Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention

Editor: Howard A. Cohen
Foreword by David E. Kandzari, MD

Product Details:
Published March 2013
ISBN: 9781935395416
Trim: 7 x 10 inches
240 pages, full color interior
Format: Hardcover; eBook

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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.

Editor:

Howard A. Cohen, MD, FACC, FSCAI; Professor of Medicine, Director, Temple Interventional Heart and Vascular Institute; Director, Cardiac Catheterizaton Laboratories and Cardiac Intervention, Temple University Health System, Philadelphia, Pennsylvania

Table of Contents:

Chapter 1: Introduction

Chapter 2: Rationale for Transradial Access
Robert W. Harrison, MD, Sunil V. Rao, MD

Chapter 3:  Vascular Anatomy of the Arm and Hand
Richard P. Abben, MD, Gary Chaisson, RTR, RCVT

Chapter 4: Preoperative Evaluation of the Potential Patient for Transradial Access
Pierre-Louis Nadeau, MD, Jean-Pierre Dery, MD, Gerald R. Barbeau, MD

Chapter 5: Obtaining Access 
Howard A. Cohen, MD

Chapter 6:  Closure and Hemostasis after Transrdial Access
Samir B. Pancholy, MD, FACC, FACP, FSCAI, Tejas Patel, MD, DM, FACC, FESC, FSCAI, Sanjay Shah, MD, DM

Chapter 7:  Basic Catheter Techniques for Diagnostic Angiography and PCI
Tift Mann, MD

Chapter 8:  Sheathless Transradial Intervention
Rajiv Gulati, MD, PhD, Aaron From, MD, Charanjit S. Rihal, MD

Chapter 9:  Transradial Access and Outpatient PCI: State-of-the-Art and Persisting Challenges
Eltigani Abdelaal, MD, Olivier F. Bertrand, MD, PhD, FSCAI

Chapter 10:  Transradial Access for Percutaneous Coronary Intervention in Acute Myocardial Infarction
Sameer J. Khandhar, MD, Oscar C. Marroquin, MD, Suresh R. Mulukutla, MD

Chapter 11:  Transradial Approach to Peripheral Interventions
John Coppola, MD, Cezar Staniloae, MD

Chapter 12:  Right Heart Catheterization and Transradial Access
Ian C. Gilchrist, MD, FACC, FSCAI, FCCM

Chapter 13:  The Learning Curve for Transradial Access 
Yves Louvard, MD, FSCAI, Hakim Benamer, MD, Thierry Lefevre, MD, FESC, FSCAI

Chapter 14:  Transradial Arterial Access: Economic Considerations
Ronald P. Caputo, MD

Chapter 15:  Tips and Tricks for Transradial Access 
Tejas Patel, MD, FACC, FSCAI, Sanjay Shah, MD, Sameer Pancholy, MD, FACC, FSCAI

Chapter 16:  Complications of Transradial Access
Kirk N. Garratt, MSc, MD

Chapter 17:  How to Start a Transradial Program at Your Hospital
Ankitkumar K. Patel, MD, MPH, Zoltan G. Turi, MD

Doody's Review Service:

Reviewer
Omar Khatib,  MD(Ochsner Clinic Foundation)

Description
This book illustrates the procedural and technical aspects of transradial access for diagnostic and interventional catheterizations.

Purpose
It demonstrates the rationales, advantages, and evidence behind the expanding adoption of transradial access.

Audience
The intended readership includes invasive and interventional cardiology fellows, practicing cardiologists, and other cardiovascular specialists who might benefit from learning radial arterial access techniques.

Assessment
In addition to its comprehensive coverage of all the aspects of transradial access, this book serves as a valuable manual that helps beginners learn the transradial technique and allows experienced operators to refine their skills.

Features
The book begins with a review of upper extremity vascular anatomy and proceeds to describe the details of obtaining radial access and the specifics of hemostasis after the procedure. A step-by-step description of the basic techniques for coronary angiography and intervention using the radial approach is presented. Various related topics are covered, including in a chapter dedicated to "tips and tricks" specific to transradial procedures. The book is enriched by a helpful group of images, tables, and figures. The technical chapters also refer readers to online videos that can be accessed on a dedicated website. These valuable videos demonstrate the various techniques described in the book.