Cath Conference Kintur Sanghvi MD March 15, 2007
|
|
|
- Dinah Willis
- 6 years ago
- Views:
Transcription
1 Cath Conference Kintur Sanghvi MD March 15, 2007
2 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.
3 Trans Radial Intervention Problems at the passage Kintur Sanghvi MD March 15, 2007
4 TRI history
5 Radial anatomy
6
7 Allen s test Patel s Atlas on Trans radial intervention The basics
8 Interpretation of Allen s Patel s Atlas on Trans radial intervention The basics
9 Inverse Allen s test To determine patency of the radial artery Useful for repeat procedure from the same RA If Inverse Allen s is negative (abnormal) RA I not suitable for repeat procedure.
10 Alternative (Objective) Allen s test Patel s Atlas on Trans radial intervention The basics
11 Alternative (Objective) Allen s test Patel s Atlas on Trans radial intervention The basics
12 Puncture site and position of wrist Patel s Atlas on Trans radial intervention The basics
13 Radial puncture Patel s Atlas on Trans radial intervention The basics
14 Radial puncture Patel s Atlas on Trans radial intervention The basics
15 Radial puncture Patel s Atlas on Trans radial intervention The basics
16 Radial Puncture Patel s Atlas on Trans radial intervention The basics
17
18
19 Terumo band Patel s Atlas on Trans radial intervention The basics
20
21
22 Transradial Intervention Advantages. Nearly 0% local site complication. Better quality of life for the patients and the staff. Reduce cost. Same day discharge. All coronary and peripheral vascular interventions are possible except for few exceptions. Limitations: Technically difficult: Access failure. Radial spasm. Loops and tortuosity of Radial and Subclavian. Longer learning curve
23 MACE Radial vs Femoral
24 Transradial Intervention Radial Vs Femoral approach for diagnostic and PCI procedures: Systemic overview and meta-analysis 12 randomized trials n = 3234 (J Am Coll Cardiol : )
25 TRI meta analysis
26 Femoral complication rate
27 Radial Vs femoral comparison
28 TRI current failure rate
29 TRI Meta analysis
30 TRI learning curve
31 Radial Learning curve
32 TRI causes of failure
33 Effect of transradial access on quality of life and cost of cardiac catheterization: A randomized comparison AHJVolume 138, Issue 3, Pages (September 1999) Methods and Results: randomized single-center trial 99 TF and 101 TR diagnostic cath. Quality of life was measured with the SF-36 and visual analog scales TR significantly reduced median length of stay (3.6 vs 10.4 hours, P <.0001). measures of bodily pain, back pain, and walking ability favored the transradial group (P <.05 for all comparisons). There was a strong patient preference for transradial catheterization as well (P <.0001). significant reductions in costs ($2010 vs $2299, P <.0001)
34 Quality of life & cost
35 Cost shall include complication also
36 TRA The real drive through In the cath-lab full dressed patients, also during PCI Chairs instead of beds Personal video, audio and internet Private corners Reading table Wide screen TV corner Information, preparation and discharge by NP 4 hrs post procedure stay
37 Most of the procedure can be done by TRA
38 Sure we do right heart catheterization
39
40 Aortic Atheroma
41
42
43 Limitations: Spasm Kiemeneij et al: showed objectively that Verapamil, Nitroglycerine i & Heparin reduced d spasm by 16% Chen et al: Showed no additional benefit of Verapamil when added to NTG alone in preventing spasm Coppola et al: showed no additional benefit of adding Nitroprusside to NTG.
44 Predictors of Spasm
45 Expert s opinion Long sheath or short sheath Coated or uncoated? Side holes or no side holes Short guide wire or long or size wire Issue and solutions
46 Normal radial anatomy Patel s Atlas on Trans radial intervention The basics
47 Focal spasm Patel s Atlas on Trans radial intervention The basics
48 After additional dose of cocktail Patel s Atlas on Trans radial intervention The basics
49 Diffuse spasm Patel s Atlas on Trans radial intervention The basics
50 Tortuosity with focal spasm PTCA wire and 4 F catheter Patel s Atlas on Trans radial intervention The basics
51 Tortuosity with diffuse spasm PTCA wire and 4 F catheter Patel s Atlas on Trans radial intervention The basics
52 Limitations Related to Radial regions Spasm Hypoplasia: Congenial or acquired Atherosclerosis & Calcification Abnormal course of radial artery Tortuosity with atherosclerosis or spasm High origin Brachial artery/axillary artery Loops & Curvatures
53 Congenial hypoplasia (rudimentary radial) Patel s Atlas on Trans radial intervention The basics
54 Acquired Hypoplasia or Radial & Ulnar & Brachial in IVDA Patel s Atlas on Trans radial intervention The basics
55 Atherosclerosis & Calcification Patel s Atlas on Trans radial intervention The basics
56 Tortuosity Patel s Atlas on Trans radial intervention The basics
57 Complications Patel s Atlas on Trans radial intervention The basics
58 Complication Asymptomatic radial artery occlusion 3-4% reported in literaturet Forearm discomfort for 2 days (0.2%) Rare anecdotal report of erve injury leading to causalgia, AV fistula, Radial artery eversion during sheath removal. None reported limb loss.
