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BackTable / VI / Podcast / Episode #342

Radial Access for PAD

with Dr. Rami Tadros

In this episode, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Rami Tadros about advantages and indications for radial access in PAD treatment and the current selection of radial access devices.

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Radial Access for PAD with Dr. Rami Tadros on the BackTable VI Podcast)
Ep 342 Radial Access for PAD with Dr. Rami Tadros
00:00 / 01:04

BackTable, LLC (Producer). (2023, July 10). Ep. 342 – Radial Access for PAD [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Rami Tadros discusses Radial Access for PAD on the BackTable 342 Podcast

Dr. Rami Tadros

Dr. Rami Tadros is a vascular surgeon with Mount Sinai in New York City.

Dr. Sabeen Dhand discusses Radial Access for PAD on the BackTable 342 Podcast

Dr. Sabeen Dhand

Dr. Sabeen Dhand is a practicing interventional radiologist with PIH Health in Los Angeles.

Synopsis

Dr. Rami Tadros is a vascular surgeon and Site Director of Endovascular Aortic Surgery at Mount Sinai Hospital. Dr. Tadros begins by discussing how often he uses radial access in his practice, how current wire and catheter technology limits the potential of radial access, and how evolution of these devices (such as increased length and improved sizing for transradial tools) is on the horizon.

Dr. Tadros also discusses the indications and specific advantages for radial access. He describes his device preferences, workflow, and workarounds for radial access. The doctors then take a deeper dive into lengths and sizing of the tools that are currently on the market. They offer some insight on maximizing distance while still maintaining pushability and taking into account the variety of patient anatomy. There is also a brief discussion on pedal access, risks associated with it, and closure complications.

Dr. Tadros covers specific clinical vignettes for treating PAD with radial access. There are limitations of the currently available devices, so it is important to plan for distal embolization and bailout stents.

We conclude the episode with some guidance for radial access. We review the required tools, the importance of confirming patency of the palmar arch, and the Barbeau test to inform radial access. Dr. Tadros also highlights the use of verapamil, heparin, and nitroglycerin to minimize the risk of vessel spasm.

Resources

Dr. Rami Tadros Twitter:
https://twitter.com/VascMD

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Articles

Topics

Arterial Revascularization Procedure Prep
Peripheral Artery Disease Condition Overview
Radial Access Procedure Prep

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