In this episode of the Back Table Podcast, host Dr. Aaron Fritts and Dr. Sameh Sayfo discuss radial to peripheral interventions, also known as R2P. Dr. Sayfo is an interventional cardiologist and the program director of the endovascular fellowship at Baylor Heart Hospital in Plano, Texas.
Dr. Sayfo points out the need for research data on the financial impact of these interventions on patients. Dr. Amit P. Amin’s work in 2017, 2018 and 2021 is highlighted for its valuable contribution in this area, specifically in the radial to coronary world. The conversation then veers into the possibilities for radial to peripheral interventions in the coming years. There’s a discussion about the potential financial impact on the healthcare system, and how radial to peripheral interventions may yield a lower length of stay and more same day discharges, which can serve as motivators for more practitioners to adopt this technology. The episode also highlights training, patient selection, complications, bailout techniques and post-procedure care related to radial to peripheral interventions.
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SHOW NOTES
00:00 - Introduction
04:40 - Discussion on Radial to Peripheral
15:52 - Addressing Hesitations about Radial Approach
25:24 - Crossing Complex Lesions: Challenges and Solutions
28:50 - Need for Research and Equipment Advancement
33:43 - Importance of Landmark Study in Radial to Peripheral
35:23 - Complications to Avoid and Bailout Techniques
40:53 - The Radial Movement and Future Prospects
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RESOURCES
From Femoral to Radial Approach in Coronary Intervention:
https://pubmed.ncbi.nlm.nih.gov/27401210/
Intravascular Lithotripsy for Peripheral Artery Calcification: 30-Day Outcomes From the Randomized Disrupt PAD III Trial:
https://pubmed.ncbi.nlm.nih.gov/34167675/
Prospective, Multicenter Registry to Assess Safety and Efficacy of Radial Access for Peripheral Artery Interventions:
https://www.jscai.org/article/S2772-9303(23)00813-X/fulltext
Distal Versus Proximal Radial Artery Access for Cardiac Catheterization and Intervention: Design and Rationale of the DIPRA Trial:
https://pubmed.ncbi.nlm.nih.gov/33926835/
Costs associated with transradial access and same-day discharge after percutaneous coronary intervention: a systematic review and meta-analysis:
https://pubmed.ncbi.nlm.nih.gov/34258909/
The Value of Transradial: Impact on Patient Satisfaction and Health Care Economics:
https://pubmed.ncbi.nlm.nih.gov/31733737/
Transradial Access for High-Risk Percutaneous Coronary Intervention: Implications of the Risk-Treatment Paradox:
https://pubmed.ncbi.nlm.nih.gov/34253050/
Cost of coronary syndrome treated with percutaneous coronary intervention and 30-day unplanned readmission in the United States:
https://pubmed.ncbi.nlm.nih.gov/31876371/
Terumo Radial Sheath:
https://www.terumois.com/products/access/glidesheath-slender-introducer-sheath.html
Cordis Radial Sheath:
https://cordis.com/na/products/access/cardiology/rain-sheath-transradial-thin-walled-introducer
Surmodic Radial Sheath:
https://www.surmodics.com/
BackTable Vascular & Interventional