Collaboration Leads to Advances: Why We Believe in a Dedicating a Forum for Radial Access

By Olivier Bertrand, MD

We believe that there is a need for a dedicated forum where new and experienced radial operators can discuss current challenges, present new results, critically analyze literature data, and interact directly with the industry to develop advanced radial specific devices and equipment. This is the goal of AIM-RADIAL congress.

The first Advanced International Masterclass (AIM)-RADIAL was hold in Quebec City last September 2012 and more than 150 participants from 26 countries gathered in the old city for a 3-day meeting. Scientific sessions alternated with live-cases from US (T Mann and F Kimeneij), Canada (V Dzavik), France (H Benamer) and Japan (S Saito and M Masutani). More than 60 abstracts were presented during the congress and ultimately published in the Journal of Invasive Cardiology (see links below).

With the growing interest towards using transradial approach in the USA for diagnostic angiography and coronary and peripheral interventions, New York City was a natural choice for AIM-RADIAL 2013. With the same objectives in mind, we hope that you will join us in New York City on September 26-28, 2013 and perhaps, present your own data (www.aimradial.org).


Quotes from last year meeting

“The best congress I ever attended in my life” – Sunil Rao, Duke Clinical Research Institute, Durham, North Carolina

“As a true “master class” of the radial technique, we went beyond the basics and discussed why one should do radial in all difference subsets of interventional procedures. Dr. Olivier Bertrand and the whole international organizing team had a tremendous three-day program inclusive of live telecasts from Japan, France, Canada and US….. The faculty presented clinical trial data not biased by any commercial funding, very different from the standard interventional meets. Most of the data was from investigator-generated and executed clinical trials ” – Kintur Sanghvi, Deborah Heart & Lung Institute, Browns Mills, New Jersey

“Congratulations to organizers. I felt the same ambiance of community spirit like when we gathered in 1994 in Amsterdam” – Yves Louvard, ICPS-Paris, France

“AIM-RADIAL 2012 was a great meeting…One goal to promote TRI and make this the default technique, just because it is better, safer, cheaper and more patient friendly….Congratulations. Quality was excellent. ” – Ferdinand Kiemeneij, Amsterdam, The Netherlands.

“Congratulations on putting together such a successful meeting. It is an amazing tribute that this international faculty would come together. ” – Tift Mann, Raleigh, North Carolina

ABSTRACTS AND ESSAYS from the 1st Advanced International Masterclass
AIM Radial 2012
September 13-15, 2012,  Québec City, Canada

Building a Community Spirit to Reach Excellence in Education and Research About Transradial Approach!
Olivier F. Bertrand, MD, PhD on behalf of the Organizers

The number of percutaneous coronary interventions (PCI) continues to grow steadily in the world, especially due to a rapid increase in countries such as Brazil, China and India. Owing to the development of numerous devices and anti-thrombotic treatments, acute and long-term results after PCI have dramatically improved over the last decade. Yet, better recognition of the detrimental impact of bleeding and peri-procedural complications on clinical outcomes have been major drivers renewing interest in the transradial approach. Indeed, although the transradial approach was described more than 2 decades ago, its use during this time has primarily been promoted only by dedicated and most of the time very passionate operators……(more)

Coronary Interventional Cardiology and Transradial Approach in France
Yves Louvard, Thierry Lefevre, Hakim Benamer, Jacques Monsegu, Benjamin Faurie

The transradial approach for coronary interventional cardiology started to be implemented in France in early 1994 (1.5 years after Kiemeneij-Laarman in Amsterdam). In March 1994, the first transradial PCI live case transmission ever performed was carried out from Toulouse and transmitted to the TCT meeting in Washington (Jean Fajadet). This had a big impact in France. Over the following years informal workshops in Toulouse and an annual course in Massy (1997-2006) or Paris (RITA, 2008-ongoing) resulted in an increase in the percentage of radial procedures for PCI in France to 20% in 2001, more than 40% in 2004, 60% in 2006 and probably more than 80% in 2012 (less for angiography)…(more)

Transradial Intervention in Japan
Yuji Ikari, MD, PhD
Professor, Department of Cardiology, Tokai University, Japan

