Barriers for transradial coronary angiography and interventions in 2016



Dr. Lucien Campeau reported the fi rst transradial angiography in 1989 followed by Drs. Kiemeneij and Laarman (1992) who performed the fi rst transradial coronary stenting in Amsterdam, The Netherlands. But since then the acceptance rates of transradial catheterization (TRC) have varied considerably and are hugely in fl uenced by the oper- ator and demography of a particular lab — academic training centers have a signi fi cantly higher TRC implementation rates compared to com- munity hospitals. In the past few years there has been impressive growth of TRC in the US — from less than 3% (2007) to 16% (2012) to current ~ 36% (2016) of all cardiac catheterizations nationwide in the US according to the Cath-PCI National Cardiovascular Data Registry (NCDR), with wide variation among hospitals ( Fig. 1 ). However, this still compares very poorly against contemporary European practices (67% radial PCI rate in the Swedish SWEDEHEART registry in 2011 and TRC utilization increased from 17.5% to 65.6% in the age group b 60, and 16.6% to 54.5% in the age group ≥ 80 between 2006 and 2012 in the UK [1] per the British Cardiovascular Intervention Society database). Theoretically, this might be related to the lower average operator vol- ume in the US compared to other Western nations which makes it tougher for US interventionalists to develop earlier pro fi ciency in TRC

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Cardiovasc Revasc Med. 2017 Apr - May;18(3):221-225.