Category Archives: Global Trends

For Transradial Angioplasty, “Slender and Lean” in the Netherlands

Slender Club Europe 2014: a new initiative of Slender Club Japan

Slender Club Europe 2014: a new initiative of Slender Club Japan

A criticism from some cardiologists of the transradial approach, in which diagnostic angiography and percutaneous interventions (angioplasty and stents) are performed through the radial artery in the wrist, has been that the radial artery is too small to permit successful navigation of the various sheaths, wires and catheters. Of course, it’s been more than two decades since Dr. Ferdinand Kiemeneij successfully opened a blocked coronary artery via the wrist and today, in many parts of the world, half of all procedures are done this way. Continue reading

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Filed under Europe, Global Trends, Innovators, Japan, Meetings & Conferences, Transradial Approach

AIM-RADIAL International Master Class in New York

Dr. Olivier Bertrand

Dr. Olivier Bertrand

For the next three days, scores of interventional cardiologists will be gathering in New York City for the Second Annual AIM-RADIAL Master Class where they will hear talks, engage in roundtable discussions, watch live case demonstrations, and be thoroughly immersed in advanced state-of-the-art techniques, the latest data and the most current evidence-based medicine regarding all aspects of the transradial technique for diagnostic angiography and percutaneous interventions. Continue reading

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Filed under Global Trends, Innovators, Meetings & Conferences, Transradial Approach

Past, Present & Future of Transradial Angioplasty with Dr. Ferdinand Kiemeneij

Dr. Ferdinand KiemeneijOn the occasion of the 20th anniversary of transradial intervention (TRI), I talked with Dr. Ferdinand Kiemeneij, “the father of transradial intervention” who practices interventional cardiology at Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, The Netherlands.

We covered a wide range of topics regarding TRI, where angioplasty and stents are placed via the wrist, and we’ve just posted the two-part interview on Angioplasty.Org. Continue reading

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Filed under Cost Effectiveness, Global Trends, History, Innovators, Interviews, Japan, Patient Experience, Stent, Transradial Approach

Training is Key to Adoption of Transradial Wrist Approach to PCI

J. Dawn Abbott, MD

J. Dawn Abbott, MD

An Editor’s perspective piece about the transradial (wrist) approach to angioplasty and stents appears in the current issue of “Circulation: Cardiovascular Interventions.”

Penned by Associate Editor J. Dawn Abbott, MD, the article, titled “Diffusion of Innovations and Adoption of Transradial Intervention,” explores why it has taken so long (and continues to) for the transradial approach to be adopted widely in the U.S., given that the evidence from clinical trials has been clear, and that the economic and patient comfort benefits are evident. Continue reading

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Filed under Global Trends, Innovators, Transradial Approach

Oldest Stent Patient is Also Oldest Transradial Patient

Dr. Purshotam Lal and his 104-yr-old patient, Hari Singh

Dr. Purshotam Lal and his 104-yr-old patient, Hari Singh

Pretty amazing! Last week a 104-year-old man from Noida, India became reportedly the oldest patient ever to receive an angioplasty and stent. As reported in the Hindustan Times, Hari Singh was admitted to Metro Hospital and Heart Institute on May 16 with chest pain. Angiography showed two 100% totally occluded arteries and a 90% blockage near the origin of his Left Anterior Descending (LAD) artery.

Dr. Purshotam Lal, MD, FACC, FSCAI, who is the Director of Interventional Cardiology and Chairman, Metro Group of Hospitals, knew that his patient would probably only survive for a very short time if he did nothing. So he performed an angioplasty and stent implantation on Mr. Singh…and he went in through the left wrist, the transradial approach, to reduce discomfort to his patient and minimize the possibility of bleeding and vascular complications. Continue reading

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Filed under Global Trends, Patient Experience, Patients, Stent, Transradial Approach, Video

Transradial Approach Surging in the U.S.

Radial DiagramInterventional cardiologists…listen up!!

Stent and angioplasty procedures in the United States are now done through the wrist 15-20% of the time. This is a big change!

Angioplasty.Org started its Transradial Center six years ago. At that time maybe 2-3% of procedures in the United States were done via the wrist. Virtually all diagnostic angiograms and PCIs (angioplasty or stent procedures) were being done via the femoral (leg/groin) artery, a technique invented and refined by Dr. Melvin Judkins over a half century ago. Continue reading

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Filed under Global Trends, Transradial Approach

European Society of Cardiology: “Transradial Access Should Be 1st Choice for Angioplasty”

Transradial Wrist ApproachThis is very big news.

Today the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the Acute Cardiovascular Care Association (ACCA) and the Working Group (WG) on Thrombosis of the European Society of Cardiology (ESC) published their joint consensus document on the radial approach to PCI, online ahead of print in EuroIntervention. Continue reading

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Filed under Clinical Trials / Studies, Cost Effectiveness, Global Trends, Patient Experience, Patients, Transradial Approach