BackTable Vascular & Interventional

Ep. 461 Advanced Radial to Peripheral Interventions with Dr. Sameh Sayfo

Jul 2, 2024
Guest
Sameh Sayfo
Dr. Sameh Sayfo, interventional cardiologist, shares insights on R2P interventions, benefits of radial access over femoral, advancements in laser atherectomy, and post-op care. Tips on procedure planning, device selection, and adopting flexible approaches for better outcomes.
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INSIGHT

Radial Access Rationale

  • Traditional femoral access poses higher risks for older females and patients with PAD.
  • Radial access offers a safer alternative for peripheral interventions in these patient groups.
ADVICE

Radial Access Technique

  • Access the radial artery with a small sheath and a J-wire, maneuvering to the iliac arteries.
  • Administer heparin, perform diagnostics, then introduce a stiff wire and long sheath for intervention.
ADVICE

Ultrasound and Artery Size

  • Use ultrasound guidance to assess radial artery size pre-procedure.
  • Consider ulnar access if the radial artery is smaller than 2mm to minimize occlusion risk.
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