EDITORIAL

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RADIAL AND TOP NEWS

This long-term follow-up of the original OAT trial has evaluated 2201 patients with an occluded infarct related artery (IRA) > 24 hours randomized to optimal medical treatment (MED) or optimal medical treatment and PCI (PCI) at a median...

Comment:
In the setting of STEMI, stenting carries the risk of mobilizing thrombotic material, thereby causing distal embolization that jeopardizes microcirculation. The best strategy is to prevent embolization and delaying stenting...

Comment:
Right coronary occlusion (CTO) in patients with unprotected left main disease is frequent and should not be neglected. The study aimed to clarify the prognostic role of right coronary artery CTO on cardiac mortality at 6 months....

Comment:
In percutaneous interventions, the risk of contrast induced nephropathy (CIN) raises with increasing amount of contrast media. Strategy to reduce nephrotoxicity, especially in complex procedure or in patients with renal...

MATERIALS AND TECHNIQUES

Treatment of arterial spasm and management of tortuosity and anatomical variations of the brachial-radial and brachiocephalic-subclavian axes

Orazio Valsecchi, Director of Cardiology 2, Interventional Diagnostics, Ospedali Riuniti - Bergamo

Radial spasm can be defined as a more or less localised reduction in artery diameter leading to a decrease in flow downstream.
While this situation is not in itself serious, it may compromise the success of a transradial procedure due to...

Radial approach complications and their management

Angelina Vassileva, Cardiologia 2 Diagnostica Interventistica, Ospedali Riuniti – Bergamo

In recent years the radial approach has become increasingly popular as an access route for coronary and endovascular diagnostic and operative procedures. This is due to a number of factorsincluding greater patient comfort, easier post-procedure...

Patient preparation and setting up the cath lab

Mauro De Benedictis, Ospedale Mauriziano, Torino

It is important for the cath lab staff to have adequate information and training to be able to implement the small but significant differences in preparation between the transradial and transfemoral approaches.
PATIENT PREPARATION

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