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Catheter Selection and others...Results of the First International Transradial Practice SurveyOlivier F. Bertrand, MD, PhD
Quebec Heart-Lung Institute
CRT-2010
Disclosures
Research grants: Cordis, Eli-Lilly, Bristol-Myers-Squibb, Sanofi-Aventis
Consultant: Cordis
ObjectivesBetter evaluate current practice with transradial diagnostic and PCI practice around the world
Identify knowledge gaps
Collect > 1,000 responses....
Interim results during TCT-2009
Full report in a peer-review journal
MethodsIn-house survey design and building using SurveyMonkey software
Invitation e-mail sent to interventional cardiology working groups worldwide
PubMed search
Launched on 8/28, 2009 until 1/2010
N = 1107 75 countries
SIDE ?
HAND CIRCULATION ?
SHEATH TYPE ?
% DIAGNOSTIC ?
% PCI ?
SHEATH SIZEFOR DIAGNOSTIC ?
JUDKINS
LEFT CURVE FOR DIAGNOSTIC ?
JUDKINS
RIGHT CURVE FOR DIAGNOSTIC ?
ANTICOAGULATION FOR DIAGNOSTIC ?
ANTITHROMBOTIC RX FOR ELECTIVE PCI ?
ANTITHROMBOTIC RXACS PCI ?
LEFT CURVE GUIDING ?
RIGHT CURVEGUIDING ?
IF FIRST ATTEMPT FAILED ?
HEMOSTASIS ?
RADIAL ARTERY LOSS ?
% RADIAL ARTERY LOSS ?
68%
J. FAJADET
Conclusion: Think Different!Transradial practice is used worldwide
Use will likely continue to increase significantly over next few years
Transradial practice may become the default technique but will NOT replace femoral approach
Transition to transradial practice does not require learning the use of new catheters...
AGE ?