Radial Artery Hemostasis and Post procedure Management
|
|
|
- Kerry Oliver
- 5 years ago
- Views:
Transcription
1 Radial Artery Hemostasis and Post procedure Management Samir B. Pancholy, MD, FACP, FACC, FSCAI Program Director, Cardiology Fellowship, Wright Center for Graduate Medical Center Associate Professor of Medicine, The Commonwealth Medical College, Scranton, PA
2 Radial hemostasis The easiest part of the procedure. The main reason for attractiveness of TRA
3 Radial artery hemostasis Radial artery lies on the flat portion of radius No major neurovascular structures Ulnar collateralization prevents ischemia Well tolerated
4 Distal forearm anatomy
5 Common Methods Sheath is removed and Hemoband / TR band is applied Patient can sit up immediately after the procedure Ambulation can occur as soon as patient steady.
6 Radial artery hemostasis Most significantly affects radial artery outcomes
7 Radial artery hemostasis Most significantly affecting radial artery outcomes Most CAD patients will need more than one procedure
8 Radial artery occlusion Asymptomatic (>95%) Symptomatic Inflammatory (radial arteritis) Ischemic (embolic) Limits future ipsilateral TRA
9 RAO HAPPENS 10.5% at 1 week follow up (Sanmartin et al) 7% at 4 weeks ( Pancholy et al) 6.8% at 4 6 months (Rathore et al) 7% at 4 8 weeks (Plante et al)
10 Radial Artery Occlusion Rates Early Late Pre Patent hemostasis % NR NR Sanmartin Rathore Plante Pancholy Anticoagulation UFH u/kg UFH 70 u/kg UFH 70 u/kg Or Bivalirudin UFH 50u/kg Coutesy of SV Rao, MD
11 Heparin and RAO Incidence of RAO (%) No Heparin I.U 5000 I.U 2000 I.U 5000 I.U Spaulding et al Bernat et al Incidence of RAO (%)
12 Radial artery Hemostasis PREVENTION OF RADIAL ARTERY OCCLUSION
13 Mechanism of RAO Flow cessation During procedure: Caused by hardware
14 Mechanism of RAO Flow cessation During procedure: Caused by hardware Caused by spasm
15 Mechanism of RAO Flow cessation During procedure: Caused by hardware Caused by spasm After procedure:
16 Mechanism of RAO Flow cessation During procedure: Caused by hardware Caused by spasm After procedure: Caused by compression
17 Mechanism of RAO Flow cessation During procedure: Caused by hardware Caused by spasm After procedure: Caused by compression Caused by residual spasm
18 Mechanism of RAO
19 Mechanism of RAO Thrombosis (acute) Rapid organization with fibrotic lumen obliteration
20 Mechanism of RAO
21 Mechanism of RAO
22 Mechanism of RAO
23 Mechanism of RAO
24 Mechanism of RAO
25 Mechanism of RAO Flow cessation During procedure: Caused by hardware Caused by spasm After procedure: Caused by compression Caused by residual spasm
26 Prevention of RAO During the procedure Use lowest profile hardware Systemic anticoagulation
27 Prevention of RAO Spaulding C et al. Cathet Cardiovasc Diagn Dec;39(4):
28 Prevention of RAO Bivalirudin as effective as Heparin
29 Does route of administration matter Pancholy S. Am J Cardiol Oct 15;104(8):1083 5
30 Radial artery hemostasis Absent radial flow Sanmartin et al CCI 2007; 70: 185 9
31 Radial artery hemostasis Interruption of radial flow highly predictive of subsequent radial artery occlusion. Sanmartin et al CCI 2007; 70: 185 9
32 Active radial hemostasis Attention to hemostasis Attention to radial artery patency Periodic monitoring of radial artery patency
33 Patent Hemostasis P < 0.05 % Pancholy S et al, CCI 2008;72:335 40
34 Patent Hemostasis
35 Patent Hemostasis
36 Patent Hemostasis
37 Patent Hemostasis
38 Patent Hemostasis
39 Patent Hemostasis
40 Patent Hemostasis
41 Patent Hemostasis
42 Ideal Hemostasis
43 Radio Ulnar circuit UA RA
44 Radio Ulnar circuit UA RA
45 Radio Ulnar circuit UA RA
46 Ulnar compression
47 Ulnar compression UA compressed UA released
48 Radial VTI with Ulnar compression * VTI (m.s 2 ) P < Baseline Ulnar compression N = 150
49 Larger the Ulnar higher the VTI increase Ulnar Diameter (mm) r=0.60, P < ) DVTI
50 Prevention of Radial artery Occlusion using Prophylactic Hyperperfusion Evaluation Trial (PROPHET II) 610 patients randomized to Group I: Patent Hemostasis Group II: Patent Hemostasis + Ulnar compression
51 PROPHET II Ulnar compression lowers RAO
52 PROPHET II STAY TUNED
53 Hemostasis Protocol Monitor radial patency every 15 min Adjust hemostatic pressure to maintain radial patency Remove pressure device in 2 hours. Apply light dressing (e.g Bandaid) Avoid compressive dressing.