59 TRI manual TRI:FEASIBILITY STUDIES (TRANSRADIAL INTERVENTION A SAFE ALTERNATE) TRI: COMPARE WITH TRANSFEMORAL INTERVENTION COMPARE WITH ULNAR OR BRACHIAL TRI: TREATING STABLE CAD/ SAME DAY DISCHARGE. IN ACUTE MYOCARDIAL INFARCTION AND WITH IIB/IIIA. TRI: HARDWARE SHEATHS-HYDROPHILIC COATING CATHETERS OTHER HARDWARE USE. TRI: CEREBRAL RENAL PERIPHERAL(ILIAC) TRI: SPASMOLYTIC COCKTAIL & LOCAL CIRCULATION ACCESS SITE COMPLICATION & LIMITATION OF REPEATED INTERVENTION. RADIAL CLOSURE DEVICE. TRI: LIMITATIONS LOOPS, CURVES & VARIATIONS OF ANATOMY COMPLICATION RADIAL ARTERY GRAFT
Kintur Sanghvi Cezar Staniloae Sudhesh Srivastava John Coppola. Journal of Invasive Cardiology April 2006 ISSN: Volume 18 - Issue 4
Nitroglycerine, Nitroprusside, or Both in Preventing Radial Artery Spasm During Transradial Artery Catheterization Kintur Sanghvi Cezar Staniloae Sudhesh Srivastava John Coppola Journal of Invasive April
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
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
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
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
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
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
Radial Access Just another artery? Keith G Oldroyd Department of Cardiology Western Infirmary Glasgow
Radial Access Just another artery? Keith G Oldroyd Department of Cardiology Western Infirmary Glasgow Brachial access Not just another artery! Femoral access Not just another artery! Incidence of femoral
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,
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
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
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
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,
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
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 :
Radial Artery Access Improving Outcomes and Decreasing Costs
Howard A. Cohen, MD, FACC, FSCAI Director, Division of Cardiac Intervention Co-Director, Cardiac Catheterization Laboratories Lenox Hill Heart & Vascular Institute Institute DISCLOSURE Nothing to disclose
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
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
Clinical Study Study of the Influence of Upper Extremities Variation on Transradial Success
Angiology Volume 2013, Article ID 150743, 6 pages http://dx.doi.org/10.1155/2013/150743 Clinical Study Study of the Influence of Upper Extremities Variation on Transradial Success Saeed Yazdankhah, Ahmadreza
Comparison of transradial and transfemoral approach for carotid artery stenting: RADCAR study
Comparison of transradial and transfemoral approach for carotid artery stenting: RADCAR study (RADial access for CARotide artery stenting) Zoltán Ruzsa MD PhD et al. TCT 2013 Disclosure Statement of Financial
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
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
Radial Artery Access: The Basics
Radial Artery Access: The Basics Jeffrey J. Popma, MD Professor of Medicine Harvard Medical School Director, Interventional Cardiology Beth Israel Deaconess Medical Center Boston, MA 1 Radial Artery Access:
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
Occlusion of right coronary artery by microembolization caused by excessive diagnostic catheter manipulation
