1. Catheter Selection and others... Results of the First International Transradial Practice Survey Olivier F. Bertrand, MD, PhD Quebec Heart-Lung Institute CRT-2010

2. Disclosures Research grants: Cordis, Eli-Lilly, Bristol-Myers-Squibb, Sanofi- Aventis Consultant: Cordis

3. Objectives Better evaluate current practice with transradial diagnostic and PCI practice around the world Identify knowledge gaps Collect > 1,000 responses.... Interim results during TCT-2009 Full report in a peer-review journal

4. Methods In-house survey design and building using SurveyMonkey software Invitation e-mail sent to interventional cardiology working groups worldwide PubMed search Launched on 8/28, 2009 until 1/2010

5. N = 1107 75 countries

6. SIDE ?

7. HAND CIRCULATION ?

8. SHEATH TYPE ?

9. % DIAGNOSTIC ?

10. % PCI ?

11. SHEATH SIZE FOR DIAGNOSTIC ?

12. JUDKINS LEFT CURVE FOR DIAGNOSTIC ?

13. JUDKINS RIGHT CURVE FOR DIAGNOSTIC ?

14. ANTICOAGULATION FOR DIAGNOSTIC ?

15. ANTITHROMBOTIC RX FOR ELECTIVE PCI ?

16. ANTITHROMBOTIC RX ACS PCI ?

17. LEFT CURVE GUIDING ?

18. RIGHT CURVE GUIDING ?

19. IF FIRST ATTEMPT FAILED ?

20. HEMOSTASIS ?

21. RADIAL ARTERY LOSS ?

22. % RADIAL ARTERY LOSS ?

23. 68%

24. J. FAJADET

25. Conclusion: Think Different! Transradial practice is used worldwide Use will likely continue to increase significantly over next few years Transradial practice may become the default technique but will NOT replace femoral approach Transition to transradial practice does not require learning the use of new catheters...

26. AGE ?