DESCRIPTION:
While the interventional cardiology community has been busy with research to extend the scope of intervention to increasingly complex lesions and to vanquish restenosis, a quiet revolution has been underway. The transradial approach to percutaneous intervention (PCI), initially developed by a small group of dedicated pioneers, is now increasingly popular with interventionalists who aim to minimise bleeding complications while increasing patient comfort.
This volume, written Martial Hamon from the University Hospital, Caen, France and Eugène Mc Fadden from the university Hospital, Cork, Ireland, is aimed at experienced Interventional Cardiologists, attracted by the proven advantages of transradial access, at novices, for whom this approach will be an integral part of their future practice, and at Interventional Radiologists who have also adapted the technique for their specific needs.
Contributors from around the globe, including many of the pioneers of transradial access, have come together to provide a step-by step introduction to transradial access for the novice, and to address more complex aspects, faced by experienced operators, such as the approach to acute coronary syndromes and to complex multivessel PCI.
In addition, the extension of the transradial approach to the realm of Interventional Radiology- carotid and renal intervention -is covered in a separate section. Each chapter is accompanied by colour illustrations and angiographic illustrations that both enhance the educational value and make the text extremely "user-friendly".
CONTENTS:
SECTION I: FROM THE WRIST TO THE HEART
1. Blood supply to the upper limb: Normal Anatomy.
2. Radial access, compression techniques and complications.
3. Setting-up a transradial program: management of the learning curve.
4. Right transradial approach: catheter selection and manipulation.
5. The left transradial approach.
6. The Amplatz catheter as sole catheter for transradial coronary angiography.
7. Looking for the ideal multipurpose catheter for transradial coronary angiography.
8. Radial approach to right heart catheterization.
9. The ulnar artery as an alternative to the transradial approach.
SECTION II: CARDIOVASCULAR INTERVENTIONS
10. Radial verus femoral approach for coronary interventions.
11. Transradial coronary angioplasty: direct stenting.
12. 5-French and Trans-radial approach.
13. Optimizing guiding catheter back-up by transradial approach: review of potential advantages of dedicated curves for TRI.
14. Complex coronary angioplasty via the trans-radial approach.
15. The trans-radial approach for CTO lesions.
16. Unprotected left main stenting using the transradial approach.
17. Transradial intervention for venous bypass graft lesions.
18. Transradial approach for bifurcations lesions.
19. The radial approach for the diagnosis and treatment of supraaortic arterial lesions.
20. Renal angioplasty via the transradial approach.
Section III: High risk sub-groups
21. Trans-Radial Intervention in Acute Coronary Syndromes Without ST Elevation.
22. The radial approach in acute myocardial infarction.
23. Radial approach in octogenarians.
24. Trans-radial approach for obese patients.
25. Transradial approach in women.
26. The Transradial approach for patients with difficult femoral access.
SECTION IV: Related issues
27. Difficult transradial peripheral anatomic situations.
28. How to prevent and to manage radial artery spasm during coronary interventions.
29. Percutaneous coronary interventions on outpatient basis.
30. Quality of life and economic issues related to TRA.
31. Radiation protection in relation to transradial cardiac procedures.
32. Procedural Stroke: The role of access site in percutaneous coronary intervention.
33. Radial artery occlusion after TRI: new insights in overcoming this infrequent CTO 399.
34. Physiological and anatomic variations of the radial artery wall after catheterization.
35. Prevention of major bleeding in patients with acute coronary syndromes undergoing percutaneous intervention.
36. TRA and TRI: summary of recommendations.
37. Radial artery and coronary artery bypass surgery.
38. Anatomical Challenges in TRI Q&A.
