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.

About the Author

Contents

Chapter 1: Introduction
Chapter 2: Rationale for Transradial Access
Chapter 3: Vascular Anatomy of the Arm and Hand
Chapter 4: Preoperative Evaluation of the Potential Patient for Transradial Access
Chapter 5: Obtaining Access
Chapter 6: Closure and Hemostasis after Transradial Access
Chapter 7: Basic Catheter Techniques for Diagnostic Angiography and PCI
Chapter 8: Sheathless Transradial Intervention
Chapter 9: Transradial Access and Outpatient PCI: State-of-the-Art and Persisting Challenges
Chapter 10: Transradial Access for PCI in Acute Myocardial Infarction
Chapter 11: Transradial Approach to Peripheral Intementions
Chapter 12: Right Heart Catheterization and Transradial Access
Chapter 13: The Learning Curve for Transradial Access
Chapter 14: Transradial Arterial Access: Economic Considerations
Chapter 15: Tips and Tricks for Transradial Access
Chapter 16: Complications of Transradial Access
Chapter 17: How to Start a Transradial Program at Your Hospital