Case Report Page 1 of 5 Occlusion of right coronary artery by microembolization caused by excessive diagnostic catheter manipulation Salem A. Salem 1, Showkat Haji 1, Nadish Garg 1, Rami N. Khouzam 1,
ΓΙΑΚΔΡΚΙΓΙΚΗ ΠΡΟΠΔΛΑΗ ΚΑΙ ΑΓΓΔΙΟΠΛΑΣΙΚΗ: ΤΜΒΟΤΛΔ ΚΑΙ ΜΤΣΙΚΑ
ΓΙΑΚΔΡΚΙΓΙΚΗ ΠΡΟΠΔΛΑΗ ΚΑΙ ΑΓΓΔΙΟΠΛΑΣΙΚΗ: ΤΜΒΟΤΛΔ ΚΑΙ ΜΤΣΙΚΑ ΓΙΔΝΔΡΓΔΙΑ ΠΡΩΣΟΓΔΝΟΤ ΓΙΑΓΔΡΜΙΚΗ ΣΔΦΑΝΙΑΙΑ ΠΑΡΔΜΒΑΗ ΑΠΟ ΣΗΝ ΚΔΡΚΙΓΙΚΗ ΑΡΣΗΡΙΑ Λάμπρος Κ. Μόσιαλος Γιεσθσντής Δπεμβατικός Καρδιολόγος ΓΝΘ «Παπαγεωργίοσ»
TRANSRADIAL PERIPHERAL VASCULAR INTERVENTIONS
TRANSRADIAL PERIPHERAL VASCULAR INTERVENTIONS Cezar Staniloae NYU Heart and Vascular Institute May 27, 2015 Radial Artery is an Ideal Acess Site Easily accessible even in subjects with severe PVD Major
Radial Artery Hemostasis and Post procedure Management
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
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
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
Prevention and Management of Vascular Complications Related to Transcatheter Aortic Valve Implantation
Prevention and Management of Vascular Complications Related to Transcatheter Aortic Valve Implantation Marco Roffi Division of Cardiology University Hospital Geneva, Switzerland Disclosure Speaker name:...marco
TRANSCATHETER AORTIC VALVE IMPLANTATION: PSCC EXPERIENCE DR HUSSEIN ALAMRI PSCC RIYADH
TRANSCATHETER AORTIC VALVE IMPLANTATION: PSCC EXPERIENCE DR HUSSEIN ALAMRI PSCC RIYADH Available systems: Edwards (TA and TF) and Core valve. INTRODUCTION 3 4% 0f > 65 y. 30 40% of elderly denied surgery,.
Access Versus Conventional Femoral ure: Outcome and Resource Effectiveness in a Daily Routine. The RAPTOR-Trial
Radial Access Versus Conventional Femoral Puncture: ure: Outcome and Resource Effectiveness in a Daily Routine. The RAPTOR-Trial Trial Tim G. Schäufele, Jean-Philippe Grunebaum, Beate Lippe, Thomas Breidenbach
Transradial Complications How to predict/prevent and treat
Transradial Complications How to predict/prevent and treat David Kettles St Dominic s Private and Frere hospitals East London, South Africa Are all complications preventable? NO! Distal embolisation Vessel
Optimal pharmacology: My preferred cocktail for radial cases / protocol for spasm
Optimal pharmacology: My preferred cocktail for radial cases / protocol for spasm Ariel Roguin MD PhD Head, Interventional Cardiology Rambam Medical Center, B. Rappaport - Faculty of Medicine Technion
CAROTID ARTERY STENTING TECHNICALS ASPECTS. Symposium Abbott Vascular CANNES MEET 2008 Drs V PIRET, P BERGERON
CAROTID ARTERY STENTING TECHNICALS ASPECTS Symposium Abbott Vascular CANNES MEET 2008 Drs V PIRET, P BERGERON POINTS TO DISCUSS TO CAS INDICATIONS CONTRA INDICATIONS ANATOMICAL CONSIDERATION TECHNICS CAS
Feasibility and Utility of Transradial Cerebral Angiograpy: Experience during the Learning Period
Feasibility and Utility of Transradial Cerebral Angiograpy: Experience during the Learning Period Ji Hyung Kim, MD 1 Yong Sung Park, MD 1 Chul Gu Chung, MD 2 Kyeong Sug Park, MD 2 Dong Jin Chung, MD 1
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 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
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.
Neurologic complications after transradial or transfemoral approach for diagnostic and interventional cardiac catheterization.
