Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention

227 Pages·2013·5.78 MB·English

by  Howard A. Cohen

Transradial Access
TECHNIQUES FOR
DIAGNOSTIC ANGIOGRAPHY AND
PERCUTANEOUS INTERVENTION
Howard A. Cohen, MD, Editor

Transradial Access
TECHNIQUES FOR
DIAGNOSTIC ANGIOGRAPHY AND
PERCUTANEOUS INTERVENTION

Transradial Access
TECHNIQUES FOR
DIAGNOSTIC ANGIOGRAPHY AND
PERCUTANEOUS INTERVENTION
Howard A. Cohen, MD, FACC, FSCAI
Temple University Health System
Philadelphia, Pennsylvania
Minneapolis, Minnesota
© 2013 Howard A. Cohen
Cardiotext Publishing, LLC
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Library of Congress Control Number: 2012955217
ISBN: 978-1-935395-41-6
Printed in the United States of America.
Contents
Contributors .....................................................................vii
Foreword .........................................................................xi
Abbreviations ................................................................... xiii
Chapter 1: Introduction ......................................................... 1
Chapter 2: Rationale for Transradial Access ........................................ 7
Robert W. Harrison
Sunil V. Rao
Chapter 3: Vascular Anatomy of the Arm and Hand ................................. 21
Richard P. Abben
Gary Chaisson
Chapter 4: Preoperative Evaluation of the Potential Patient for Transradial Access ...... 39
Pierre-Louis Nadeau
Jean-Pierre Déry
Gérald R. Barbeau
Chapter 5: Obtaining Access .................................................... 47
Howard A. Cohen
Chapter 6: Closure and Hemostasis after Transradial Access ......................... 55
Samir B. Pancholy
Tejas Patel
Sanjay C. Shah
Chapter 7: Basic Catheter Techniques for Diagnostic Angiography and PCI ............. 61
Tift Mann
Chapter 8: Sheathless Transradial Intervention .................................... 75
Rajiv Gulati
Aaron M. From
Charanjit S. Rihal
Chapter 9: Transradial Access and Outpatient PCI:
State-of-the-Art and Persisting Challenges .............................. 79
Eltigani Abdelaal
Olivier F. Bertrand
v
vi ■ Contents
Chapter 10: Transradial Access for PCI in Acute Myocardial Infarction ................. 95
Sameer J. Khandhar
Oscar C. Marroquin
Suresh R. Mulukutla
Chapter 11: Transradial Approach to Peripheral Interventions .......................121
John T. Coppola
Cezar Staniloae
Chapter 12: Right Heart Catheterization and Transradial Access ......................131
Ian C. Gilchrist
Chapter 13: The Learning Curve for Transradial Access .............................141
Yves Louvard
Hakim Benamer
Thierry Lefèvre
Chapter 14: Transradial Arterial Access: Economic Considerations ....................155
Ronald P. Caputo
Chapter 15: Tips and Tricks for Transradial Access .................................165
Tejas Patel
Sanjay C. Shah
Samir B. Pancholy
Chapter 16: Complications of Transradial Access ...................................181
Kirk N. Garratt
Chapter 17: How to Start a Transradial Program at Your Hospital .....................193
Ankitkumar K. Patel
Zoltan G. Turi
Appendix: Video Legends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Index ...........................................................................203
Contributors
About the Editor
Howard A. Cohen, MD, FACC, FSCAI
Professor of Medicine; Director, Temple
Interventional Heart and Vascular Institute;
Director, Cardiac Catheterization Laboratories
and Cardiac Intervention, Temple University
Health System, Philadelphia, Pennsylvania
About the Contributors
Richard P. Abben, MD, FACC, FSCAI Olivier F. Bertrand, MD, PhD, FSCAI
Director, Cardiac Interventions, Interventional Cardiologist, Quebec Heart-
Cardiovascular Institute of the South, Houma, Lung Institute; Associate-Professor, Faculty of
Louisiana; Associate Clinical Professor of Medicine, Université Laval; Adjunct-Professor,
Medicine, Louisiana State University School Department of Mechanical Engineering,