The health insurance system in Japan is universal. All the Japanese people must be members of the governmental health insurance and all medical treatments are covered. No doctor can perform a treatment not covered by insurance, but if a special exception is needed for an uncovered treatment, the insurance will not pay any part of the covered treatment. Thus, the patient must pay 100%. Therefore, uncovered treatment is extremely difficult to perform. Patients have to pay 30% of the total cost. If the maximum payment is over the limited amount according to the annual income, the exceeded payment is covered by the insurance. For example, a family with average income would pay no more than 100,000 yen annually even though some of the family members may undergo extremely expensive surgery…..(more)

 Interventional Cardiology and the Transradial Approach in Israel
David Meerkin, MBBS
Shaare Zedek Medical Center, Jerusalem, Israel

Israel is a small country geographically but has seen a massive population increase over the last 50 years with the immigration of many people from a wide range of very different countries and cultures. The development of the health system to accommodate this ever-changing population and to provide top level care to the broadest spectrum of the community has been a challenge met with surprising success over the last few decades. The vast majority of the over 20,000 annual PCIs take place within the public hospital system in university affiliated hospitals, although within the center of the country two private hospitals have busy cath facilities. Almost all public hospitals offer PCI in a concerted effort to offer primary PCI to the entire populace within short access times…….(more)

Use of the Radial Approach for Coronary Procedures in Greece
A. Ziakas, G. Papaioanou, K. Toutouzas, G. Bompotis, A.D. Mavrogianni, L. Lillis, I. Syliadis.
1st Department of Cardiology, AHEPA University Hospital, Thessaloniki, Greece.

In order to become specialist cardiologists in Greece, doctors undergo two years training in Internal Medicine and four years in cardiology. All cardiology interns receive a mandatory 6-month cath lab training during this 6-year internship. However, there is no official or State-recognized training in order to become an interventional cardiologist after the internship. For this reason, most Greek interventional cardiologists get trained abroad, usually in well-recognized and experienced centers. Some cardiologists start working in public hospitals as specialist clinical cardiologists and get further but not official training in interventional cardiology in order to become interventionists. It is interesting though, that in order to perform interventional cardiology procedures in Greece, it is not mandatory to get further training apart this 6 month period during the internship….(more)

Interventional Cardiology and Radial Approach in Canada
Olivier F. Bertrand, MD, PhD1, Erick Schampaert, MD2, Vlad Dzavik, MD3
1Quebec heart-Lung Institute, Quebec City, Quebec, 2Hôpital du Sacré-Coeur, Montreal, Quebec, 3Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.

The number of PCIs varies between 55,000 and 60,000 per year. Although a national PCI registry does not exist, PCI databases have been established in British Columbia, Alberta, Ontario and Newfoundland. Since PCI activity takes place in a limited number of sites, interventional cardiologists in Canada are high-volume operators with an average of 280/PCI/operator/year. It should also be noted that the rate of PCI is 3-10 times higher in the provinces of Quebec and Ontario compared to the 7 other provinces. Most centers are affiliated with universities and there are no private PCI centers in the country. The majority of these centers include cardiac surgery programs. Stand alone diagnostic cardiac catheterization laboratories are disappearing…..(more)

Interventional Cardiology and Radial Approach in Italy
Enrico Romagnoli, MD, PhD1-2, Francesco Burzotta, MD, PhD3, Marco Valgimigli MD, PhD4, Alessandro Sciahbasi MD5, Fabio Tarantino MD6, Mario Galli, MD7, Cosimo Sacra, MD8, Mauro De Benedictis MD9, Orazio Valsecchi MD10, Carlo Trani MD3
1Policlinico Casilino, Rome, Italy; 2SS. Filippo e Nicola Hospital, Avezzano; Italy; 3Università Cattolica Del Sacro Cuore, Rome, Italy; 4University Hospital of Ferrara, Ferrara, Italy; 5Sandro Pertini Hospital, Rome, Italy; 6Morgagni-Pierantoni Hospital, Forlì, Italy; 7Sant’Anna hospital, Como, Italy; 8Panico Hospital, Lecce, Italy; 9Azienda Ospedaliera Ordine Mauriziano di Torino, Torino, Italy; 10Ospedali Riuniti di Bergamo, Bergamo, Italy.

