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 ?