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March
27,
2011 -- 8:22pm EDT
Transradial Cath in Bakersfield
I'm
always keeping an eye on the growing number of news stories about
a "revolutionary new way
to open the coronary arteries": the transradial approach,
that is, where the radial artery in the wrist is used as the entry
point
for catheters, angioplasty balloons and stents. This
latest TV report was broadcast Friday on KGET-TV, Channel 17
in Bakersfield, California.
It's a good report because it not only interviews
Dr. Tommy Lee, the interventional cardiologist who has started
doing radial caths (about
100 so far) because he feels it is safer, but it has a couple
patients talking about their experience. Dr. Lee states in the broadcast
that he believes radial is the future of cardiac catheterization:
"We've done over a 100 procedures here
at [Bakersfield] Memorial now and we've had no bleeding complications
-- the patients just love the results."
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Of course, a cardiologist in Europe might look at this broadcast and smile,
because transradial to a European cardiologist (or a Chinese, Japanese
or Indian cardiologist) is neither new nor revolutionary -- in OUS
(Outside the United States) the transradial approach is used 40-50%
of the time. Many cardiologists use it 90%. It's just that it has
taken a long time for this approach to be accepted in the U.S. (You
can read all about this in Angioplasty.Org's
Transradial Center.)
But this technique, first described in 1989 by Montreal
cardiologist Dr. Lucien Campeau, finally is catching on in the U.S.
-- the chief advantages are reduction in bleeding complications,
comfort for the patient and cost-savings for the healthcare system
(since the complications are lower and patients can be safely discharged
the same day).
BTW, a shout-out to Cindy Welch, whose blog "Designs
from the Heart" is
where I first saw this interview.
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