CardioExchange Archive

August 18th, 2014

Radial Access for PCI in Women: A Registry-Based Randomized Trial

Sunil Rao, MD, Harlan M. Krumholz, MD, SM and John Ryan, MD

Harlan Krumholz and John Ryan interview Sunil Rao, lead author of SAFE-PCI for Women, a registry-based randomized trial of a radial versus a femoral approach to PCI.

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June 10th, 2013

Dramatic Increase in Use of Radial Artery Access for PCI in the U.S.

Larry Husten, PHD

In the last six years interventional cardiologists have dramatically increased their use of radial access for PCI, according to a retrospective study published in Circulation. Using data from the CathPCI registry on more than 2.8 million procedures between January 2007 and September 2012, Dmitriy Feldman and colleagues found that radial access PCI increased 13-fold, from a negligible 1.2% at the beginning of the study […]

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April 11th, 2013

Bleeding Avoidance Strategies for PCI in Women vs. Men

Stacie Luther Daugherty, MD, MSPH and John Ryan, MD

John Ryan interviews Stacie Daugherty, lead author of a study recently published online by JACC on differences in rates of bleeding and bleeding avoidance strategies (BAS) between women and men undergoing PCI. THE STUDY Investigators used data from the CathPCI registry to analyze the use of BAS (radial access, bivalirudin, vascular closure devices, or any combination) and […]

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February 7th, 2013

Arms and the Interventionalist

Megan Coylewright, MD MPH, Michael Tempelhof, MD MSc, Micah Eimer, MD, L. David Hillis, MD, Richard A. Lange, MD, MBA and John Ryan, MD

According to an ESC consensus document published last week, radial artery access should be the “default” choice for PCI. CardioExchange’s John Ryan interviewed cardiologists and interventional cardiologists at different stages of their careers to find out how they view radial artery catheterization, and if the views differ among interventional fellows, faculty, and those in leadership roles. Dr. […]

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January 29th, 2013

ESC Gives a Shot in the Arm to Radial Access for PCI Procedures: A New Default?

Larry Husten, PHD

Radial access is now the preferred approach for percutaneous coronary interventions, according to a consensus document from the European Society of Cardiology and other European organizations and published online in EuroIntervention. However, at least one prominent U.S. interventional cardiologist thinks the “hard benefits” of radial access “are more controversial,” though he supports increased use of the newer approach. […]

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August 1st, 2012

RIFLE-STEACS: Radial Access Improves Outcomes in Early Invasive Therapy

Larry Husten, PHD

For early invasive therapy for ST-segment elevation acute coronary syndrome (STEACS), the use of radial access instead of femoral access reduces bleeding complications and improves outcomes, according to the first large, randomized trial testing the two approaches in this population. The results of the Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome (RIFLE-STEACS) […]

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April 5th, 2011

RIVAL Trial Tests Radial Versus Femoral Access

Larry Husten, PHD

Radial access for angiography has gained increasing acceptance in recent years based on the promise of reduced complications and increased patient comfort. At the ACC, and in a simultaneous publication in the Lancet, Sanjit Jolly and colleagues presented the results from RIVAL, the largest trial to date comparing radial versus femoral access. Some 7021 ACS patients […]

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