Navigation Links
Wrist Access Safer, Easier for Many Patients Undergoing Minimally Invasive Treatment of Blocked Heart Arteries
Date:1/19/2009

HOLLYWOOD, Fla., Jan. 19 /PRNewswire/ -- A new approach to unblocking heart arteries minimally invasively will mean less bleeding, less down time, lower costs and less risk overall, particularly for obese patients, according to data being presented at the 21st annual International Symposium on Endovascular Therapy (ISET).

Every year, about one million Americans opt for angioplasty over bypass surgery to open their blocked arteries. New data suggests that beginning the angioplasty procedure by entering through the wrist - rather than through the groin - will make it safer and easier on patients.

To access the arteries, an interventional physician makes a small incision in the groin at the top of the leg and advances a thin tube (catheter) through the femoral artery to the site of the blockage. A tiny balloon is then inflated to open up the artery, and often a small cage-like tube called a stent is left behind to keep it open. But there is a risk of bleeding and nerve damage at the femoral artery access site. To reduce the risk, patients must lie down for two to six hours after treatment. Also, accessing the femoral artery in the groin is particularly challenging and risky in obese people.

Accessing the blocked blood vessels through the wrist (radial) artery, rather than the femoral artery significantly reduces the risk of bleeding and nerve damage, suggests data on more than 5,000 procedures performed at Baptist Cardiac & Vascular Institute, Miami. The radial approach also is easier on patients because they can sit up after the procedure and walk away almost immediately.

Currently, only about two percent of all minimally invasive heart treatments are performed through the wrist.

"I believe 75 percent of patients would be candidates for the radial approach if it were an option," said Ramon Quesada, M.D., medical director of interventional cardiology at Baptist Cardiac & Vascular Institute, and ISET course director. "The radial approach is a bit more technically challenging for physicians, but once they master it, I think most would prefer it. One of the main barriers is a lack of training opportunities."

When the femoral access approach is used, there is a 2.8 percent risk of bleeding or nerve damage, according to studies. Most patients spend at least one night in the hospital after the procedure. Although rare, the bleeding can lead to kidney failure, blood infection and death. At Baptist Cardiac & Vascular Institute, the complication rates for the radial approach are extremely low; only 0.3 percent had bleeding complications. None suffered nerve damage. An overnight stay may be advisable, depending on the complexity of the intervention performed, not because of the access approach.

The radial approach isn't appropriate for all patients, including those who have very small or twisted arteries or are extremely thin, said Dr. Quesada.

"Using the radial approach results in lower cost, less time before the patient can get up and walk around and fewer complications," said Dr. Quesada. "Patients who are ideal candidates for the radial approach are those who are obese or have severe peripheral arterial disease (PAD)."

Considered to be the premier meeting on endovascular therapy, the International Symposium on Endovascular Therapy (ISET) is attended by more than 1,200 physicians, scientists, allied professionals and industry professionals from around the world. The meeting pioneered the use of live cases to promote the multidisciplinary treatment of cardiac and vascular disease by endovascular means. ISET is presented by the Baptist Cardiac & Vascular Institute, Miami. ISET 2009 is taking place Jan. 18-22 near Miami Beach, Fla. For more information, visit www.ISET.org.


'/>"/>
SOURCE International Symposium on Endovascular Therapy
Copyright©2009 PR Newswire.
All rights reserved

Related medicine technology :

1. Access Pharmaceuticals Presents New Data on the Companys Angiolix(R) Therapeutic Monoclonal Antibody
2. Unprecedented 8th Year Start Up of National Direct AmeriCorps Program Access to Care Through Service (ACTS) Parent, Lead Organization The Philadelphia AIDS Consortium and World Health Care Infrastructures
3. St. Jude Study Gives New Insights Into How Cells Accessorize Their Proteins
4. McGraw-Hill Professional Launches Drug Effectiveness Resource on AccessPharmacy
5. Cell Therapeutics, Inc. (CTI) to Hold Conference Call to Discuss Agreement With Bayer Schering Pharma for Access to Phase III Zevalin(R) FIT Trial Data
6. Access Pharmaceuticals Presents Favorable Ovarian Cancer Data and Clinical Update on ProLindac(TM) Development at Prestigious International Symposium
7. Access Pharmaceuticals Presents New Data on the Companys Cobalamin(TM) Technology at an International Polymer Therapeutics Symposium
8. IDM Pharma Announces Updated Data From Mifamurtide (L-MTP-PE) Compassionate Access Program
9. Roche Gains Access to Important Oncology Target With Potential for Treating Major Cancers Such as Breast and Lung; First Drug Candidate in Phase I Clinical Testing
10. IDM Pharma Announces Availability of Mifamurtide (L-MTP-PE) Through Compassionate Access Study
11. Access Pharmaceuticals to Conduct Conference Call to Update Financial Community
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/13/2017)... -- Stock-Callers is currently reviewing the following Medical ... WMGI ), Varian Medical Systems Inc. (NYSE: ... and NuVasive Inc. (NASDAQ: NUVA ). These companies ... negative finish on Thursday, January 12 th , 2017, with ... of health care companies in the S&P 500 were down ...
(Date:1/13/2017)... Jan. 13, 2017 Wichita Laser Clinic ... laser treatments to Wichita, Kansas ... advanced treatments for skin rejuvenation, getting rid of unwanted ... and vascular lesions. "Since being in the ... Wichita for laser tattoo removal ...
(Date:1/13/2017)... Jan. 13, 2017  Secretary of Health Karen ... and community members at Misericordia University and discussed the ... Pennsylvania . "The opioid ... so far in my professional career," Secretary Murphy said. ... been hit hard by heroin and prescription opioid overdoses. ...
Breaking Medicine Technology:
(Date:1/14/2017)... ... January 13, 2017 , ... According to a December 9 ... may lower the risk of type 2 diabetes, Alzheimer’s, and cardiovascular disease. Southern ... wellness benefits linked to a Mediterranean diet are only some of the many ...
(Date:1/13/2017)... ... 2017 , ... A January 10 article in the Daily Star ... publication, with an emphasis on some new techniques that the publication says are becoming ... more casually to his patients and colleagues as Dr. J, comments that the best ...
(Date:1/13/2017)... ... January 13, 2017 , ... People who have sensitive teeth are about ... they brush their teeth. Sadly, most dental hygiene products in the market contain chemical ... For these people, continuing their daily oral care routine to keep their teeth white ...
(Date:1/13/2017)... ... 2017 , ... The Joint Corp. was recently ranked in ... by entrepreneurs and franchisors as a top competitive measurement, the Franchise 500® ranked ... strength and stability, growth rate, and brand power. , “It is always an ...
(Date:1/13/2017)... ... January 13, 2017 , ... One way to obtain a green ... if they can show their work is in the national interest. There are two ... having to be sponsored by an employer; and 2) the submission is made directly ...
Breaking Medicine News(10 mins):