Presentations
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Procedural Trends Associated with Successful Initiation of a Transradial Program at an Academic Training Institution Usman Javed, MD Interventional Cardiology Fellow University of California, Davis |
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An Overview of Transradial Patient Set-up Susan R. Cooney RN,BSN,CCRN Durham VAMC Cardiac Catheterization Lab Duke University School of Nursing |
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Comparative Effectiveness of Radial Access and Bivalirudin on PCI-Related Bleeding Events in the NCDR® CathPCI Registry® Marso et al. ACC/i2 Scientific Sessions 2010; abstract 2505-458 |
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Transradial Intervention and Guide Catheter Selection – Procedure with a Purpose David E. Kandzari, MD Piedmont Heart Institute, Atlanta |
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How to Start a Successful Transradial Program Mauricio G. Cohen, MD, FACC University of Miami Hospital |
Email this pageRecent Questions/Answers
I routinely administer 4-5,000 U heparin into the radial sheath immediately after getting access. In one of Dr. Rao's videos, it is recommended to delay this until aortic root access is obtained in case of radial loops, etc. How early after sheath placement would radial occlusion occur? And so, does it matter if heparin is administered immediately after sheath placement vs. waiting until the root is reached, or even waiting until the coronaries are imaged?
I typically use right radial access even when patients have LIMA grafts, because I believe that my radiation exposure (as opposed to total fluoroscopy time) is increased by using left radial access and leaning across the patient (I am 5'7" tall). I only use the left side when I must, as I find standing on the patient’s left side with the monitor at his or her feet to be more awkward. What are your favorite catheters for left subclavian access via the right radial?
