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Transradial Angioplasty at TCT 2010

Transradial Session Overflows into hallway at TCT 2009
The Transradial Session at
TCT 2009 overflowed
into the hallway

September 13, 2010 -- This year's Transcatheter Cardiovascular Therapeutics (TCT) meeting, being held in Washington DC on September 21-25, will be hosting a number of sessions featuring the transradial approach to angioplasty, in which a catheter is inserted through the radial artery in the wrist instead of the femoral artery in the groin.

Last fall's TCT in San Francisco saw attendance at the transradial session swell from the scheduled 130 seat conference room to almost 400 cardiologists, overflowing into a hastily arranged neighboring room, as well as standing in the corridor outside (see our editor's blog posting, "SRO at the Wrist Angioplasty Seminar -- Transradial is Hot").

In response to this increasing interest in transradial from both patients and cardiologists, as well as the growing body of clinical evidence demonstrating lower complication rates with the wrist approach, the TCT is kicking off Thursday's Concurrent Sessions with a four-hour program, titled "Transradial Angiography and Intervention."

The full program agenda is listed below, and covers subjects from patient comfort to cath lab set up, economic impact, complications and reviews of the latest clinical trials.

The presenters include leading interventional cardiologists in the U.S., Canada and the United Kingdom who practice the transradial approach, many of whom are profiled in Angioplasty.Org's "Transradial 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.

    Radial artery diagram

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 Friday, titled "America, Transradial is Here: Clinical and Economic Considerations". You can register for the evening symposium here.

The transradial events for TCT 2010 are listed below:

(printer-friendly schedule)

Thursday, September 23, 2010
8:00am-12:00noon -- Concurrent Session
"Transradial Angiography and Intervention"
Location: Washington Convention Center Room 145AB

Session I: Core Concepts


PCI Bleeding Complications: Impact of Pharmacology and Access Site Selection
Lecturer: Sunil V. Rao


Transradial Approach to PCI: Patient Comfort and Cost Considerations
Lecturer: David E. Kandzari


Global Adoption of the Transradial Approach: The Changing Landscape
Lecturer: Olivier F. Bertrand


Discussion with Audience Q&A
Panel Moderators: Tift Mann, Martial Hamon
Discussants: David E. Kandzari, Sunil V. Rao, Olivier F. Bertrand

Session II. Transradial Intervention Essentials

8:45am   Patient Setup and Essential Equipment
Lecturer: Ramon Quesada

8:55am   Navigating the Chest Vasculature and Accessing the Coronaries
Lecturer: Martial Hamon

9:05am   Radial Artery Hemostasis: Equipment, Method and Outcomes
Lecturer: Samir Pancholy

9:15am   Fate of the Accessed Radial Artery: Occlusion Rates, Re-Accessibility, and Suitability for Bypass Grafts
Lecturer: Tift Mann

9:25am   Major Concerns of the Radial Approach: Radial Artery Spasm, Stroke, and Radiation Exposure
Lecturer: James Nolan

9:35am   Complications of TRI and Their Management
Lecturer: Ronald Caputo

9:45am   Discussion with Audience Q&A
Panel Moderators: Ramon Quesada, Mauricio G. Cohen
Discussants: Tift Mann, Martial Hamon, James Nolan, Ronald Caputo, Samir Pancholy

Session III. Complex Patients and
Advanced Transradial Intervention

10:00am   TRI in High-Risk Patients: Women, the Elderly and Acute Coronary Syndromes
Lecturer: Kimberly A. Skelding

10:10am   Last Remaining Vessel, Graft Interventions, Bifurcations
Lecturer: David J. Hildick-Smith

10:20am   Use of Sheathless Guiding Catheters for TRI
Lecturer: Doug G. Fraser

10:30am   Transradial Approach to Noncoronary Vascular Intervention
Lecturer: Christopher J. Cooper

10:40am   Discussion with Audience Q&A
Panel Moderators: Ian C. Gilchrist, Sunil V. Rao
Discussants: Christopher J. Cooper, David J. Hildick-Smith, Kimberly A. Skelding, Doug G. Fraser

Session IV. Clinical Trials, Registries and
Evidence-Based Medicine

10:55am   The RIVAL Trial
Lecturer: Sanjit S. Jolly

11:05am   The EASY-B2B Trial
Lecturer: Olivier F. Bertrand

11:15am   The TREATT Registry
Lecturer: Sunil V. Rao

11:25am   Radial vs. Femoral Access for STEMI
Lecturer: Christopher Pyne

11:35am   Transradial PCI and Same-Day Discharge: The Guidelines and the Evidence
Lecturer: Ian C. Gilchrist

11:45am   Discussion with Audience Q&A
Panel Moderators: Mitchell W. Krucoff, Olivier F. Bertrand
Discussants: Ian C. Gilchrist, Sunil V. Rao, Sanjit S. Jolly, Christopher Pyne


Thursday, September 23, 2010
"Transradial Intervention:
Complex Case Reviews (Yes, They Can Be Done!)"

Location: Washington Convention Center Room 144B


Thursday-Saturday, September 23-25, 2010
"Tips and Tricks for a Successful Transradial Program"
Sponsored by Terumo Medical

Location: ongoing in Exhibit Hall Training Pavilions (right next to Terumo Booth #2066)

Register Online for the Training Pavilion

Overview -- How to start a transradial program: from patient positioning to challenging cases.

In each one hour session for Thursday and Friday, Physicians will partake in didactic training, to include tips and tricks, equipment usage, pharmacology, and patient, physician and hospital benefits. In addition, the physician will practice cases and learn access techniques with Transradial simulators. The Saturday session will be all hands-on simulator and hemostasis techniques along with procedural anticoagulation therapies.

Thursday and Friday Sessions at 9:00am, 10:00am, 11:00am, 1:00pm, 2:00pm, 3:00pm and 4:00pm

Saturday Sessions at 9:00am, 10:00am, 11:00am, 1:00pm


Friday, September 24, 2010
"America, Transradial Is Here:
Clinical and Economic Considerations"

Evening Satellite Symposium, sponsored by Terumo Medical
Location: Grand Hyatt Washington, 1000 H Street NW, Washington, DC 20001, Constitution Ballroom

Register Online for this Special Event!




In an interactive roundtable forum with live audience participation, leading faculty will discuss:

  • Current perspectives on transradial interventions
  • Emerging clinical insights on facilitating optimal outcomes with fewer vascular access complications
  • Economic considerations facing cardiovascular departments in the current economic climate


Mitchell W. Krucoff, MD, FACC, FAHA
Faculty Chair and Moderator
Professor, Medicine/Cardiology
Director, Cardiovascular Devices Unit
Director, ECG Core Laboratory
Duke University Medical Center / Duke Clinical Research Institute
Durham, NC

David J. Cohen, MD, MSc
Director, Cardiovascular Research
Saint Luke's Mid America Heart Institute
Kansas City, MO

Nancy Foster
Vice President, Quality and Patient Safety Policy
American Hospital Association
Washington, DC

Donna Hall, RN
Administrative Director, Cath Lab
St. Vincent's Heart Center
Indianapolis, IN

David W. Mathias, MD
Interventional Cardiology
Aurora BayCare Medical Center
Green Bay, WI

Sunil V. Rao, MD, FACC, FSCAI
Assistant Professor of Medicine
Duke University Medical Center
Director, Cardiac Catheterization Laboratories
Durham VA Medical Center
Durham, NC


For more information, contact Rosalind Norris at or call 800-237-7285, ext. 237


Reported by Burt Cohen, September 13, 2010