Description & Objectives

Description & Objectives

Intended Audience

This symposium is intended for interventional cardiologists and fellows, as well as nurses, cath lab technologists and allied health professionals.

Needs Statement

Transradial access (TRA) for angioplasty and PCI has become more popular around the world due to a lower risk of procedure-related bleeding and better patient comfort. Use of the radial artery for diagnostic and interventional procedures has been compared with the femoral and brachial approach in both clinical trials and observational studies and has consistently demonstrated statistically significant reductions in bleeding and access site complications. Radial artery access is now being used with equal efficacy to treat almost every complex coronary and peripheral artery disease. Clinical and economic factors are driving the increased interest in learning the transradial access technique in the United States; however, there are few educational opportunities available where attendees learn through hands-on training. This course fulfills the need for comprehensive, hands-on education by offering attendees the opportunity to practice accessing the radial artery using cadaveric specimens, to learn fundamentals of the procedure through hands-on simulator training, and view live cases broadcast from the cath lab, which includes patient set-up, radial artery stick, and tips and tricks for dealing with challenging anatomy and complications.

Course Objectives

At the conclusion of this course, participants will be able to provide better patient care through an increased ability to: 

  • Discuss basic rationale for radial catheterization and PCI, evaluate the use of radial access in STEMI to improve outcomes and minimize the learning curve associated with transradial PCI
  • Review anatomy related to the upper extremity vasculature and discuss anatomical challenges related to transradial access (TRA) such as spasms, loops and tortuosity

  • Describe patient selection criteria and screening, including non-invasive evaluation of upper extremity arterial vasculature and clinical considerations for TRA

  • Summarize cath lab set-up, patient preparation and role of cath lab staff

  • Discuss selection of right or left TRA, review how to obtain radial artery access and explain sheath removal and access site management

  • Identify pharmacological options and discuss strategies and rationale for anticoagulation during TRA, review updated guidelines for anticoagulation and antiplatelet therapies, and identify the need for and benefits of newer anticoagulant therapies for the acute management of ACS and NSTE-ACS

  • Explain the pre- and post-procedure management of patients undergoing TRA, and discuss indications for same-day discharge after TRA

  • Recognize and manage potential complications, including vasospasm, forearm hematoma and radial arteriography and discuss prevention of radial artery occlusion

  • Describe technical aspects of PCI via the radial approach, including guide catheter options, catheter manipulation, treatment of left main disease, bifurcations, chronic total occlusions and other complex anatomy

  • Review ultrasound guidance techniques for radial access, discuss the use of ultrasound in assessing the size of the radial artery and to detect anatomical anomalies, such as the dual-radial system and radial artery loops, which can increase procedure time

  • Observe strategies and techniques used by the experts, apply knowledge learned regarding optimal patient management and review indications for complex procedures

  • Demonstrate techniques for TRA for both left and right heart catheterizations

Description & Objectives
CME Credit
Registration Fees

Online Registration is now closed.
Walk-ins are welcome on the day of conference.

November 8-9, 2013
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Friday- 7:30 a.m.-5:45 p.m.
Saturday- 8:30 a.m.-1:45 p.m.

Seattle Science Foundation
550 17th Avenue, Suite 600
Seattle, WA 98122


Swedish Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


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