Access and Same-Day Discharge Successfully

10/07/2018

Fear of failure creates a powerful hindrance to adoption for a seasoned and respected interventionist. However, the learning curve to become a competent transradial interventionalist is neither steep nor arduous.

Fear of failure creates a...

10/07/2018

Cath Lab Digest

Retrograde Tibio-Pedal Access for Revascularization of Lower-Extremity Peripheral Artery Disease Using a 6 Fr Slender Sheath: The “Pedal-First” Pilot Project

10/07/2018

Kintur A. Sanghvi, MD; Joseph Kusick, DO; Courtney Krathen, DO

Kintur A. Sanghvi, MD; Joseph Kusick...

This is a single-center prospective review of a database of patients who underwent endovascular intervention of their PAD with an attempted pedal-first approach by a single operator.

This is a single-center...

10/07/2018

Cath Lab Digest

Case Report

“PercAx Impella”: Axillary Artery as an Alternative Access for Large-Bore Devices

03/01/2018

Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida, and Heart of Florida, Davenport, Florida

Zaheed Tai, DO, FACC, FSCAI, Winter H...

Featuring an expert operator discussion with Dr. Amir Kaki, Medical Director of the Cardiac Cath Lab, Detroit Medical Center Heart Hospital, Associate Professor of Medicine, Wayne State School of Medicine, and the Director of the CHIP...

Featuring an expert operator...

03/01/2018

Cath Lab Digest

You Went Ulnar When Radial was Not Suitable. Now How Do You Close the Punctures?

10/06/2017

Morton J. Kern, MD, with contributions from Samuel M. Butman, MD, Heart & Vascular Center of Northern Arizona, Cottonwood, Arizona; Lloyd W. Klein MD, Rush University, Chicago, Illinois; Gregory J. Dehmer, MD, Texas A&M College of Medicine, Temple, Texas; Ajay Kirtane, MD, Columbia University/New York-Presbyterian Hospital, New York City, New York; Neal Kleiman, MD, Houston Methodist, Weill Cornell Medical College, Houston, Texas; Bonnie H. Weiner, MD, University of Massachusetts, Worchester, Massachusetts; Barry Borlaug, MD, Mayo Clinic, Rochester, Minnesota; Paul Teirstein, MD, Scripps Clinic, La Jolla, California; Kirk Garrett, MD, Christiana Hospital System, Wilmington, Delaware.

Morton J. Kern, MD, with contribution...

Having advocated the use of the ulnar artery when the radial artery is not suitable1, we did exactly what we talked about and placed an ulnar sheath using ultrasound guidance after encountering a radial loop on the left arm in a patient...

Having advocated the use of the...

10/06/2017

Cath Lab Digest

Clinical Editor's Corner

Radial Access Failure: When Should We Go Ulnar?

11/02/2016

Morton J. Kern, MD, with Arnold H. Seto, MD, MPA

Dr. Seto is Associate Professor of Medicine, University of California Irvine, and Chief of Cardiology, VA Long Beach Health Care System, Long Beach, California.

Morton J. Kern, MD, with Arnold H. Se...

Dr. Seto hypothesized that a small, tortuous radial artery might be associated with a larger ulnar artery, providing a straighter and more negotiable course for catheter passage.

Dr. Seto hypothesized that a...

11/02/2016

Cath Lab Digest