54 Have we made a difference?
55 Radial Artery Occlusion Rates Early Late Pre Patent hemostasis Post Patent hemostasis % Anticoagulation 2 0 NR NR Sanmartin Rathore Plante Pancholy Cubero Bernat UFH u/kg UFH 70 u/kg UFH 70 u/kg Or Bivalirudin UFH 50u/kg UFH u/kg UFH 5000 u Patent hemostasis No No No Yes Yes Yes + Ulnar compression
56 Treatment of RAO Symptomatic treatment: Local cold pack, NSAIDS,? Systemic anticoagulants No need for endovascular/surgical therapy
57 Treatment of RAO Symptomatic treatment: Local cold pack, NSAIDS,? Systemic anticoagulants No need for endovascular/surgical therapy EMBOLIZATION
58 Summary Use lowest profile hardware Use systemic anticoagulation Use patent hemostasis technique New ideas?
59 Thank you
Radial Basics. Samir B. Pancholy, MD, FACP, FACC, FSCAI. Program Director, Cardiology Fellowship, The Wright Center for Graduate Medical Center
Radial Basics Samir B. Pancholy, MD, FACP, FACC, FSCAI Program Director, Cardiology Fellowship, The Wright Center for Graduate Medical Center Associate Professor of Medicine, The Commonwealth Medical College,
8/25/2014 TRANSRADIAL ILIAC INTERVENTIONS. disclosure. Why Radial. Speaker for Medtronics Consultant for Terumo Speaker for Boston Scientific
John Coppola MD FACC NYU Langone Medical Center TRANSRADIAL ILIAC INTERVENTIONS disclosure Speaker for Medtronics Consultant for Terumo Speaker for Boston Scientific Why Radial Difficult access can t feel
Απόφραξη κερκιδικής αρτηρίας μετά τη διακερκιδική προσπέλαση Νεώτερα δεδομένα και πιθανοί τρόποι αντιμετώπισης
Απόφραξη κερκιδικής αρτηρίας μετά τη διακερκιδική προσπέλαση Νεώτερα δεδομένα και πιθανοί τρόποι αντιμετώπισης Δημήτριος Στάκος, FESC, FSCAI Επίκ. Καθηγητής Καρδιολογίας Αλεξανδρούπολη Ulnar artery Radial
TRANSRADIAL COMPLICATIONS Tift Mann, MD, FSCAI
Disclosure Information TRANSRADIAL COMPLICATIONS Tift Mann, MD, FSCAI The following relationships exist related to this presentation: Terumo Boston Scientific Abbott Medicines Co consultant research support
Post-Procedure Care and Same-Day PCI. Arnold Seto, MD, MPA
Post-Procedure Care and Same-Day PCI Arnold Seto, MD, MPA Post-Procedure Care Success of radial program depends upon effective access site management Training of staff critical to increase comfort with
Overview of Trasradial Approach for Coronary Angiography and Intervention. A/Prof. Phạm Mạnh Hùng, MD.FACC., FESC
Overview of Trasradial Approach for Coronary Angiography and Intervention A/Prof. Phạm Mạnh Hùng, MD.FACC., FESC Outline Historical perspective and current trends Rationale for the radial approach Bleeding
Complicaciones de Acceso Radial Cómo se Manejan?