Albeit several operators use radial approach since the late eighties, only recently has the radial approach seen a widespread diffusion in Italy. Of note, during the past years, Italian interventional cardiologists practicing radial approach have founded the Italian Radialforce which recently evolved into the Italian Radial Club. This growing group of interventional cardiologists worked hard to spread the radial basic techniques and the scientific rationale favoring radial approach widely in Italy through a series of initiatives. From its use as valid alternative to standard femoral approach in selected patients, now the radial approach is routinely utilized as the first choice in many centers….(more)

Current Experience with Radial in the United States
Ian C. Gilchrist, MD, Penn State Hershey Medical Center, Hershey, PA; Mauricio G. Cohen, MD, University of Miami Miller School of Medicine, Miami, FL; J. Tift Mann III, MD, Wake Heart Associates, Raleigh, NC; Samir B. Pancholy, MD, The Commonwealth Medical College, Scranton, PA; Christopher T. Pyne, MD, Lahey Clinic, Heart & Vascular Center, Burlington, MA; Sunil V Rao, MD, Duke University Medical Center, Durham, NC

The early radial experience in the United States (US) mirrored that of other countries after the promising reports in the 1990’s of transradial success with individual operators either self-learning or developing skills from direct contact with other transradial operators. Contrary to many of the non-US regions, transradial did not subsequently expand in the US. Rather, it subsisted as a niche technique supported by a small group of enthusiastic operators who were often marginalized by leaders in the US interventional community. While the suppression of innovation at first glance appears odd for cardiologists who by nature otherwise embrace new technology, there was a competing technology, vascular closure devices, that enamored practicing US cardiologists during this time…..(more)

Coronary Interventions in the Czech Republic and Trends in the Use of Radial Approach
I. Bernat1, M. Zelizko2, J. Vojacek3, P. Widimsky4, J. Stasek3, M. Mates5, M. Branny6, L. Pesl7, R. Fialka8, J. Jarkovsky9, P. Kala10 on behalf of the NRKI investigators
1University Hospital and Faculty of Medicine Pilsen, Czech Republic; 2IKEM, Prague, Czech Republic; 3University Hospital Hradec Kralove, Hradec Kralove, Czech Republic; 4Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic; 5Hospital Homolka, Prague, Czech Republic; 6Hospital Trinec a.s., Trinec, Czech Republic; 7Hospital Ceske Budejovice, a.s., Ceske Budejovice, Czech Republic; 8KSRZIS, Ministry of Health of the Czech Republic, Prague, Czech Republic; 9Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic; 10Medical Faculty of Masaryk University and University Hospital Brno, Czech Republic.
I.Bernat and P. Kala declare the same contribution on the publication.

Czech coronary interventions have a 30 year history. In 1982 there was the first elective PCI performed in IKEM, Prague and the first catheter-based intervention for acute STEMI (intracoronary thrombolysis) in two other hospitals (University Hospital Brno and University Hospital Kralovske Vinohrady in Prague). The modern history of the PCI program in the Czech Republic started after communism fell in 1989. There are several milestones observed: first, several new cathlabs were opened during the nineties; second, the well-known PRAGUE and PRAGUE-2 trials established primary PCI as the treatment of choice for patients with ST-elevation myocardial infarction (STEMI)1,2; and third, the Czech National Cardiovascular Programme was accepted by the national authorities as the guideline for acute cardiac care in the whole country….. (more)

Transradial Intervention in the United Kingdom
K. Ratib, MD, Jim Nolan, MD
University Hospital of North Staffordshire, Staffordshire, UK

The National Health Service (NHS) was set up in 1948 with the aim of providing free healthcare at the point of delivery to all residents of the United Kingdom (UK). This publicly funded body serves a population of over 62 million and treats over 3 million people per week. The NHS provides medical care to the entire population, and is funded from direct taxation. Outside of this system some individuals pay for personal private health insurance which covers healthcare delivered in a small number of private hospitals, but the vast majority of the population receives its healthcare via the NHS……(more)