Neurologic complications after transradial or transfemoral approach for diagnostic and interventional cardiac catheterization Dr Paolo Buja Trend Patients undergoing PCI in UK FEMORAL RADIAL Ratib JACC
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
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
Diagnostic Challenges
Mechanisms and Outcome of Vasospastic Angina Diagnostic Challenges Udo Sechtem Robert-Bosch-Krankenhaus Stuttgart, Germany I have nothing to disclose. Coronary spasm does it exist at all? And if it does,
An Expedient and Versatile Catheter for Primary STEMI Transradial Catheterization/Intervention
An Expedient and Versatile Catheter for Primary STEMI Transradial Catheterization/Intervention Jack P. Chen, MD, FACC, FSCAI, FCCP Medical Director, Northside Heart Institute, Atlanta, GA and Tak Kwan,
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,
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
Catheter entrapment due to severe radial artery spasm during transradial approach
interventions ORIGINAL ARTICLE Cardiology Journal 2016, Vol. 23, No. 3, 324 332 DOI: 10.5603/CJ.a2016.0022 Copyright 2016 Via Medica ISSN 1897 5593 Catheter entrapment due to severe radial artery spasm
Fractional Flow Reserve: Basics, FAME 1, FAME 2. William F. Fearon, MD Associate Professor Stanford University Medical Center
Fractional Flow Reserve: Basics, FAME 1, FAME 2 William F. Fearon, MD Associate Professor Stanford University Medical Center Conflict of Interest Advisory Board for HeartFlow Research grant from St. Jude
Coronary angiography and PCI
Coronary arteries Coronary angiography and PCI Samo Granda, Franjo Naji Department of Cardiology Clinical department of internal medicine University clinical centre Maribor Coronary arteries Atherosclerosis
Case Study 50 YEAR OLD MALE WITH UNSTABLE ANGINA
Case Study 50 YEAR OLD MALE WITH UNSTABLE ANGINA Case History A 50-year-old man with type 1 diabetes mellitus and hypertension presents after experiencing 1 hour of midsternal chest pain that began after
Dr. Jean-Claude Laborde
Medtronic CoreValve Experience Alternative Access (Subclavian) and Technology Evolution of the Medtronic CoreValve TAVI System Dr. Jean-Claude Laborde Glenfield Hospital, Leicester, U.K. St George Hospital,
PCI for Chronic Total Occlusions
PCI for Chronic Total Occlusions Chronic Total Occlusions Why not Medical Treatment? Medical Treatment CTO in 891 pts over 24 years High 10% Mortality Low 2 % 1 year 10 years Puma JA, et al. JACC 1994;23:390A
Your heart is a muscular pump about the size of your fist, located
How Your Heart Works Your heart is a muscular pump about the size of your fist, located slightly to the left and behind your breastbone. Its function is to pump blood throughout your body. As your heart
Target vessel only revascularization versus complet revascularization in non culprit lesions in acute myocardial infarction treated by primary PCI
Target vessel only revascularization versus complet revascularization in non culprit lesions in acute myocardial infarction treated by primary PCI Gamal Abdelhady, Emad Mahmoud Department of interventional
Guide Catheter Selection and Manipulation from the Wrist
Guide Catheter Selection and Manipulation from the Wrist Saibal Kar, MD, FACC, FAHA, FSCAI Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA 2014 Transradial Interventional Program Series Nov
Transradial access for coronary angiography
Letter to the Editor Hellenic J Cardiol 2015; 56: 522-526 Left Internal Mammary Arterial Angiography Via the Right Radial Approach: Description of Technique, Single-Centre Experience, and Brief Review
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
Catheter selection for transradial angiography and intervention
Catheter selection for transradial angiography and intervention Sandeep Nathan, MD, MSc, FACC, FSCAI Assistant Professor of Medicine Director, Interventional Cardiology Fellowship Program Director, Interventional
Benefit of Performing PCI Based on FFR
Benefit of Performing PCI Based on FFR William F. Fearon, MD Associate Professor Director, Interventional Cardiology Stanford University Medical Center Benefit of FFR-Guided PCI FFR-Guided PCI vs. Angiography-Guided
Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience
Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience Joost van Herwaarden, MD, PhD University Medical Center, Utrecht Disclosure I have the following potential
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,
Minimalist Transcatheter Aortic Valve Replacement (MA-TAVR)
Minimalist Transcatheter Aortic Valve Replacement (MA-TAVR) Jensen HA, Condado JF, Devireddy C, Binongo JN, Leshnower BG, Babaliaros V, Sarin EL, Lerakis S, Guyton RA, Stewart JP, Syed AQ, Mavromatis K,
Transradial vs. Transfemoral Access in STEMI: Should We Randomize?
