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SCAI Paper Highlights Best Practices For Diagnosing And Treating Blocked Arteries Via The Wrist
Date:10/23/2013

voiding blocked blood flow to the radial (wrist) artery  Patients should be assessed prior to discharge and at the first post-procedure visit to avoid the potential for radial artery occlusion (RAO), where blood flow to the artery is blocked. Extra care also should be taken to ensure patients receive all relevant strategies for prevention of RAO. ·Best practices for reducing potential radiation exposure to patient and operatorsTo reduce the risk of exposure to radiation during a transradial procedure, the patient's accessed arm should be placed next to his or her torso, additional extension tubing should be used and operators should be cognizant of safe radiation protocols. ·Best practices for physicians transitioning  to the transradial approach when treating heart attack Studies have shown benefits when patients suffering a heart attack undergo angioplasty via the wrist.  Steps must be taken to ensure physicians have mastered the technique before performing emergency cases routinely from the wrist. This learning process includes understanding when to revert to access through the femoral (groin) artery and how to ensure that using the radial approach does not result in delayed treatment or increased door-to-balloon time."These best practices are the latest example of our ongoing efforts to provide timely, useful resources to physicians as they care for patients," said SCAI 2013-14 President Ted A. Bass, M.D., FSCAI. "Our commitment to quality is consistent, as is our belief that we can always do more to improve patient care."

The paper, titled "Best Practices for Transradial Angiography and Intervention: A Consensus Statement from the Society for Cardiovascular Angiography and Intervention's Transradial Working Group," is available via www.scai.org.

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