Transradial Cardiac Catheterization in Hungary
Imre Ungi*, György Szabó$, Ferenc Nagy*
*University of Szeged, Department of Cardiology, Szeged, Hungary and $Semmelweis University, Department of Cardiology, Budapest, Hungary

Number of invasive cardiology centers and proportion of public and private cathlabs in Hungary. For a long time before the millennium, cathlab capacities did not change much in our country: traditionally the medical universities and the National Heart Institute did all the diagnostic and interventional catheterizations. During the first decade of this millennium, our invasive cardiology care started to develop intensively. This change was mostly quantitative initially, i.e. the number of interventional centers rose from 6 cathlabs to 17 by this year, and the new labs were more evenly distributed according to the populations of regions. This increase was mostly boosted by a national program to decrease mortality of acute myocardial infarction (AMI).
In line with increasing density in the cathlabs, we worked up a highly organized primary PCI network. Interventional cardiology centers presently admit 80% of the AMI patient population, and only every 10th patient receives thrombolytic drug due to the inaccessibility of an interventional center in time…(more)

ABSTRACTS

Bleeding & Anticoagulation
WARFARIN AND HEMOSTASIS AFTER TRANSRADIAL CARDIAC CATHETERIZATION Lippe C., Reineck E.A., Gilchrist I.C.

LOWER TRANSFUSION RATES FOLLOWING PERCUTANEOUS CORONARY INTERVENTION VIA THE RADIAL APPROACH: A FOUR-YEAR, SINGLE-CENTER EXPERIENCE   Kahan D.J., Riskalla N.S., Pyne C.T.

BIVALIRUDIN VERSUS HEPARIN-MONOTHERAPY IN ALL COMERS AFTER PERCUTANEOUS INTERVENTION: THE QUEBEC HEART-LUNG INSTITUTE EXPERIENCE  MacHaalany J., Abdelaal E., Bataille Y., Larose E., Déry J-P., Delarochellière R., Rinfret S., Roy L., Proulx G., Gleeton O., Rodés-Cabau J., Noël B., Barbeau G., Nguyen C., Costerousse O, Bertrand OF.

TRANSRADIAL CATHETERIZATION DURING UNINTERRUPTED ORAL ANTICOAGULATION: RESULTS OF A PILOT STUDY EMPLOYING AN INR – ADJUSTED HEPARIN DOSING PROTOCOL
Visweswaran G.K, Singh G., Yadav P.K, Gilchrist I.C.

INCIDENCE, PREDICTORS AND CLINICAL IMPACT OF BLEEDING AFTER TRANSRADIAL CORONARY STENTING AND MAXIMAL ANTIPLATELET THERAPY
Bertrand OF, Larose E, Rodes-Cabau J, Gleeton O, Taillon I, Roy L, Poirier P, Costerousse O, De Larochellière R

INCIDENCE, RANGE AND CLINICAL IMPACT OF HEMOGLOBIN AND PLATELET DECREASE AFTER TRANSRADIAL CORONARY STENTING AND MAXIMAL ANTIPLATELET THERAPY IN THE EASY TRIAL.
Bertrand O, Rodés-Cabau J, Rinfret S, Larose E, Déry JP, Gleeton O, Nguyen CM, Proulx G, Roy L, Costerousse O, Poirier P, De Larochellière R

TRANSRADIAL APPROACH AND BIVALIRUDIN USE IN ELDERLY PATIENTS UNDERGOING EARLY INVASIVE STRATEGY FOR ACS
Summaria F, Patrizi R, Romagnoli E, De Luca L, Mustilli M, Pagnanelli A.

REDUCED BLEEDING RATES AND IMPROVED CLINICAL OUTCOMES WITH THE USE OF RADIAL ACCESS IN OCTOGENARIANS UNDERGOING PERCUTANEOUS CORONARY INTERVENTION
Déry JP, Déry U, Tizon-Marcos H, Barbeau G, Rodes-Cabau J, Rinfret S, Larose E, Alexander KP, Rao SV, Nguyen CM, Noel B, Proulx G, Roy L, Gleeton O, De Larochelliere R, Bertrand OF.