Complicaciones de Acceso Radial Cómo se Manejan? Mauricio G. Cohen, MD, FACC, FSCAI Associate Professor of Medicine Director, Cardiac Catheterization Laboratory University of Miami Miller School of Medicine
TRANSRADIAL CARDIAC CATHETERIZATION. Amanda Ryan, DO, Interventional Cardiologist Heart Care Centers of Florida April 13, 2013
TRANSRADIAL CARDIAC CATHETERIZATION Amanda Ryan, DO, Interventional Cardiologist Heart Care Centers of Florida April 13, 2013 TOPICS Historical perspective and current trends Rationale Bleeding for the
During the 25 years since the first report of successful
Managing Complications of Transradial Catheterization How to address challenges that may occur with this outcome-improving access procedure. BY DANIEL H. STEINBERG, MD During the 25 years since the first
Transradial access (TRA) has grown to become the default
Radial Artery Occlusion After Transradial Interventions: A Systematic Review and Meta-Analysis Muhammad Rashid, MBBS*; Chun Shing Kwok, MBBS*; Samir Pancholy, MD; Sanjay Chugh, MD; Sasko A. Kedev, MD,
RADIAL ACCESS in endovascular surgery. A Cardon, A Kaladji, E Clochard CHU RENNES
RADIAL ACCESS in endovascular surgery A Cardon, A Kaladji, E Clochard CHU RENNES why radial access CI of femoral Access Less entry site complications : 0.3% vs 2.8% Association kardegic plavix Ambulatory
Άγγελος Παπανικολάου MD, Ειδικευόμενος Καρδιολογίας, A Πανεπιστημιακή Καρδιολογική Κλινική, ΓΝΑ Ιπποκράτειο
Άγγελος Παπανικολάου MD, Ειδικευόμενος Καρδιολογίας, A Πανεπιστημιακή Καρδιολογική Κλινική, ΓΝΑ Ιπποκράτειο Endovascular access & closure Seldinger SI. Catheter replacement of the needle in percutaneous
Cath Conference Kintur Sanghvi MD March 15, 2007
Cath Conference Kintur Sanghvi MD March 15, 2007 Case 1: 75 yr old female admitted with chest pain and abnormal stress test t Case 2: 70 yr F with typical exertional angina and HTN, dyslipidemia. Trans
Patient Selection, Preparation, Access
Patient Selection, Preparation, Access Mauricio G. Cohen, MD Associate Professor of Medicine 1 Radial Access Over the Past 2 Decades 1989: TRA for coronary angiography Campeau 1992: TRA for coronary stenting
Access Issues and Bleeding Complications
Cardiovascular Trends 2011: Nursing and Cath Lab Symposia ITS 2011 Access Issues and Bleeding Complications Mauricio G. Cohen, MD, FACC, FSCAI Director, Cardiac Catheterization Lab Associate Professor
Transradial Artery Approach for Coronary Intervention: Maharat Nakhonratchasima Hospital Experience of The First 20 Cases
Transradial Artery Approach for Coronary Intervention: Maharat Nakhonratchasima Hospital Experience of The First 20 Cases Pinij Kaewsuwanna M.D. Tongprakob Siriwanij M.D. Cardiovascular Disease Center,
Innovation in Transradial access. Aminian Adel, MD CHU Charleroi Belgium
Innovation in Transradial access Aminian Adel, MD CHU Charleroi Belgium Potential conflicts of interest Speaker's name: Adel Aminian I do not have any potential conflict of interest Limitations of TR access?
Access (Antegrade, Retrograde, Pedal)
Access (Antegrade, Retrograde, Pedal) ARCH St. Louis Craig M. Walker, MD, FACC, FACP Clinical Professor of Medicine Tulane University School of Medicine New Orleans, LA Clinical Professor of Medicine LSU
Radial artery ultrasound predicts the success of transradial coronary angiography
interventional cardiology original article Cardiology Journal 2017, Vol. 24, No. 1, 9 14 DOI: 10.5603/CJ.a2016.0072 Copyright 2017 Via Medica ISSN 1897 5593 Radial artery ultrasound predicts the success
REDUCE COMPLICATIONS WITH RADIAL AND FEMORAL
PROVEN AT THE POINT OF ACCESS Global leader in arterial access and closure REDUCE COMPLICATIONS WITH RADIAL AND FEMORAL RADIAL FEMORAL RECOGNIZE THE RATE OF VASCULAR ACCESS COMPLICATIONS REDUCE E COMPLICATIONS
Subclavian Revascularization. Douglas E. Drachman, MD, FSCAI Division of Cardiology Vascular Medicine Section December 9, 2014
Subclavian Revascularization Douglas E. Drachman, MD, FSCAI Division of Cardiology Vascular Medicine Section December 9, 2014 Disclosure Information Douglas E. Drachman, MD, FACC Abbott Vascular, Inc.:
Transradial access (TRA) for coronary angiography
Ulnar Access for Catheterization and Intervention When and how radial operators should consider transulnar access as an alternative to transfemoral access. BY SAFI U. KHAN, MD; MICHAEL DEPERSIS, DO; AND
