Best Practices for Transradial Approach in Diagnostic Angiography and Intervention provides an innovative, patient-friendly approach to percutaneous coronary intervention, delivering authoritative guidance on the procedures, as well as solid evidence from clinical studies and experienced facilities. Learn from pioneers and experts in the field how you can improve patient care and optimize outcomes using this efficient and cost-effective technique. Increase your knowledge of the tremendous recent advancements to the transradial approach, and learn the clinical advantages and benefits of this approach compared with the standard femoral approach. Benefit from the combined knowledge of a team of worldwide experts who provide practical “tips and tricks” that help you make the most of this globally acknowledged technique in your practice. Gain insight into all relevant aspects of transradial coronary access, from basic facts and procedural details to complications and non-coronary interventions. Examine an up-to-date, in-depth review and critical analysis of data available in the literature.

This issue of Interventional Cardiology Clinics, edited by Sunil V. Rao, is devoted to Transradial Angiography and Intervention. Dr. Rao assembled a group of expert contributors to review the following topics: Diagnostic and Guide Catheter Selection and Manipulation for Radial Approach; Slender Approach and Sheathless Techniques; Transradial Primary PCI; Complications of Transradial Cardiac Catheterization and Management; The Transradial Learning Curve and Volume-Outcome Relationship; Strategies to Traverse the Arm and Chest Vasculature; The Transradial Approach and Antithrombotic Therapy: Rationale and Outcomes; Transradial Peripheral Arterial Procedures; and Radial Artery Access, Hemostasis and Radial Artery Occlusion.

This book outlines the state of the art in transradial intervention and illustrates case-based learning for the transradial access (TR access) technique, especially in complex lesions. Offering a practical guide, it includes essential tips and tricks on how to overcome anatomical complexities, how to avoid radial complications, multiple case-based learning for very complex PCI, etc. It also discusses the advantages of the TR intervention, such as reduced vascular access site complications and immediate patient mobilization. The authors, who work at respected transradial centers, share their extensive experience with TR intervention, providing a comprehensive review of current percutaneous interventions for cardiac surgeons and cardiothoracic surgical residents. Editor Yujie Zhou is a Professor at the department of Cardiology, Anzhen Hospital, Beijing, China. Editor Wei Liu is a physician at the same department. Editor Ferdinand Kiemeneij is an interventional cardiologist at Department of Cardiology, Tergooi Hospital, Blaricum, the Netherlands. Editor Shigeru Saito, FACC, FSCAI, FJCC, is the director of cardiology and Catheterization Laboratories, Shonan Kamakura General Hospital, Kamakura, Japan.

Transradial Access: Discover the Benefits, Understand the Procedure Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention offers a single source for both novice and experienced interventional cardiologists for safely and effectively performing transradial catheterization procedures. First described in 1989, the transradial approach for coronary angiography and percutaneous interventions has seen a constant and progressive increase around the world as a result of significantly reduced procedural complications, shorter hospital stays, increased patient satisfaction, and lower associated costs compared with the transfemoral approach. Yet despite its apparent benefits, adoption of this technique in the United States has been slow, largely due to the increased technical aspects of entering a smaller artery, accessing the central circulation and engaging the coronary arteries from this approach. In addition, until recently the technique was not routinely taught in the majority of training programs. This book flattens that learning curve by highlighting the technical aspects of transradial diagnostic and interventional procedures, and includes detailed discussion of: Normal vascular anatomy of the hand and arm Indications and contraindications for transradial access procedures Patient and catheter selection Tips and tricks for both beginner and advanced operators Procedural pitfalls and potential complications Techniques are demonstrated in detail using both still images and video. Whether you are an experienced transfemoral operator who wants to refine and expand your technique or a new transradial operator looking to master the technique, this comprehensive text holds the key to mastering this revolutionary procedure.

This book provides how-to recommendations and detailed guides for using transradial access in interventional radiology. A relatively new and growing technique, transradial access is most commonly found within interventional cardiology. This book approaches those cardiac uses of transradial access while extending its use to other body sites and disease states. The book details the interventional radiologist’s transition to using transradial access across a broad spectrum of clinical applications, allowing them to better introduce it into their practice and to their patients. The text is divided into three sections: overview, clinical applications, and novel applications and techniques. The first section covers the history of transradial access, the initial patient assessment, and how to prepare for a procedure. The second section is divided into different diseases and interventional situations where transradial access could be considered, including subclavian artery stenosis and endovascular neurosurgery. The third section includes coverage of how to perform the latest techniques and projections for future procedures. This guide provides a manual of operations to assist in the setup of the practice, from office visit to procedure room to recovery across a variety of service lines and patient populations. Key take home points and equipment summaries accompany each chapter, allowing the user to easily navigate the book to accelerate his or her practice. This is an ideal guide for interventional radiologists.

This issue of Interventional Cardiology Clinics, guest edited by Dr. Binita Shah, will cover the latest updated in Transradial Angiography and Intervention. This issue is one of four selected each year by the series Editor-in-Chief, Dr. Matthew Price. Topics discussed in this issue will include: Accessing the Wrist, Coronary Cannulation, Optimizing Transradial Access, The Value of Transradial: Healthcare Economics and Patient Satisfaction, Vascular Complications of the Wrist: Prevention and Management, #RadialFirst in CHiP and Cardiogenic Shock, Radial versus Femoral Access in Acute Coronary Syndrome, Accessing the Arm for Peripheral Interventions, Using the Arm for Structural Interventions, and the Neuro Radialist.

Continued advances in cardiology have led to unprecedentedscientific progress in recent years. However, no matter howadvanced the science, the successful application of interventionalcardiology relies upon a practitioner’s ability to approachinterventional techniques competently and confidently in everysituation. Fully updated and featuring new chapters and additional tips andtricks, this latest edition of Dr Nguyen, Colombo, Hu, Grines, andSaito’s celebrated book provides a complete yet concise guideto practical interventional cardiology that deserves a place inevery cardiac laboratory. Culled from the personal experience ofover fifty international experts, the book incorporates more than500 practical tips and tricks for performing interventionalcardiovascular procedures. Each strategic or tactical move isgraded by complexity level and described in a simple, step-by-stepapproach that includes guidance on how to overcome practicaldifficulties, providing a comprehensive resource that can benefitboth beginner or experienced operators. As well as covering the latest developments in interventionalcardiology, this third edition includes technical tips that promoteuser-friendly performance, low complication rates, cost- andtime-efficient approaches and cost- and time-effective selection ofdevices to help optimize the practice of modern interventionalcardiology.