Transradial vs. Transfemoral Access in STEMI: Should We Randomize? Ajay J. Kirtane, MD, SM Center for Interventional Vascular Therapy Columbia University Medical Center / New York Presbyterian Hospital
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 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
Alternate Vascular Access for TAVR. Gian Paolo Ussia Campus Bio-medico University, Rome Italy
Alternate Vascular Access for TAVR Gian Paolo Ussia Campus Bio-medico University, Rome Italy g.ussia@unicampus.it REQUIRED Gian Paolo Ussia I have no relevant financial relationships Transcatheter Valves
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
Surgical vs. Percutaneous Revascularization in Patients with Diabetes and Acute Coronary Syndrome
Surgical vs. Percutaneous Revascularization in Patients with Diabetes and Acute Coronary Syndrome Chris C. Cook, MD Associate Professor of Surgery Director, CT Residency Program, WVU ACOI 10/17/18 No Disclosures
Efficacy of Transradial Cerebral Angiography in the Elderly
www.jkns.or.kr http://dx.doi.org/10.3340/jkns.2013.53.4.213 J Korean Neurosurg Soc 53 : 213-217, 2013 Print ISSN 2005-3711 On-line ISSN 1598-7876 Copyright 2013 The Korean Neurosurgical Society Clinical
Abstract: Keywords: PCI, Trans radial, Transfemoral.
Tran-Radial Percutaneous Coronary Intervention (PCI) is Safe and Alternative to Conventional Trans-Femoral Approach: Our Experiences at Apollo Hospitals Dhaka AQM Reza, AHMW Islam, S Munwar, S Talukder,
CIPG Transcatheter Aortic Valve Replacement- When Is Less, More?
CIPG 2013 Transcatheter Aortic Valve Replacement- When Is Less, More? James D. Rossen, M.D. Professor of Medicine and Neurosurgery Director, Cardiac Catheterization Laboratory and Interventional Cardiology
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
Selection and Use of Basic Equipment : Guiding Catheters, Wires and Balloons
SCAI Interventional Cardiology Fall Fellows Course 2014 Selection and Use of Basic Equipment : Guiding Catheters, Wires and Balloons December 7, 2014 8:30 am John S. Douglas Jr, MD Professor of Medicine
4/26/2017. Diltiazem versus verapamil for the prevention of arterial spasm during transradial access for coronary procedures: a non-inferiority trial
Diltiazem versus verapamil for the prevention of arterial spasm during transradial access for coronary procedures: a non-inferiority trial Clark Vowell, PharmD, PGY1 Pharmacy Resident St. Vincent Healthcare
Women and Ischemic Heart Disease Lessons Learned
Women and Ischemic Heart Disease 2017- Lessons Learned Bina Ahmed MD Interventional Cardiology Dartmouth-Hitchcock Medical Center Assistant Professor of Medicine Geisel School of Medicine Lebanon, NH ba@hitchcock.org
Vascular Closure Device: A to Z. Owayed M Al Shammeri, MD, FSCAI Interventional Cardiologist AlRayyan Hospital, HMG Riyadh
Vascular Closure Device: A to Z Owayed M Al Shammeri, MD, FSCAI Interventional Cardiologist AlRayyan Hospital, HMG Riyadh Femoral artery Anatomy Disparities still exist Vascular Closure Devices Suture
Carotid Artery Stenting (CAS) Pathophysiology. Technical Considerations. Plaque characteristics: relevant concepts. CAS and CEA
Carotid Artery Stenting (CAS) Carotid Artery Stenting for Stroke Risk Reduction Matthew A. Corriere MD, MS, RPVI Assistant Professor of Surgery Department of Vascular and Endovascular Surgery Rationale:
What to expect when having an angiogram
What to expect when having an angiogram Cardiology Department Patient information leaflet What is coronary artery disease? Coronary artery disease is the narrowing of one or more of the blood vessels that
Percutaneous coronary intervention of RIMA. The real challenge!
Percutaneous coronary intervention of RIMA The real challenge! Speaker's name: I do not have any potential conflict of interest Clinical Case 76-year old woman Previous History Actual Disease Diabetes
National Intervention Council
National Intervention Council Cardiological Society of India Registry Performa for Coronary, Non- Coronary & Peripheral Interventions Period January 1st 2016 to December 31 st 2016 Dr. (Prof.) N.N. Khanna
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?
