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RADIAL ACCESS THE CURRENT AND FUTURE EVIDENCE BASE

RADIAL ACCESS THE CURRENT AND FUTURE EVIDENCE BASE. Dr Jim Nolan University Hospital of North Staffordshire, UK. BLEEDING AND MORTALITY (Eikelboom et al, Circ 2006, n=34,146). DO VCDs PREVENT ACCESS SITE COMPLICATIONS (Nikolsky et-al, JACC 2004, n = 37,066).

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RADIAL ACCESS THE CURRENT AND FUTURE EVIDENCE BASE

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  1. RADIAL ACCESSTHE CURRENT AND FUTURE EVIDENCE BASE Dr Jim Nolan University Hospital of North Staffordshire, UK

  2. BLEEDING AND MORTALITY(Eikelboom et al, Circ 2006, n=34,146)

  3. DO VCDs PREVENT ACCESS SITE COMPLICATIONS (Nikolsky et-al, JACC 2004, n = 37,066)

  4. RADIAL ACCESS AND PREVENTION OF BLEEDING (jolly et al, AHJ 2009, n = 4458 )

  5. DOES PREVENTION OF ACCESS SITE BLEEDING IMPROVE OUTCOME(MORTAL study, Heart 2008, n=38,872)

  6. RADIAL ACCESS AND OUTCOMES(PREVAIL, HEART 2009, n=1059)

  7. ACCESS SITE PREFERENCE IN PATIENTS INVESTIGATED BY BOTH RADIAL AND FEMORAL ROUTE

  8. WHAT ABOUT PROCEDURAL SUCCESS RATES Rao et al, JACC 2008

  9. RADIAL ACCESS IN 2010 • Limits access site bleeding (meta analysis RCT) • Comparable success rates to femoral access • Preferred by patients • Saves money • Reduces nursing care needs • Prevents death (observational trials) • Medico-legal benefits

  10. RADIAL ACCESS; THE FUTURE • Optimised radial specific kit and protocols • Miniaturisation of equipment • Guiding catheter innovations • Renal protection • Combine radial access with optimal antithrombotic therapy to minimise bleeding risk

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