Vascular Access Safety Training: The VAST Agenda
Vascular Access Safety Training: The VAST Agenda Mitchell W. Krucoff MD, FACC Professor of Medicine / Cardiology Duke University Medical Center Director, Cardiovascular Devices Unit Duke Clinical Research
Disclosures. Tips and Tricks for Tibial Intervention. Tibial intervention overview
Tips and Tricks for Tibial Intervention Donald L. Jacobs, MD C Rollins Hanlon Endowed Professor and Chair Chair of Surgery Saint Louis University SSM-STL Saint Louis University Hospital Disclosures Abbott
Copyright HMP Communications
Ocelot With Wildcat in a Complicated Superficial Femoral Artery Chronic Total Occlusion Soundos K. Moualla, MD, FACC, FSCAI; Richard R. Heuser, MD, FACC, FACP, FESC, FSCAI From Phoenix Heart Center, Phoenix,
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue Robert M. Bersin, M.D. Director, Endovascular Services Seattle Cardiology and the Cardiovascular
Venous access for either diagnostic or interventional
Right Heart Catheterization Via the Radial Route Transradial access to the central venous system. BY IAN C. GILCHRIST, MD, FACC, FSCAI Venous access for either diagnostic or interventional procedures can
Ziyad M. Hijazi, M.D., MPH, FSCAI, FACC
Ziyad M. Hijazi, M.D., MPH, FSCAI, FACC Professor of Pediatrics & Internal Medicine Rush University Medical Center Chicago Traditional Venous & arterial Access! 1. Umbilical vein/artery 2. Femoral Veins/arteries
Cath Lab Essentials : Transradial Cardiac Catheterization
Cath Lab Essentials : Transradial Cardiac Catheterization Pranav M. Patel, MD, FACC, FSCAI Interim Chief, Division of Cardiology Director, Cardiac Catheterization Lab Associate Professor of Medicine University
Extracranial Carotid Artery Stenting With or Without Distal Protection Device
Extracranial Carotid Artery Stenting With or Without Distal Protection Device Eak-Kyun Shin MD. Professor of Medicine Division of Cardiology, Heart Center, Gil Medical Center Gacheon Medical School Incheon,
MAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES
MAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES PUSHING BOUNDARIES Terumo Interventional Systems is committed to your success with innovative procedural solutions and ongoing support for your most challenging
Radial artery occlusion after transradial coronary catheterization
Review Article Radial artery occlusion after transradial coronary catheterization Grigorios Avdikos 1, Aris Karatasakis 2, Andreas Tsoumeleas 1, Efstathios Lazaris 1, Antonios Ziakas 3, Michael Koutouzis
Radial Artery Assessment for Coronary Artery Bypass
VASCULAR TECHNOLOGY PROFESSIONAL PERFORMANCE GUIDELINES Radial Artery Assessment for Coronary Artery Bypass This Guideline was prepared by the Professional Guidelines Subcommittee of the Society for Vascular
Cover Page. The handle holds various files of this Leiden University dissertation
Cover Page The handle http://hdl.handle.net/1887/21543 holds various files of this Leiden University dissertation Author: Dharma, Surya Title: Perspectives in the treatment of cardiovascular disease :
Ziyad M. Hijazi, MD, FSCAI, FACC
Ziyad M. Hijazi, MD, FSCAI, FACC The James A. Hunter, MD, University Chair Professor of Pediatrics & Internal Medicine Rush Center for Congenital & Structural Heart Disease Rush University Medical Center
The transradial approach (TRA) for diagnostic coronary
Randomized Trial of Compression Duration After Transradial Cardiac Catheterization and Intervention Shahar Lavi, MD; Asim Cheema, MBBS; Andrew Yadegari, MD; Zeev Israeli, MD; Yaniv Levi, MD; Sabrina Wall,
Update on Carotid Stenting. John R. Laird Cardiovascular Research Institute Washington Hospital Center
Update on Carotid Stenting John R. Laird Cardiovascular Research Institute Washington Hospital Center Carotid Stenting What a Crazy Idea! Pathogenesis of stroke Does it make sense to think that expansion
Steal Syndrome: The Role of the Vascular Lab
Steal Syndrome: The Role of the Vascular Lab Eighth Overlook Noninvasive Vascular Lab Symposium Larry A. Scher, M.D. Professor of Surgery Division of Vascular Surgery Montefiore Medical Center Albert Einstein
Not all Leg DVT s are the Same: Which Patients Benefit from Interventional Therapy? Case 1:
