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May
4,
2010 -- 3:37pm EDT
Where Can I Get a Stent or Angioplasty
Done Through the Wrist?
At
Angioplasty.Org,
we've hosted a special
section on the Transradial Approach for angioplasty and cardiac
catheterization since 2007. In Europe and many
countries around the world, almost half of catheter-based procedures
are done using the radial artery in the wrist, instead of the femoral
artery
in the
groin.
But in the United States, the wrist approach is
utilized in less than 5% of cases. The reason is public education and
professional training: patients don't know about it; many cardiologists
haven't learned how to do it. Cardiologists are trained in fellowship
programs and since most fellowship programs don't have "radialists"
on the team, new cardiologists never learn the technique.
But this is changing. There's been an uptick in
interest certainly, but also in numbers. Still the U.S. lags behind.
Which is why Angioplasty.Org offers two important pages: one, for
cardiologists and staff, is a
list of training opportunities --
usually one or two day courses to learn about the wrist technique
and to even get some "hands on" experience (pun intended).
But patients, who are about to have an angiogram
or angioplasty or stent placement, should look over our Radial
Hospital Locator -- a listing of scores of hospitals and practitioners
who offer the radial approach. (And if you are a transradial cardiologist
and are not listed, add your hospital or practice here.)
Why should patients want to have their procedure done via the wrist? A
few benefits are:
- lower (or no) bleeding complications;
- greater patient comfort;
- immediate ambulation -- patients can sit up and walk
right after the procedure;
- safe for outpatient procedures -- because the "hidden" type of bleeding
complications don't occur in the radial approach, it is very safe
for the patient to go home the same day.
As Dr. Howard Cohen of Lenox
Hill Hospital in New York said to us about 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!"
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