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Transradial Approach to Angioplasty and Stenting to be Featured at SCAI 2010 Annual Meeting

Samir B. Pancholy, MD
Samir B. Pancholy, MD
    March 30, 2010 -- "There's been a surge of interest in the transradial approach over the past year," according to Dr. Samir B. Pancholy, Associate Professor of Medicine, Commonwealth Medical College in Scranton, Pennsylvania. Commenting to Angioplasty.Org, Dr. Pancholy said he expected an overflow audience at the transradial sessions being held at this year's SCAI 33rd Annual Scientific Sessions in San Diego. Similar sessions at last fall's TCT and this year's ACC meetings resulted in a hundred or more cardiologists standing in the corridors, listening to the audio feed.

What is driving this interest in the transradial approach to coronary interventions -- a procedure where the radial artery in the wrist is used for catheter access instead of the femoral artery in the groin? Dr. Pancholy opined, "Perhaps it's because of our group [of radialists] and our presence, handing out brochures and having meetings. But perhaps more, it's because of the volume of data that's been accumulating about patient comfort and safety, the lower bleeding complications and the increasing concern about hemorrhagic complications of the transfemoral approach, which often cause worse outcomes than, for example, a micro-heart attack that may occur during the procedure."

"The Society for Cardiovascular Angiography and Interventions has always been on the leading edge for the interventional community," Pancholy recounted. "Five years ago, SCAI held its first meeting on transradial. It was an hour session in a small conference room. Four of us showed up." In contrast, at this year's annual meeting, being held May 5-8 at the Hilton San Diego Bayfront, two major concurrent sessions on transradial are on the agenda. Both are aimed at an audience of cardiologists who primarily practice the femoral approach (currently 95% of all cases are done from the groin).

The first session on Wednesday morning, May 5, is a half-day "Transradial Mini-Course" and is directed primarily at interventional cardiologists and fellows who are already interested in trying the transradial approach. This will be more of a how-to session with instruction on catheter selection, arterial puncture, tips and tricks, etc. -- eight presentations by experienced transradial operators, including Dr. Tejas Patel of India, perhaps the most experienced radialist in the world.

The second session, being held on Friday afternoon, is titled, "Arterial Access with Focus on Transradial Approach" and is more of an introductory overview of the benefits and features of performing catheter-based interventions from the wrist. Co-moderator Dr. Tift Mann of Wake Heart Associates in North Carolina invites all interventional cardiologists to attend the session to find out why the technique is so widely used in other countries. He says, "In France, for example, 50% of all interventional procedures are done transradially. In the U.S., I think the latest number I saw was less than 5%.... We're hoping that what people will get out of the session is some degree of enthusiasm for learning this approach and bringing it into their own labs. We'll be talking about the benefits and the reasons why we use it."

A complete schedule of the two sessions follows:

Transradial Mini-Course
Wednesday, May 5, 2010
Moderators: John T. Coppola, MD, FSCAI and Jeffrey J. Popma, MD, FSCAI
8:00am Samir B. Pancholy, MD, FSCAI Patient Selection and Puncture Technique / Radial Cocktail
8:20am Christopher Pyne, MD, FSCAI
8:40am Ronald P. Caputo, MD, FSCAI Catheter Selection for Angiography / PCI
9:00am Tejas Patel, MD, FSCAI Tips and Tricks for Adverse Anatomy
9:30am Kimberly Skelding, MD, FSCAI Post-Procedural Care and Complications
10:00am   BREAK
10:15am Ian C. Gilchrist, MD, FSCAI Right Heart Catheterization
10:45am Jennifer Tremmel, MD, FSCAI How to Start a Transradial Program
11:15am Sunil V. Rao, MD, FSCAI Outcome Improvement / Cost Effectiveness
11:45am   Q & A
noon   LUNCH


Arterial Access with Focus on Transradial Approach
Friday, May 7, 2010
Moderators: Robert J. Applegate, MD, FSCAI and Tift Mann, MD
3:30pm Robert J. Applegate, MD, FSCAI The Role for Femoral Artery Access in a Transradial World
3:45pm Kimberly A. Skelding, MD, FSCAI Getting Through the Learning Curve of Transradial Cath and Intervention
4:00pm Tift Mann, MD The Silent Complications: Radial Occlusion and Injury
4:15pm Olivier Bertrand, MD Guide Catheter Selection for Transradial Interventions: Simple to the Complex
4:30pm Christopher Pyne, MD, FSCAI Transradial Approach for Acute MI
4:45pm Sunil V. Rao, MD, FSCAI The Economics of Transradial Cath and Intervention
5:00pm   END

More information about the SCAI 2010 33rd Annual Scientific Sessions, as well as online registration, can be found at

About The Radial Access Center on Angioplasty.Org
To assist in educating the professional and patient population in the U.S. about the this technique, Angioplasty.Org created the "Radial Access Center for Transradial Approach" in 2007, a special section devoted to information and news about the transradial technique, for both patients and physicians. The Radial Center features interviews with leading practitioners of the radial technique, such as Drs. Jeffrey Popma, Sunil Rao, John Coppola, Shigeru Saito, Jennifer Tremmel and Howard Cohen. The section also maintains a listing of upcoming training courses in the transradial approach.

For patients there is also a "Hospital Locator" that lists U.S. centers practicing radial angiography. As Dr. Howard Cohen of Lenox Hill Hospital in New York says of the wrist technique, "Patients really prefer it. 95% of people who've had it both ways would say 'I'm coming back to you, Dr. Cohen because I like this transradial a lot better than the other way!'

Reported by Burt Cohen, March 30, 2010