of Medicine, New Orleans, Louisiana McGill University; Director, CAIC Transradial
Interventions Working Group; Scientific
Eltigani Abdelaal, MD, MBBS, MRCP (UK), CCST Director, Université Laval RADIAL Research &
Cardiology (UK) Education Fund, Quebec City, Quebec, Canada
Interventional Cardiology Fellow, Clinical
Research & Interventional Cardiology Ronald P. Caputo, MD, FACC, FSCAI
Laboratories, Quebec Heart-Lung Director of Cardiac Services, St. Joseph’s
Institute, Université Laval, Quebec City, Hospital, Clinical Associate Professor of
Quebec, Canada Medicine, SUNY Upstate Medical School,
Syracuse, New York
Gérald R. Barbeau, MD, CSPQ, FACC, FRCPC
Cardiologue d’intervention & Imagerie Gary Chaisson, RTR, RCSA
cardiovasculaire par résonance magnétique, Technical Director Cardiac Catheterization
Institut universitaire de cardiologie et de Lab, Cardiovascular Institute of the South,
pneumologie de Québec, Université Laval, Houma, Louisiana
Quebec City, Quebec, Canada
John T. Coppola, MD, FACC, FSCAI
Hakim Benamer, MD Assistant Clinical Professor of Cardiology,
Institut Cardiovasculaire Paris Sud, NYU Langone Medical Center, New York,
Massy, France New York
vii
viii ■ Contributors
Jean-Pierre Déry, MD, MSc, FACC, FRCPC Tift Mann, MD, FACC
Cardiologue d’intervention, Institut Wake Heart and Vascular Associates, Raleigh,
universitaire de cardiologie et de pneumologie North Carolina
de Québec, Université Laval, Quebec
City, Quebec, Canada Oscar C. Marroquin, MD, FACC, FSCAI
Assistant Professor of Medicine and
Aaron M. From, MD Epidemiology; Director, UPMC Provider
Iowa Heart Center of Mercy Hospital, Analytics, Heart and Vascular Institute,
Des Moines, Iowa University of Pittsburgh Medical Center,
Pittsburgh, Pennsylvania
Kirk N. Garratt, MD, MSc
Lenox Hill Heart and Vascular Institute Suresh R. Mulukutla, MD, FACC, FSCAI
of New York; Associate Chair, Quality and Assistant Professor of Medicine and
Research; Director, Cardiac Interventions, Epidemiology; Director, Center for Quality,
Northshore/LIJ Lenox Hill Hospital, Outcomes and Clinical Research, Heart and
New York, New York Vascular Institute, University of Pittsburgh
Medical Center, Pittsburgh, Pennsylvania
Ian C. Gilchrist, MD, FACC, FSCAI, FCCM
Professor of Medicine, Interventional Pierre-Louis Nadeau, MD, CSPQ, FRCPC
Cardiology, Pennsylvania State University, Interniste, Résident en cardiologie; Institut
Penn State Heart and Vascular Institute, universitaire de cardiologie et de pneumologie
Hershey, Pennsylvania de Québec, Université Laval, Quebec
City, Quebec, Canada
Rajiv Gulati, MD, PhD, FACC, FSCAI
Associate Professor of Medicine, College Samir B. Pancholy, MD, FACP, FACC, FSCAI
of Medicine: Consultant, Division of Program Director, Cardiology Fellowship,
Cardiovascular Diseases Mayo Clinic, The Wright Center for Graduate Medical
Rochester, Minnesota Education; Associate Professor of Medicine,
Cardiovascular Diseases, The Commonwealth
Robert W. Harrison, MD Medical College, Scranton, Pennsylvania
Fellow, Department of Internal Medicine,
Division of Cardiology, Duke University Ankitkumar K. Patel, MD, MPH
Medical Center, Durham, North Carolina Cardiology Fellow, Division of Cardiology,
Cooper University Hospital, Cooper Medical
Sameer J. Khandhar, MD School of Rowan University, Camden,
Assistant Professor of Medicine, Center for New Jersey
Quality, Outcomes and Clinical Research,
Heart and Vascular Institute, University Tejas Patel, MD, DM, FCSI, FACC, FESC, FSCAI
of Pittsburgh Medical Center, Pittsburgh, Chairman and Chief Interventional
Pennsylvania Cardiologist, Apex Heart Institute,
Ahmedabad, Gujarat, India
Thierry Lefèvre, MD, FESC, FSCAI
Institut Cardiovasculaire Paris Sud, Sunil V. Rao, MD, FACC, FSCAI
Massy, France Associate Professor of Medicine, Department
of Internal Medicine, Division of Cardiology,
Yves Louvard, MD, FSCAI Duke University Medical Center, The
Institut Cardiovasculaire Paris Sud, Duke Clinical Research Institute, Durham,
Massy, France North Carolina