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Transradial Angioplasty Summit Comes to Chicago

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Chicago Transradial Summit

Sandeep Nathan, MD
Sandeep Nathan, MD
University of Chicago Medical Center
    November 18, 2010 -- One of the limiting factors for the U.S. adoption of the transradial approach to catheterization, angioplasty and stenting has been the relatively small number of practitioners who are trained in this technique. As more and more patients and referring physicians learn about the advantages of using the radial artery in the wrist, there will be increased demand -- which is why training courses are suddenly appearing throughout the United States on a monthly basis. The latest course, the Chicago Transradial Summit, will be held on Saturday, December 4, 2010. Course Program Chair. Dr. Sandeep Nathan, Director of the Interventional Cardiology Fellowship Program at the University of Chicago Medical Center, describes the agenda:

"This program is designed to provide a practical, in-depth exposure to performance of the technique, its application in various key patient subsets, relevant technical considerations, and management of complications. Included will be examination of the recently published data, presentation of archived cases with expert commentary, and discussion of current controversies in the field. Importantly, attendees will also gain practical, hands-on experience using transradial medical simulation and exposure to an array of dedicated transradial equipment. This year's theme is 'Perfecting Your Transradial Technique' and will focus on bringing our audience practical, straightforward information needed to begin or expand a transradial practice through the use of targeted presentations, high-definition case video, and interactive discussions with our expert panelists representing physicians, nurses, and fellows."

The paradox of angioplasty today is that, while 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, which is related to the vascular access site in the groin more than 50% of the time. In Europe and other countries around the world, the radial artery in the wrist accounts for a significant number of procedures: it is the preferred choice for many cardiologists. 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. So courses such as the Chicago Transradial Summit are one of the few ways in which cardiologists in the U.S. can gain this knowledge.

Registration for the Chicago course was already oversubscribed, but the organizers report that they have been able to increase the limit somewhat, so interested physicians, technicians and nursing staff are urged to register soon (the recent SCAI-sponsored course in Boston filled quickly and many potential attendees had to be turned away).

For more information or to register, email cts@pameas.org or call 888.508.8554

Chicago Transradial Summit
December 4, 2010, Swissτtel -- Chicago

7:00am      Continental breakfast, registration

7:45am   Welcome
Sandeep Nathan, MD

Transradial Technique

8:00am   Transradial Room Setup and Patient Preparation
Moderator: Sandeep Nathan, MD
Panel: Mauricio Cohen, MD, Ian Gilchrist, MD, Sandra A. Weiss, MD, Janet Karol, MSN


8:30am   Gaining Transradial Access
Moderator: Mauricio Cohen, MD
Panel: Sandeep Nathan, MD, Ian Gilchrist, MD

9:00am   Transradial Techniques for Navigating the Arm and Arterial Vasculature
Moderator: Sandeep Nathan, MD
Panel: Mauricio Cohen, MD, Ian Gilchrist, MD

9:30am   Break

9:45am   Catheter Selection for Transradial Access
Moderator: Mauricio Cohen, MD
Panel: Sandeep Nathan, MD, Ian Gilchrist, MD

10:15am   Right Heart Studies via the Forearm Veins
Moderator: Ian Gilchrist, MD
Panel: Sandeep Nathan, MD, Mauricio Cohen, MD

10:45am   Transradial Hemostasis and Post-Procedural Care
Moderator: Sandeep Nathan, MD
Panel: Mauricio Cohen, MD, Ian Gilchrist, MD, Sandra A. Weiss, MD, Janet Karol, MSN

11:15am   Managing Transradial Complications
Moderator: Ian Gilchrist, MD
Panel: Sandeep Nathan, MD, Mauricio Cohen, MD

Noon - 1:00pm

  Lunch

Making Transradial Work

1:00pm   How to make Transradial work: Dealing with administration, colleagues, staffing issues, workflow, logistics, and patients - Q&A with the Panelists
Panel: Sandeep Nathan, MD, Mauricio Cohen, MD, Ian Gilchrist, MD, Sandra A. Weiss, MD, Janet Karol, MSN

1:30pm   Transradial Case Reviews
Panel: Sandeep Nathan, MD, Mauricio Cohen, MD, Ian Gilchrist, MD, Sandra A. Weiss, MD, Janet Karol, MSN

2:30pm - 5:00pm   Transradial Simulation Workshop & Transradial Technology Fair

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, Mauricio Cohen, John Coppola, Shigeru Saito and Jennifer Tremmel. 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, November 18, 2010