12/16/2015 Not all Leg DVT s are the Same: Which Patients Benefit from Interventional Therapy? Constantino S.Peña, FSIR, FSCCT, FAHA Interventional Radiologist Medical Director, Vascular Imaging Miami
Use of Laser In BTK Disease (CLI)
Use of Laser In BTK Disease (CLI) Click to edit academic affiliation, practice or hospital logo(s) of preference. Product and/or sponsor logos not permitted, per CME guidelines. Richard Kovach, MD, FACC,
Transradial Approach for Coronary Angiography and Interventions
JACC: CARDIOVASCULAR INTERVENTIONS VOL. 3, NO. 10, 2010 2010 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 1936-8798/$36.00 PUBLISHED BY ELSEVIER INC. DOI: 10.1016/j.jcin.2010.07.013 Transradial
Switching from femoral to radial access for coronary angiography in ACS
ORIGINAL ARTICLE 169 Feasability, bleeding events and impact on door-to-balloon times Switching from femoral to radial access for coronary angiography in ACS Ivano Reho, Martin Sprenger, David Tueller,
Cannulating LIMA Graft Using Right Transradial Approach: Two Simple and Innovative Techniques
Catheterization and Cardiovascular Interventions 80:316 320 (2012) Cannulating LIMA Graft Using Right Transradial Approach: Two Simple and Innovative Techniques Tejas Patel, 1,2 * MD, FACC, FSCAI, Sanjay
Access Closure: Manual vs. Device
Access Closure: Manual vs. Device Herbert D. Aronow, MD, MPH, FACC, FSCAI, FSVM Director, Interventional Cardiology, Cardiovascular Institute Director, Cardiac Cath Labs, Rhode Island &The Miriam Hospitals
PCI for Left Anterior Descending Artery Ostial Stenosis
PCI for Left Anterior Descending Artery Ostial Stenosis Why do you hesitate PCI for LAD ostial stenosis? LAD Ostial Lesion Limitations of PCI High elastic recoil Involvement of the distal left main coronary
1 Access Sites of Percutaneous Procedures
1 Access Sites of Percutaneous Procedures In 1929, Werner Forssman performed the first human cardiac catheterisation by passing a urethral catheter from his left antecubital vein into the right side of
Paradigm Shift Updates on improving outcomes and reducing complications.
From Femoral to Radial: An Ongoing Paradigm Shift Updates on improving outcomes and reducing complications. By Rohan R. Wagle, MD, and Ralph Brindis, MD, MPH, MACC, FSCAI Percutaneous coronary intervention
Radial artery occlusion after percutaneous coronary interventions an underestimated issue
Expert review Radial artery occlusion after percutaneous coronary interventions an underestimated issue Janusz Sławin 1,2, Piotr Kubler 1,2, Andrzej Szczepański 1, Joanna Piątek 3, Michał Stępkowski 3,
Popliteal Artery Aneurysms: Diagnosis and Repair Options
Deepak N. Deshmukh DO April 27, 2018 Popliteal Artery Aneurysms: Diagnosis and Repair Options No Disclosures Popliteal Artery Aneurysms (PAAs) Male Predominanace Most common peripheral Aneurysm (70%) 30-50%
(EU), FACC (USA), FSCAI (USA)
How to reduce vascular complications of TAVI Paul TL Chiam MBBS (S pore), MMed, MRCP (UK), FAMS FRCP (Edin), FESC (EU), FACC (USA), FSCAI (USA) Cardiologist Mount Elizabeth Hospital Singapore Definition
Assurant Cobalt Iliac BALLOON EXPANDABLE STENT SYSTEM
Assurant Cobalt Iliac BALLOON EXPANDABLE STENT SYSTEM Innovating for life. CONFORMABILIT Y 6 F S H E AT H C O M PAT I B I L I T Y THE ASSURANT COBALT ILIAC STENT, WITH ITS UNIQUE COBALT CHROMIUM MODULAR
CTO Re vascularization in 2013
CTO Re vascularization in 2013 Is it safe to use/stent the sub intimal space? Dimitri Karmpaliotis, MD, FACC, FSCAI Interventional Cardiology Piedmont Heart Institute Atlanta, Georgia Dimitri.karmpaliotis@piedmont.org
Radial Access and PAD Treatment. Janak Bhavsar, MD June 16, 2016
Radial Access and PAD Treatment Janak Bhavsar, MD June 16, 2016 Disclosures No relevant disclosures No Actual or Potential Conflict of Interest in this Presentation Acknowledgements Terumo Medical Cook
Berman distal revascularization-interval
13 487 491 2004 distal revascularization-interval ligation DRIL 75 2003 11 10 20 0 mmhg 35 distal revascularization-interval ligation DRIL 90mmHg 0.56 DRIL 13 487 491 2004 70 1 dialysis access-associated
Subclavian artery Stenting
Subclavian artery Stenting Etiology Atherosclerosis Takayasu s arteritis Fibromuscular dysplasia Giant Cell Arteritis Radiation-induced Vascular Injury Thoracic Outlet Syndrome Neurofibromatosis Incidence