Hemostasis & Radial Artery Occlusion
ABCIXIMAB FACILITATES THE TREATMENT OF RADIAL ARTERY OCCLUSION
Jaradat Z., Basir B., Revtyak, G.

PREDICTORS OF RADIAL ARTERY SIZE IN PATIENTS UNDERGOING CARDIAC CATHETERIZATION – INSIGHTS FROM THE GOOD RADIAL ARTERY SIZE PREDICTION STUDY (GRASP)
Kotowycz MA, Johnston KW, Ivanov J, Asif N, Almoghairi AM, Choudhury A, Nagy C, Sibbald M, Seidelin PH, Barolet AW, Overgaard CB, Džavík V

PULSE OXIMETRY VERSUS DOPPLER FOR PATENCY EVALUATION AT 24H AND 1 MONTH AFTER TRANSRADIAL APPROACH. RESULTS OF THE RANDOMIZED CRASOC (COMPRESSION OF RADIAL ARTERIES WITHOUT OCCLUSION) STUDY
Dangoisse V., Guédès A, Chenu P, Jamart J, Gabriel L, Marchandise B, Jourdan J, Albert C, Dury C, Schroëder E

RECANALIZATION OF LATE OCCLUSION OF RADIAL ARTERY AFTER PREVIOUS TRANSRADIAL INTERVENTIONS: CAN WE USE THE SAME ARTERY FOR REPEAT INTERVENTIONAL PROCEDURES?
Babunashvili A.M., Dundua D.P.

AMPUTATION OF THE RIGHT ARM AS A CONSEQUENCE OF DIAGNOSTIC CORONARY ANGIOGRAPHY   Rezek M.
SUCCESSIVE TRANSRADIAL ACCESS FOR CORONARY PROCEDURES: EXPERIENCE OF QUEBEC HEART-LUNG INSTITUTE
Abdelaal E., Molin P., Plourde G., MacHaalany J., Bataille Y., Provencher C., Montminy S., Larose E., Roy L., Gleeton O., Barbeau G., Nguyen C., Noël B., Costerousse O., Bertrand O.F.

DRUG ELUTING BALLOON ANGIOPLASTY FOR REPEATED REOCCLUSION OF THE RADIAL ARTERY
Katona A., Ungi I.

INCIDENCE AND PREDICTORS OF RADIAL FAILURE IN PATIENTS UNDERGOING PCI AT QUEBEC HEART-LUNG INSTITUTE, A TERTIARY HIGH-VOLUME RADIAL CENTRE
Abdelaal E., Brousseau-Provencher C., Montminy S., Plourde G., MacHaalany J., Bataille Y., Déry J.P., Larose E., Delarochellière R., Rinfret S., Roy L., Proulx G., Gleeton O., Rodés-Cabau J., Noël B., Barbeau G., Nguyen C., Costerousse O., and Bertrand O.F.

Radial PCI in ACS
OPTICAL COHERENCE TOMOGRAPHY OF THE RADIAL ARTERY – FIRST EXPERIENCE  Kanovsky J., Poloczek M., Bocek O., Ondrus T., Spinar J., Kala P.

BAIL-OUT RADIAL STENTING AS A RESULT OF AN UNSUCCESSFUL CORONARY INTERVENTION – CASE REPORT
Miklik R., Jerabek P., Poloczek M., Bocek O., Kala P.

IS TRANSRADIAL ACCESS FOR PRIMARY PCI AN IMPORTANT BENEFIT IN THE REAL WORLD?  Ratib K, Routledge H.C, Mamas M.A, Arnous S, Fraser D, Ludman, P.F, Nolan J.

