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Transradial Angioplasty
Training at Duke University School of Medicine
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Sunil V.
Rao, MD and
Mitchell W. Krucoff, MD of
Duke University
Medical Center |
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May 25,
2010 --
Dr. Sunil V. Rao, one of the key researchers of access site
bleeding complications resulting
from angioplasty and stent placement,
has been a vocal proponent of the transradial (wrist) approach
to angioplasty, which minimizes or eliminates these complications.
Now Dr.
Rao and his
colleague, Dr. Mitchell W. Krucoff, have designed a two-day CME
training course in the transradial approach for clinical and
interventional cardiologists, as well as physicians and
technicians
involved
in the care of
patients.
Titled "Essentials
of Transradial Angiography and Intervention",
the course will be held on July 15-16, 2010 in Durham, North
Carolina. Featured guest faculty will be transradial
experts such as Dr. Tift Mann, Ian Gilchrist,
Samir Pancholy, David Kandzari and Christopher Pyne. The course
also will feature hands-on sessions with simulation
devices.
Dr. Rao told Angioplasty.Org, "We are very excited to
be holding our first transradial angiography and intervention
course.
There
is clearly
a tremendous
interest
in transradial right now and its use has increased significantly
over the past few years. A great way to get started with transradial
is to attend a formal course like ours." |
The conundrum of angioplasty procedures in the
U.S. today is that, while pharmacological therapy and device technology
has significantly reduced
the rate of procedural
complications
such as recurrent ischemia, infarction, and death,
the most common adverse event in patients undergoing
PCI is bleeding, 60% to 70% of which is related to the vascular access site.
While the predominant
site of vascular access for PCI is the femoral artery, the radial artery in the
wrist has
emerged as a feasible
and preferred site, virtually eliminating access site bleeding complications.
However,
registry data shows that the radial artery approach
is used in less than 3% of PCI procedures performed in the United States
as
compared
to 40%–50%
worldwide. The lower rate of use in the United States may be due to lack of operator
experience and comfort with the approach. So courses such as the Duke two-day
seminar are one of the few ways in which cardiologists in the U.S. can gain this
knowledge.
According to the organizers, the main topics that
will be covered are patient selection, optimal room set-up, pharmacological
options
for
dealing
with both
spasm
and thrombotic
complications, catheter choice, manipulation and complex lesions
and methods of dealing with challenging anatomy in the forearm and
chest.
At the conclusion of this course, participants
should be able to:
- Identify appropriate patient selection for the radial
approach to PCI with
a focus on
the Allen’s test and prior coronary bypass surgery;
- Identify appropriate room set-up to facilitate the performance
of PCI via the
radial approach;
- Describe pharmacological options to treat arterial spasm during
PCI via the radial artery
and pharmacological options for protection from thrombotic
complications during PCI;
- Describe technical aspects of PCI via the radial approach including
reviewing guide
catheter options, catheter manipulation, and treatment of complex lesions;
- Describe methods for dealing with challenging vascular anatomy
in the forearm and chest.
The course will be held at the R. David Thomas
Executive Conference Center in Durham. More information can be
found on the course web
site at http://www.dcri.org/research/meetings/transradial where
you can also register online.
A
PDF of the
program brochure can be found at http://www.dcri.org/research/meetings/transradial/Transradial_brochure.pdf.
For more information, contact Wendy
Sprintz of the Duke Clinical Research Institute (
DCRI) at (877) 707-2904, or email her at wendy.sprintz@duke.edu
Reported by Burt Cohen, May 25, 2010
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