Recanalization of Chronic Carotid Artery Occlusion Objective Improvement Of Cerebral Perfusion
Recanalization of Chronic Carotid Artery Occlusion Objective Improvement Of Cerebral Perfusion Paul Hsien-Li Kao, MD Assistant Professor National Taiwan University Medical School and Hospital ICA stenting
Coronary angiography and percutaneous coronary
Radial Access for Coronary Angiography and Percutaneous Coronary Artery Intervention A step-by-step guide to this technique and best practices. By Ramya Smitha Suryadevara, MD, and Kimberly Skelding, MD,
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,500 108,000 1.7 M Open access books available International authors and editors Downloads Our
PRISM Trial. Retrospective Case Review of Technical Success Using the Penumbra and Indigo Systems for Mechanical Thrombectomy in the Periphery
PRISM Trial Retrospective Case Review of Technical Success Using the Penumbra and Indigo Systems for Mechanical Thrombectomy in the Periphery George L. Adams, MD, MHS, FACC, FSCAI Clinical Associate Professor
Vascular Access: Management of Complications. Chris Burrell, South West Cardiothoracic Centre, Plymouth
Vascular Access: Management of Complications Chris Burrell, South West Cardiothoracic Centre, Plymouth Alternative Vascular Access Sites Femoral Axillary Brachial Radial Ulnar Femoral v Radial Vascular
Diabetes and Occult Coronary Artery Disease
Diabetes and Occult Coronary Artery Disease Mun K. Hong, MD, FACC, FSCAI Director, Cardiac Catheterization Laboratory & Interventional Cardiology St. Luke s-roosevelt Hospital Center New York, New York
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS Assistant Professor of Surgery Vascular Endovascular Surgery Louisiana State University Health - Shreveport Disclosures None Objective
Subclavian Artery Plug Embolization (SAPE study): a real experience about endovascular subclavian occlusion prior to thoracic vascular repair
Subclavian Artery Plug Embolization (SAPE study): a real experience about endovascular subclavian occlusion prior to thoracic vascular repair Simone Salvati, Luca Bertoglio, Alessandra Fittipaldi, Andrea
ANGIOPLASTY SUMMIT 2004 Seoul, South Korea APRIL 29-MAY 2, 2004
ANGIOPLASTY SUMMIT 2004 Seoul, South Korea APRIL 29-MAY 2, 2004 RESULTS OF STUDIES COMPARING TRANSRADIAL AND FEMORAL ANGIOGRAPHY HOWARD A. COHEN, M.D. UNIVERSITY OF PITTSBURGH MEDICAL CENTER PRESBYTERIAN
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service
M AY. 6. 2011 10:37 A M F D A - C D R H - O D E - P M O N O. 4147 P. 1 DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control
Radial Artery Pseudoaneurysm Treated with a Compression Bandage after Invasive Blood Pressure Monitoring in a Patient with a Traumatic Injury
Korean J Crit Care Med 2016 November 31(4):375-380 / ISSN 2383-4870 (Print) ㆍ ISSN 2383-4889 (Online) Letter to the Editor Radial Artery Pseudoaneurysm Treated with a Compression Bandage after Invasive
BC Vascular Day. Contents. November 3, Abdominal Aortic Aneurysm 2 3. Peripheral Arterial Disease 4 6. Deep Venous Thrombosis 7 8
BC Vascular Day Contents Abdominal Aortic Aneurysm 2 3 November 3, 2018 Peripheral Arterial Disease 4 6 Deep Venous Thrombosis 7 8 Abdominal Aortic Aneurysm Conservative Management Risk factor modification
Curtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. SCRIPPS CLINIC
Avoiding and Managing Femoral Access Site Complications Curtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. Director, Peripheral Interventions Program Director, Interventional Cardiology Fellowship Division
No Diclosures. M. Uhlemann, S. Gielen, G.C. Schuler Department of Internal Medicine/Cardiology University of Leipzig, Heart Center, Germany
Routine vascular ultrasound after radial artery catheterization detects clinically silent access site complications: Prospective registry of 425 consecutive patients M. Uhlemann, S. Gielen, G.C. Schuler
Index. interventional.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A ACAS (Asymptomatic Carotid Atherosclerosis Study), 65 66 ACST (Asymptomatic Carotid Surgery Trial), 6 7, 65, 75 Age factors, in carotid
Experience with Transradial and Transulnar Abdominal Angiography and Intervention.