Clinical Lessons from BMC2-PCI
Clinical Lessons from BMC2-PCI The Blue Cross Blue Shield of Michigan Cardiovascular Consortium Hitinder Gurm, M.D. University of Michigan Overview 32 papers since inception 10 papers published this year
Supplementary Online Content
Supplementary Online Content Valle JA, Tamez H, Abbott JD, et al. Contemporary use and trends in unprotected left main coronary artery percutaneous coronary intervention in the United States: an analysis
PCI Update Qesaria 2009
PCI Update Qesaria 2009 Amit Segev Interventional Cardiology Chaim Outline Primary PCI Non-ST elevation ACS Multi-vessel disease Hemodynamic assessment of borderline lesions - FFR Stable AP Non-coronary
(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
Transradial Vascular Interventions Expanding Indications and Increasing Safety
Transradial Vascular Interventions Expanding Indications and Increasing Safety 63 12 Transradial Vascular Interventions Expanding Indications and Increasing Safety BRIAN PINTO, SUSHANT PATIL, ANAND RAO
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
VCU Pauley Heart Center: A 2009 US News Top 50 Heart and Heart Surgery Hospital
VCU Pauley Heart Center: A 2009 US News Top 50 Heart and Heart Surgery Hospital Complex PCI: Multivessel Disease George W. Vetrovec, MD. Kimmerling Chair of Cardiology VCU Pauley Heart Center Virginia
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
International Journal of Collaborative Research on Internal Medicine & Public Health (IJCRIMPH)
Same-day discharge after percutaneous coronary intervention in light of the society for cardiovascular angiography and intervention's proposed guidelines: A single-center experience Yazan Khouri, Sachin
percutaneous coronary intervention after fibrinolysis a multiple meta analyses approach according to the type of strategy
DOWNLOAD OR READ : PERCUTANEOUS CORONARY INTERVENTION AFTER FIBRINOLYSIS A MULTIPLE META ANALYSES APPROACH ACCORDING TO THE TYPE OF STRATEGY PDF EBOOK EPUB MOBI Page 1 Page 2 percutaneous coronary intervention
Cardiac Catheterization, Coronary Angiogram, and Percutaneous Coronary Intervention (PCI)
Cardiac Catheterization, Coronary Angiogram, and Percutaneous Coronary Intervention (PCI) Cardiac Catheterization, Coronary Angiogram, and Percutaneous Coronary Intervention (PCI) Your doctor has recommended
Mid-term results from real-world REPARA registry. Felipe Hernandez, on behalf of the REPARA investigators
Mid-term results from real-world REPARA registry Felipe Hernandez, on behalf of the REPARA investigators Potential conflicts of interest Speaker's name: Felipe Hernandez I have the following potential
SPECIAL REPORT. Author affiliations can be found at the end of this paper.
SPECIAL REPORT n Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working
Indications of Coronary Angiography Dr. Shaheer K. George, M.D Faculty of Medicine, Mansoura University 2014
Indications of Coronary Angiography Dr. Shaheer K. George, M.D Faculty of Medicine, Mansoura University 2014 Indications for cardiac catheterization Before a decision to perform an invasive procedure such
Controversies in Cardiac Surgery
Controversies in Cardiac Surgery 3 years after SYNTAX : Percutaneous Coronary Intervention for Multivessel / Left main stem Coronary artery disease Pro ESC Congress 2010, 28 August 1 September Stockholm
Coronary artery Dissection. Dr TP Singh MD,DM
Coronary artery Dissection Dr TP Singh MD,DM 52 M,Non HT, Non DM,Acute IWMI lysed within 4 hours D2 Coronary angiography RCA mid 90% discrete hazy stenosis LAD non significant ifi disease, LCx Normal Taken
PATIENT TEACHING GUIDE FOR PERCUTANEOUS INTERVENTION
FOR PERCUTANEOUS INTERVENTION Percutaneous Intervention for Coronary Artery and Peripheral Vascular Diseases START TABLE OF CONTENTS OVERVIEW Your Heart and Circulatory System... 3 CARDIOVASCULAR DISEASES
DEB experience in Gachon Universtiy Gil Hospital (in ISR) Soon Yong Suh MD., PhD. Heart Center Gachon University Gil Hospital Seoul, Korea.
DEB experience in Gachon Universtiy Gil Hospital (in ISR) Soon Yong Suh MD., PhD. Heart Center Gachon University Gil Hospital Seoul, Korea. In-stent restenosis (ISR) Remains important issue even in the