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Transradial Angioplasty Activities at TCT 2009

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September 16, 2009 -- This year's Transcatheter Cardiovascular Therapeutics (TCT) meeting in San Francisco will host a number of symposia and workshops highlighting the growing use of the transradial (wrist) approach to angioplasty, stenting and diagnostic catheterizations.

The centerpiece of the weeklong activities is "The Transradial Angiography and Intervention Seminar" comprising an entire afternoon with twenty-three separate presentations by global leaders in the field.

Three years ago, Angioplasty.Org created the "Radial Access Center": a special section, dedicated to promoting and informing professionals and patients about the transradial approach to PCI, a procedure used 40-50% of the time worldwide, yet only 3-5% of the time in the United States. Since then, U.S. interest in the transradial approach has been steadily growing, aided by a number of clinical studies showing a safety advantage to the technique. However, past national meetings have offered little or no information or training to healthcare professionals about transradial. This year's TCT marks a definite and welcome change to the status quo and will provide an impetus for the continuing growth of transradial PCI in the U.S.

In addition to the scheduled activities that are part of the TCT, Terumo Interventional Systems, manufacturer of radial-specific equipment, will be sponsoring a special evening dinner symposium on Thursday, titled "Transradial PCI: America is Ready. Are You?". You can register for the evening symposium here.

The main events are listed below:

Monday, September 21, 2009
10:00am -- part of Session II of Chronic Total Occlusions: Basic and Expert Techniques: The Antegrade Forum
"Is the Transradial Approach a Reasonable Option for Most CTOs? Data and Cases"
Location: Moscone Center Room 134
Lecturer: Takaaki Katsuki

Tuesday, September 22, 2009
"The Transradial Angiography and Intervention Seminar"
Location: Moscone Center Room: 120

Session I: The Essentials of Transradial Intervention


The Mandate for Transradial Intervention 1: Randomized Trials and Meta-Analysis
Lecturer: Sanjit S. Jolly


The Mandate for Transradial Intervention 2: Registries and Observational Studies
Lecturer: Alexander J Chase


Challenges to the US Adoption of Transradial Intervention: Why Is It Not Catching On?
Lecturer: Jeffrey J. Popma


Discussion with Audience Q&A
Panel Moderators: Martial Hamon, Tift Mann
Discussants: Alexander J Chase, Sanjit S. Jolly, Jeffrey J. Popma

1:59pm   Transradial Intervention Core Knowledge: Patient Selection, Anatomic Variations, Catheters and Technique, Pitfalls, and Tip and Tricks
Lecturer: Martial Hamon

2:19pm   Case Reviews in Transradial Intervention: Recognizing and Overcoming Basic Problems
Lecturer: Ramon Quesada

2:34pm   Focus Issue 1: Guide Catheter Selection
Lecturer: Olivier F. Bertrand

2:44pm   Focus Issue 2: Nonocclusive and Occlusive Radial Artery Injury
Lecturer: Tift Mann

2:54pm   Focus Issue 3: Should Transradial Intervention be Considered to Reduce the Risk of Stroke?
Lecturer: Martial Hamon

3:04pm   Focus Issue 4: Does Transradial Intervention Impact Radiation Exposure?
Lecturer: James Nolan

3:14pm   Focus Issue 5: Frequency, Prevention, Recognition and Management of Complications From Transradial Intervention
Lecturer: Ian C. Gilchrist

3:29pm   Case Reviews: Transradial Complications
Case Presenter: David J. Hildick-Smith

3:44pm   Discussion with Audience Q&A
Panel Moderators: Martial Hamon, Tift Mann
Discussants: Olivier F. Bertrand, Ian C. Gilchrist, David J. Hildick-Smith, James Nolan, Ramon Quesada

Session II. The Advanced Transradial Intervention Program

3:59pm   Strategies for Complex Coronary Transradial Intervention (Left Main, Bifurcations, CTO, etc.): Case Reviews
Case Presenter: Vladimir Dzavik

4:14pm   Strategies for High-Risk Coronary Transradial Intervention (STEMI, NSTEMI, Heart Failure, and Shock): Case Reviews
Lecturer: Olivier F. Bertrand

4:29pm   Ulnar Artery Access
Lecturer: Mark W. Burket

4:39pm   Right Heart Catheterization
Lecturer: Ian C. Gilchrist

4:49pm   Transradial Rotational Atherectomy
Lecturer: Keith G. Oldroyd

4:59pm   Transradial Intervention in the Octogenarian: Caveats and Tips and Tricks
Lecturer: Sunil V. Rao

