Dr. Sameh Sayfo discusses advanced techniques in radial to peripheral (R2P) interventions, the importance of having multiple techniques, the role of different devices, troubleshooting tips, and the evolving landscape of R2P interventions. Dr. Sayfo is an interventional cardiologist at the Baylor Heart Hospital, and serves as program director for the endovascular fellowship and pulmonary embolism response team (PERT) program.

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SYNPOSIS

Dr. Sayfo shares his experience and insights on using various devices, such as the new Auryon laser, for treating peripheral arterial disease (PAD).Additionally, the doctors address the benefits of radial access over traditional femoral approaches, patient selection, and procedural planning. Listeners are encouraged to adopt a flexible approach and learn from each other’s experiences to improve patient outcomes.

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TIMESTAMPS

00:00 - Introduction05:24 - Incorporating Radial into Peripheral Practice11:19 - Right vs. Left Radial Access20:01 - Room Setup and Procedure Planning25:13 - Radial vs. Femoral Access33:01 - Advancements in Laser Atherectomy41:33 - Laser Atherectomy Tips45:52 - Advantages of Radial Access in Specific Cases51:33 - Post-Op Care and Best Practices

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RESOURCES

BackTable VI Podcast Episode #30 - Transradial Access Basic to Advanced with Dr. Aaron Fischman:https://www.backtable.com/shows/vi/podcasts/30/transradial-access-basic-to-advanced

BackTable VI Podcast Episode #148 - Radial vs. Femoral for Prostate Artery Embolization with Dr. Blake Parsons:https://www.backtable.com/shows/vi/podcasts/148/radial-vs-femoral-for-prostate-artery-embolization

BackTable VI Podcast Episode #342 - Radial Access for PAD with Dr. Rami Tadros:https://www.backtable.com/shows/vi/podcasts/342/radial-access-for-pad

BackTable VI Podcast Episode #395 - Radial to Peripheral Tools & Technique with Dr. Sameh Sayfo:https://www.backtable.com/shows/vi/podcasts/395/radial-to-peripheral-tools-technique

BackTable VI Podcast Episode #443 - Innovative Approaches in Radial to Peripheral Interventions with Dr. Amit Srivastava:https://www.backtable.com/shows/vi/podcasts/443/innovative-approaches-in-radial-to-peripheral-interventions

BackTable VI Podcast Episode #390 - Laser Atherectomy: An Overview of the Pathfinder Registry with Dr. Tony Das:https://www.backtable.com/shows/vi/podcasts/390/laser-atherectomy-an-overview-of-the-pathfinder-registry

BackTable VI Podcast Episode #408 - Laser BTK Study Insights: Navigating Complex Lesions with Dr. Nicolas Shammas:https://www.backtable.com/shows/vi/podcasts/408/laser-btk-study-insights-navigating-complex-lesions

Safety and efficacy of radial artery access for peripheral vascular intervention: a single center experience:https://www.ajconline.org/article/S0002-9149(24)00461-2/abstract

Comparative Outcomes of Interventions for Femoropopliteal Chronic Total Occlusion Versus Non-Chronic Total Occlusion Lesions From the Multicenter XLPAD Registry:https://pubmed.ncbi.nlm.nih.gov/37318023/

Prospective, Multi-center, Single-Arm Study of the Auryon Laser System for Treatment of Below-the-Knee Arteries in Patients With Chronic Limb-Threatening Ischemia: 30-Day Results of the Auryon BTK:https://pubmed.ncbi.nlm.nih.gov/38458581/

Prospective, Multicenter Registry to Assess Safety and Efficacy of Radial Access for Peripheral Artery Interventions:https://www.jscai.org/article/S2772-9303(23)00813-X/fulltext

Solid state, pulsed-wave 355 nm UV laser atherectomy debulking in the treatment of infrainguinal peripheral arterial disease: The Pathfinder Registry:https://pubmed.ncbi.nlm.nih.gov/38566525/

SCAI Expert Consensus Statement Update on Best Practices for Transradial Angiography and Intervention:https://scai.org/publications/clinical-documents/scai-expert-consensus-statement-update-best-practices-transradial