sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
Complications of Transradial Approach
1. Complications of Transradial
Approach
Olivier F. Bertrand, MD, PhD
Associate-Professor of Medicine, Laval University
Adjunct-Professor, Department of Mechanical Engineering, McGill University
Quebec Heart-Lung Institute
DUKE TRANSRADIAL ADVANCED COURSE
20 OCTOBER 2011
Friday, October 21, 2011
2. Disclosures
Research grants (IIT): Cordis, Eli-Lilly,
Bristol-Myers-Squibb,GE Healthcare,
Sanofi-Aventis, Eurocor
Consultant: Cordis, Astra-Zeneca,
Opsens
Research-Scholar from Quebec
Foundation for Health Research
Friday, October 21, 2011
6. Spasm
Lack of definition...
No brachial artery spasm...look for recurrent artery..
Prevention >> Treatment
Risk factors: Smoking, small vessel, anxiety
Pharmaco: Calcium channel blockers or combo
Devices: Small sheath, hydrophylic, sheathless
If severe: sedation ± sympathetic block
COURTESY G BARBEAU
Friday, October 21, 2011
7. Pseudo-aneurysm
COLLINS ET AL. CCI 2011
True incidence probably underestimated
Importance of timing for diagnostic...
Risk factors: hypertension, chronic anticoagulation,
types of closure devices ?
Rx: compression, echo-guided thrombin injection,
NO surgery
Friday, October 21, 2011
30. Conclusion
Complications of radial approach have been
well documented
Most are preventable
Optimization still required for hemostasis and
prevention/treatment of RAO
Issue of coronary dissection ie single catheter
manipulation needs to be explored
Friday, October 21, 2011
31. Follow us on Facebook
at The_radialist_club
Friday, October 21, 2011