5:09pm   Transradial Intervention in Women: Caveats and Tips and Tricks
Lecturer: Christian Pristipino

5:19pm   Carotid Transradial Intervention: Patient Selection, Technical Aspects, and Outcomes
Lecturer: Tift Mann

5:31pm   Renal Transradial Intervention: Feasibility and Safety
Lecturer: Christopher J. Cooper

5:43pm   Discussion with Audience Q&A
Panel Moderators: Olivier F. Bertrand, Tift Mann
Discussants: Mark W. Burket, Christopher J. Cooper, Vladimir Dzavik, Ian C. Gilchrist, Keith G. Oldroyd, Christian Pristipino, Sunil V. Rao


Wednesday, September 23, 2009
9:36am -- part of Challenging Case Forum: Challenging Bifurcation Cases
"IVUS-Guided Trifurcation Intervention with Transradial Approach"
Location: Moscone Center Hall D
Lecturer: Speaker Guest

2:48pm -- part of Session I. Coronary Atherectomy -- Plaque Modification and Debulking in the Coronary and Peripheral Circulations: Atherectomy, Cutting Balloons, and Laser
"Transradial Rotational Atherectomy"
Location: Moscone Center Room 133
Presenter: Presenter: Keith G. Oldroyd

5:20pm -- part of Session VI. STEMI I. Optimizing Primary PCI Outcomes
"The Radial Approach in STEMI: Rationale, Feasibility, and Outcomes"
Location: Moscone Center Room 135
Lecturer: Gilles Montalescot


Thursday, September 24, 2009
9:28am -- part of Session III. Current Choices in Antithrombin Therapy for ACS and PCI -- Antithrombin Alternatives: Low Molecular Weight Heparins, Direct Anti-Thrombins, Xa Inhibitors and Emerging Agents
"Perspectives on Antithrombin Selection for PCI Using the Radial vs. Femoral Approach: Do the Priorities Change?"
Location: Moscone Center Room 135
Lecturer: Sunil V. Rao

7:00pm - 10:00pm -- Evening Satellite Symposium, sponsored by Terumo
"Transradial PCI: America is Ready. Are You?"
Location: Hilton San Francisco, 333 O'Farrell Street, San Francisco CA 94102

Register Online for this Special Event!

"Transradial PCI: America is Ready. Are You?"






Welcome and Introduction
Gregg W. Stone, MD, Faculty Chair and Moderator
Professor of Medicine
Director of Research and Education, Center for Interventional Vascular Therapy, New York-Presbyterian Hospital, Columbia University Medical Center, The Cardiovascular Research Foundation, New York, NY


Transradial Intervention Is Necessary in the Modern Era
Jeffrey J. Popma, MD, FACC
Director, Innovations in Interventional Cardiology, Senior Attending Physician, Beth Israel Deaconess Medical Center, Associate Professor of Medicine, Harvard Medical School, Boston, MA


Transradial Intervention Can Better Manage QOL and Economics by Reducing Bleeding Complications
Sunil V. Rao, MD
Assistant Professor of Medicine, Duke University Medical Center, Director of Cardiac Cath Lab, Durham VA Medical Center, Durham, NC


Transradial Intervention to Manage STEMI
Craig A. Thompson, MD, MMSc
Director, Invasive Cardiology and Vascular Medicine, Associate Professor of Medicine, Yale University School of Medicine, New Haven, CT


Starting a Successful Transradial Intervention Program
Jennifer Tremmel, MD
Clinical Director, Women’s Heart Health at Stanford, Director, Secondary Prevention Program, Interventional Cardiology, Stanford, CA

9:30pm   Panel Discussion / Q&A




Friday, September 25, 2009
11:36am -- part of Challenging Case Forum: Complex Endovascular Cases
"Transradial Carotid Stenting in a Patient With Bovine Arch Prosthesis"
Location: Moscone Center, Hall D
Lecturer: Speaker Guest

2:12pm -- part of Session I. Femoral Artery Access and Complications: Femoral Access and Vascular Closure Devices
"Why Femoral Access Still Dominates: The Case for Femoral Over Radial Artery Access"
Location: Moscone Center Room 134
Lecturer: S. Chiu Wong

2:24pm -- part of Challenging Case Forum: Complex Chronic Total Occlusions
"CTO Angioplasty with a Radial Approach and 4 Fr Guiding Catheters"
Location: Moscone Center, Hall D
Lecturer: Speaker Guest

Reported by Burt Cohen, September 16, 2009