EARLY AND LATE CLINICAL OUTCOMES IN ELDERLY PATIENTS AFTER TRANSRADIAL CORONARY STENTING AND MAXIMAL ANTIPLATELET THERAPY  Bagur R, Bertrand OF, Costerousse O, Larose E, Tizon-Marcos H, Nguyen CM, Déry JP, De Larochellière R, Roy L, Poirier P, Rodés-Cabau J

IMPACT OF GENDER ON EARLY AND LATE CLINICAL OUTCOMES AFTER TRANSRADIAL CORONARY STENTING AND MAXIMAL ANTIPLATELET THERAPY
H Tyzon, OF Bertrand, J Rodés-Cabau, É Larose, V Gaudreault, JP Déry, P Poirier, O Costerousse, R De Larochellière, L Roy

TRANS-RADIAL APPROACH SHOWED FAVORABLE ONE YEAR CLINICAL OUTCOME COMPARED TO TRANS-FEMORAL APPROACH IN ACUTE ST ELEVATION MYOCARDIAL INFARCTION PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION
Kedev S, Kalpak O, Dharma S, Antov S, Kostov J, Pejkov H, Spiroski I

ADEQUATE SCREENING CAN REDUCE RADIAL ACCESS FAILURE RATES IN ST-ELEVATION MYOCARDIAL INFARCTION PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION
Dery JP, Dery U, Bouchard MP, Roy M, Rodes-Cabau J, Rinfret S, Larose E, Barbeau G, Rouleau J, Roy L, Noel B, Nguyen CM, Gleeton O, Proulx G, Boudreault JR, DeLa Rochellière R, Rao S, Bertrand OF.

IMMEDIATE TRANSRADIAL PERCUTANEOUS CORONARY INTERVENTION ON CULPRIT LESION IN ST-ELEVATION MYOCARDIAL INFARCTION COMPARED TO DIAGNOSTIC ANGIOGRAPHY FOLLOWED BY PRIMARY PERCUTANEOUS CORONARY INTERVENTION IS ASSOCIATED WITH REDUCED DOOR-TO-BALLOON TIMES
Plourde G, Abdelaal E, Bataille Y, MacHaalany J, Déry JP, Déry U, De Larochellière R, Gleeton O, Barbeau G, Roy L, Costerousse O, Bertrand OF.

Learning Curve & Radial Approach
COMPARISON OF RADIATION EXPOSURE BETWEEN EXPERIENCED RADIAL AND FEMORAL OPERATORS : A PROSPECTIVE STUDY.
Faurie B., Abdellaoui M., Bourlard P.

IS RADIAL APPROACH APPROPRIATE FOR BEGINNING INTERVENTIONAL CARDIOLOGISTS?
Jaworski L.,Hrabos V.,Sembera Z.,Polasek R. and Horak D.

WHAT IS THE PATIENT’S PREFERENCE FOR ARTERIAL ACCESS IN AN ANGIOGRAPHY?
Goldsmit A., Sztejfman C., Chiminela F., Sztejfman M., Bettinotti M.

PROSPECTIVE COMPARISON OF PALPATION VERSUS ULTRASOUND GUIDED RADIAL ACCESS FOR CARDIAC CATHETERIZATION IN AN EXPERIENCED OPERATOR
Zaremski L., Quesada R., Kovacs M., Uthoff H.

A NOVEL TECHNIQUE TO CROSS ARM TORTUOSITY DURING TRANSRADIAL CATHETERIZATION : THE TWISTING CATHETER.
Faurie B., Abdellaoui M.

Complex PCI by Radial Approach
SHEATHLESS GUIDE CATHETER IN COMPLEX TRANSRADIAL CORONARY INTERVENTION
Valdesuso R.M., Lacunza F.J., Gimeno J.R.,Garcia J., Hurtado J.A., Pinar E., Valdes M.

SIMULTANEOUS RECANALISATION OF CORONARY AND RADIAL ARTERY CHRONIC TOTAL OCCLUSION FROM ULNAR ACCESS – CASE REPORT
Balazs E., Morvay Z., Hausinger P., Ungi I.

SAFETY AND EFFICACY OF RADIAL APPROACH DURING ROTATIONAL ATHERECTOMY
Szabó G., Nardai S., Berta B., Édes I., Ruzsa Z., Gellér L., Jambrik Z., Merkely B.

TRANSRADIAL APPROACH DECREASES IN-HOSPITAL MORTALITY IN PATIENTS WITH CARDIOGENIC SHOCK. A SINGLE-CENTRE EXPERIENCE
Rodriguez-Leor O, Fernandez-Nofrerias E, Carrillo X, Mauri J, Oliete C, Rivas C, Bayes-Genis A

TRANSRADIAL LASER ATHERECTOMY TO REVASCULARIZE COMPLEX CORONARY ARTERY DISEASE
Desai H., Sanghvi K.