Experience with Transradial and Transulnar Abdominal Angiography and Intervention. e-poster: Congress: Type: Topic: Authors: 412 SIR 2007 Original Scientific Research Poster ONOCOLOGY: / Embolization T.
Case Report Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention
Case Reports in Vascular Medicine Volume 2015, Article ID 346506, 4 pages http://dx.doi.org/10.1155/2015/346506 Case Report Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous
Making the difference with Live Image Guidance
Interventional Cardiology AlluraClarity Making the difference with Live Image Guidance Diagnosis and treatment of coronary artery diseases and atherosclerosis Where/who The First Bethune Hospital of Jilin
Endovascular Approach to CTOs: Crossing methods and Devices
Endovascular Approach to CTOs: Crossing methods and Devices Anish J. Thomas, MD FACC FSCAI Interventional Cardiology Vascular/Endovascular Medicine SSM Heart Institute St. Louis, MO Disclosure Consultant:
AV ACESS COMPLICATIONS. Ass. Prof. Dr. Habas
AV ACESS COMPLICATIONS Ass. Prof. Dr. Habas COMPLICATION AVF IS CONSIDERED A MINOR PROCEDURE INCIDENCE OF COMPLICATION- 20-27% MANY A COMPLICATION LEADS TO FAILURE OF FISTULA LOSS OF SITE AND VEIN FOR
PERFORMANCE YOU CAN TRUST. EverFlex Self-expanding Peripheral Stent with Entrust Delivery System
PERFORMANCE YOU CAN TRUST EverFlex Self-expanding Peripheral Stent with Entrust Delivery System The Entrust Delivery System is designed to provide improved patient outcomes and procedural efficiency. The
Timing of Anti-Platelet Therapy for ACS (EARLY-ACS & ACUITY) Mitchell W. Krucoff, MD, FACC
Timing of Anti-Platelet Therapy for ACS (EARLY-ACS & ACUITY) Mitchell W. Krucoff, MD, FACC Professor, Medicine/Cardiology Duke University Medical Center Director, Cardiovascular Devices Unit Duke Clinical
Technique Of Carotid Stenting Decision Making Analysis To Overcome Challenges
Technique Of Carotid Stenting Decision Making Analysis To Overcome Challenges Subbarao Myla MD FACC Hoag Memorial Hospital Presbyterian Newport Beach, CA USA Presenter Disclosure Information Name: Subbarao
CTO: Technique and Tools
CTO: Technique and Tools S. Hinan Ahmed, MD Associate Professor: Cardiology and Cardiothoracic Surgery Program Director: Interventional Fellowship Program Associate Editor: Cath Cardiov Interventions UT
FLEXIBLE, BALOON EXPANDABLE
EARLY RESULTS OF A CLINICAL TRIAL OF FLEXIBLE, BALOON EXPANDABLE COVERED STENT GRAFT IN ILIAC OCCLUSIVE DISEASE Chris LeCroy Coastal Vascular and Interventional Pensacola, Florida Clinical Trial WL GORE
Case 1. Your diagnosis
Case 1 44-year-old midwife presented with intermittent pins and needles in the little and ring fingers with blanching. Symptoms were exacerbated by cold exposure. Your diagnosis Diagnosis Hypothenar syndrome
A transradial approach for carotid artery stenting
A transradial approach for carotid artery stenting Poster No.: C-0494 Congress: ECR 2012 Type: Scientific Exhibit Authors: K. Haraguchi 1, K. Toyama 2, M. Nagai 2, N. Matsuura 2, T. Itou 2 ; 1 2 Hakodate,
Endovascular Abdominal Repair: Technical Tips to Achieve Best Results and Avoid Disaster
Endovascular Abdominal Repair: Technical Tips to Achieve Best Results and Avoid Disaster RICHARD R. HEUSER, MD, FACC, FACP, FESC, FASCI Director Of Cardiology, St. Luke s Medical Center, Phoenix, Arizona
Vascular Closure Techniques
Vascular Closure Techniques Femoral Approach Clifford J Kavinsky, MD, PHD Professor of Medicine and pediatrics Associate Director, Center for Congenital and Structural Heart Disease Rush University Medical
PATIENTS WITH CLI THE THREE YEARS OUTCOME OF ENDOLUMINAL BYPASS FOR PATIENTS WITH CLI
JORGE FERNÁNDEZ NOYA ANGIOLOGY AND VASCULAR SURGERY DEPARTMENT UNIVERSITARY CLINICAL HOSPITAL SANTIAGO DE COMPOSTELA THE THREE YEARS OUTCOME OF ENDOLUMINAL BYPASS FOR Disclosure Speaker name: Jorge Fernández
Management of Acute Myocardial Infarction
Management of Acute Myocardial Infarction Prof. Hossam Kandil Professor of Cardiology Cairo University ST Elevation Acute Myocardial Infarction Aims Of Management Emergency care (Pre-hospital) Early care
FFR vs. icecg in Coronary Bifurcations (FIESTA) - preliminary results. Dobrin Vassilev MD, PhD National Heart Hospital Sofia, Bulgaria
FFR vs. icecg in Coronary Bifurcations (FIESTA) - preliminary results Dobrin Vassilev MD, PhD National Heart Hospital Sofia, Bulgaria I would like to express my personal gratitude to Dr. BK Koo for opening
Acute coronary syndromes
Acute coronary syndromes 1 Acute coronary syndromes Acute coronary syndromes results primarily from diminished myocardial blood flow secondary to an occlusive or partially occlusive coronary artery thrombus.