ROTATIONAL ATHERECTOMY FOR LEFT MAIN CORONARY ARTERY DISEASE BY TRANSRADIAL APPROACH IN OCTOGENARIANS
Dahdouh Z, Roule V, Dugué AE, Sabatier R, Lognoné T, Grollier G

TRANSRADIAL VS FEMORAL PERCUTANEOUS CORONARY INTERVENTION FOR LEFT MAIN DISEASE IN PATIENTS > 80 YEARS OF AGE
Bertrand OF, Bagur R, Costerousse O, Rodés-Cabau J.

IS RIGHT RADIAL ACCESS AN ACCEPTABLE APPROACH FOR CORONARY ANGIOGRAPHY IN PATIENTS WITH AN IN SITU LEFT MAMMARY GRAFT?
Y. Louvard, T. Lefevre, T. Unterseeh, H. Benamer, T. Hovasse, O. Tavolaro, P. Garot.

WHAT IS THE BEST APPROACH FOR ANGIOGRAPHY OF DOUBLE IN SITU MAMMARY GRAFTS?
Y. Louvard, H. Benamer, P. Garot, T. Unterseeh, C. Gaultier, T. Lefevre.

WHAT IS THE BEST ACCESS FOR ANGIOGRAPHY IN PATIENTS WITH A SINGLE IN SITU LEFT MAMMARY ARTERY GRAFT?
Y. Louvard, G. Ferrante, T. Hovasse, T.Unterseeh, P. Garot, O.Tavolaro, H. Benamer, T. Lefevre.

RADIAL VERSUS FEMORAL ACCESS FOR PERCUTANEOUS CORONARY INTERVENTIONS IN PATIENTS WITH CHRONIC TOTAL OCCLUSIONS
G. Ferrante, Y. Louvard, K. Hayashida, H. Benamer, T. Hovasse, T. Unterseeh, P. Garot, T. Lefevre.

BILATERAL TRANSRADIAL APPROACH FOR PERCUTANEOUS CORONARY LNTERVENTION OF CHRONIC TOTAL OCCLUSIONS.
Giusepge Ferrante, Thierry Lefevre, Thomas Hovasse, Hakim Benamer, Yves Louvard.

GASTROEPIPLOIC GRAFT PCI THROUGHT TRANSRADIAL APPROACH WITH A HYPERSELECTIVE INTUBATED 5FR GUIDING CATHETER : A CASE REPORT.
Faurie B., Abdellaoui M., Voguet S.

FEASIBILITY AND SECURITY OF TRANSRADIAL CORONARY INTERVENTION USING 6.5 FRENCH SHEATHLESS GUIDING CATHETER IN PATIENTS WITH SMALL RADIAL ARTERY: A MULTI CENTER STUDY
Cheaito Radi, M.D., Benamer Hakim, M.D., Louvard Yves, M.D., Mustafic Hazrije, M.D., Derraz Youssef, M.D., Tavolaro Oscar, MD, Hovasse Thomas, M.D., Gaultier Cedric, M.D., Garot Philippe, M.D., Lefevre Thierry, M.D., Marie Claude Morice, MD.

Radial Approach & Same-Day Discharge
RADIAL APPROACH VS FEMORAL WITH 4 FRENCH CATHETERS IN OUTPATIENT DIAGNOSTIC PROCEDURES.
Valdesuso R.M., Gimeno J. R., Lacunza F. J., Garcia J., Hurtado J.A., Pinar E., Valdes M.

QUALITY OF LIFE AFTER SAME-DAY DISCHARGE OR OVERNIGHT HOSPITALIZATION AFTER TRANSRADIAL CORONARY STENTING AND MAXIMAL ANTIPLATELET THERAPY. RESULTS OF THE RANDOMIZED EASY TRIAL.
Bertrand OF, Courtis J, Costerousse O, Rinfret S, Larose E, Nguyen CM, De Larochellière R, Roy L, Bagur R, Tizon H, Rodés-Cabau J.

Radial Approach & Controversies
INCREASED RADIATION EXPOSURE IN TRANSRADIAL APPROACH. A REAL DRAWBACK OR AN OBSOLETE PROBLEM?
Skvaril J., Kockova R., Jarkovsky P., Danickova K.

CATHETERIZATION OF LEFT MAMMARY ARTERY VIA RIGHT RADIAL ARTERY – NEW METHODOLOGY
Coufal Z.

SAFETY OF TRANSRADIAL LEFT-HEART CARDIAC CATHETERIZATION IN PATIENTS WITH END-STAGE LIVER DISEASE
Singh V., Jacobs E., Damluji A., Martin P., Alfonso C.E., Moscucci M., Cohen M.G.

PATIENT SATISFACTION: COMPARING RADIAL VERSUS FEMORAL CATHETERIZATIONS
Speiser B and Bochenek-Cobb L

DOES A NATIONWIDE CHANGE IN ACCESS SITE FOR PCI INFLUENCE NEUROLOGICAL COMPLICATIONS?
Ratib K, Routledge H.C, Mamas M.A, Arnous S, Fraser D, Ludman, P.F, Nolan J.

CAN WE SAFELY SWITCH FROM THE RADIAL TO IPSILATERAL ULNAR ARTERY APPROACH AND VICE VERSA IN THE SAME SETTINGS AFTER THE PRIMARY FOREARM APPROACH HAS FAILED? REPORT OF TWO CASES FOR “PRO”
Stajic Z., Dincic D., Romanovic R., Tavciovski D., Mijailovic Z., Vucinic Z.

RIGHT UPPER EXTREMITY POSITION AND OPERATOR RADIATION EXPOSURE DURING RIGHT RADIAL ACCESS CORONARY ANGIOGRAPHY?
Pancholy SB, Boruah P, Ahmed I, Patel TM

Radial & Non-Coronary Intervention
THE EFFECTIVENESS AND SAFETY OF ALCOHOL SEPTAL ABLATION PERFORMED TRANSRADIALY
Brtko M., Polansky P., Stasek J., Bis J., Vojacek J., Dusek J., Tuna M., Praus R., Jakl M.

THE TRANSRADIAL APPROACH FOR CAROTID ARTERY STENTING
Etxegoien N., Rhyne D., Kedev S., Sachar R., Mann T.

Radial Approach in the World
DOES ACCESS SITE INFLUENCE MORTALITY FOLLOWING PCI – A RETROSPECTIVE ANALYSIS OF THE BRITISH CARDIOVASCULAR INTERVENTION SOCIETY PCI DATABASE.
Ratib K, Routledge H.C, Mamas M.A,, Arnous S, Fraser D, Ludman, P.F, Nolan J.

DOES CENTRE VOLUME OF TRANSADIAL ACCESS INFLUENCE OUTCOME? DATA FROM THE BRITISH CARDIOVASCULAR INTERVENTION SOCIETY
Ratib K, Routledge H.C, Mamas M.A, Arnous S, Fraser D, Ludman, P.F, Nolan J.

THE CURRENT EXPERIENCE WITH RADIAL APPROACH IN MACEDONIA
Kedev S, Antov S, Kalpak O

COMPARISON OF TRANSRADIAL AND FEMORAL APPROACHES FOR PERCUTANEOUS CORONARY INTERVENTIONS: A HIERARCHICAL BAYESIAN META-ANALYSIS
Olivier F. Bertrand, Patrick Belisle, Dominique Joyal, Olivier Costerousse, Sunil V. Rao, Sanjit Jolly, David Meerkin, Lawrence Joseph

TRANSRADIAL APPROACH FOR CORONARY ANGIOGRAPHY AND INTERVENTIONS: RESULTS OF THE FIRST INTERNATIONAL TRANSRADIAL PRACTICE SURVEY
OF Bertrand, S Rao, S Pancholy, S Jolly, J Rodés-Cabau, É Larose, M Hamon, O Costerousse, T Mann

Ongoing Clinical Trials
NEW COCKTAIL TO PREVENT CLINICAL SPASM IN TRANSRADIAL INTERVENTION
Goldsmit A., Sztejfman C., Chiminela F., Sztejfman M., Bettinotti M.

 

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