Malperfusion Syndromes Type B Aortic Dissection with Malperfusion
Malperfusion Syndromes Type B Aortic Dissection with Malperfusion Jade S. Hiramoto, MD, MAS April 27, 2012 Associated with early mortality Occurs when there is end organ ischemia secondary to aortic branch
TRI update Joint Meeting of Coronary Revascularization Dec , 2008 Busan, Korea
TRI update 2008 Joint Meeting of Coronary Revascularization Dec. 12-13, 2008 Busan, Korea Junghan Yoon, MD Yonsei University Wonju College of Medicine Wonju, KOREA Our history is... Do you agree that radial
SAMPLE CHAPTERS UNESCO-EOLSS MANAGEMENT OF SUBCLAVIAN VEIN THROMBOSIS KNOWN AS PAGET-SCHROETTER SYNDROME
MANAGEMENT OF SUBCLAVIAN VEIN THROMBOSIS KNOWN AS PAGETSCHROETTER SYNDROME J. Ernesto Molina University of Minnesota, Minneapolis, Minnesota, U.S.A. Keywords: Thoracic outlet, Venous disease Contents 1.
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of June 4, 2018 Thrombolysis, Thrombectomy & Angioplasty
1 Comparison of Warfarin and Aspirin for Symptomatic Intracranial Arterial Stenosis. N Engl J Med 352;13, March 31, 2005
The risk of ischemic stroke in patients with Intracranial Atherosclerotic Disease (ICAD) ranges from 7 to 24%. 1,2 Developed specifically for the treatment of ICAD, the Wingspan Stent System and Gateway
Surgical Options in Thrombectomy for Non-Surgeons
Surgical Options in Thrombectomy for Non-Surgeons Shouwen Wang, MD, PhD, FASDIN AKDHC Ambulatory Surgery Center Arizona Kidney Disease and Hypertension Center Phoenix, Arizona Disclosure No relevant financial
PROSTATIC ARTERY EMBOLISATION (PAE) FOR BENIGN PROSTATIC HYPERPLASIA. A Minimally Invasive Innovative Treatment
PROSTATIC ARTERY EMBOLISATION (PAE) FOR BENIGN PROSTATIC HYPERPLASIA A Minimally Invasive Innovative Treatment What is the prostate? The prostate is an accessory organ of the male reproductive system.
Percutaneously Inserted AngioVac Suction Thrombectomy for the Treatment of Filter-Related. Iliocaval Thrombosis
Percutaneously Inserted AngioVac Suction Thrombectomy for the Treatment of Filter-Related Iliocaval Thrombosis Faiz D. Francis, DO; Gianvito Salerno, MD; Sabbah D. Butty, MD Abstract In the setting of
Randomized clinical study on radial artery compression time after elective coronary angiography*
Rev. Latino-Am. Enfermagem 2018;26:e3084 DOI: 10.1590/1518-8345.2584.3084 Original Article Randomized clinical study on radial artery compression time after elective coronary angiography* Maria Aparecida
Vascular Closure Techniques
Vascular Closure Techniques Femoral Approach Clifford J Kavinsky, MD, PHD Professor of Medicine and pediatrics Associate Director, Center for Congenital and Structural Heart Disease Rush University Medical
How to manage TAVI related vascular complications. Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI
How to manage TAVI related vascular complications Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI Definition VARC-2 consensus statement Complications caused by: Wire Catheter Anything related to vascular access
The Future of Oral Antiplatelets in PAD and CAD Christopher Paris, MD, FACC, FSCAI
The Future of Oral Antiplatelets in PAD and CAD Christopher Paris, MD, FACC, FSCAI Interventional Cardiologist Cardiovascular Institute of the South Director of Cardiovascular Services St. Charles Parish