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Procedure
Radial Access
Advancing radial access for safer, more effective care.
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RADIAL OVERVIEW
Radial access has many well-documented benefits that include improved patient safety, a significant reduction in cost of care, and increased patient and staff satisfaction.1 At Merit Medical, we support radial access with a diverse portfolio of innovative products and a world-renowned hands-on physician education program, helping you offer the advantages of radial to your patients.
RADIAL PROCEDURES
Radial Access for Cardiovascular Procedures
Due to its strong clinical benefits, radial access has become a preferred approach for a variety of cardiovascular procedures that include diagnostic angiographies and percutaneous coronary intervention (PCI). It is associated with lower rates of access site complications, reduced bleeding risk, shorter recovery times, and overall cost savings compared to femoral access.
Merit supports these procedures with a complete portfolio of radial-specific tools that are designed to streamline access, improve control and enhance patient comfort. Care teams are supported with world-renowned, hands-on training so they can confidently expand radial access accross their practice.
PRODUCT PORTFOLIOS
PRODUCTS
ACCESS
The Prelude IDeal is a hydrophilic access sheath that is 13% thinner than the competition. Its wall is also stronger, increasing kink resistance by 23%, and increasing compression resistance by 124%.* Available in multiple sheath sizes, lengths, and wire options, the Prelude IDeal gives you more choices to meet your patients’ needs.
The PreludeEASE helps you achieve quick and reliable radial access while minimizing the potential for vessel spasm. Hydrophilic coating extends to the tip of the sheath, and excellent transitions offer smooth insertion.
ANGIOGRAPHY
Navigate to the target vessel with Performa Transradial Angiographic Catheters. Available in select curves and up to 150 cm in length, Performa catheters are designed for your transradial peripheral procedures.
Merit Medical’s Performa® diagnostic cardiology catheter is designed with improved shaft strength for better pushability and torque.
Performa Multipack combines all three typical workhouse catheters in one convenient package. Designed with torque, improved shaft strength, and large inner lumens for increased flow rates, the Performa line can help you reach your goal of excellent imaging in today’s cardiology environment.
The Multipack Plus combines the Prelude® and PreludePRO™ Sheath Introducers, the InQwire® Diagnostic Guide Wire, and Performa® Diagnostic Cardiology Catheters—all in one pack for easy, one-step prep for your angiographic cardiology procedures.
DIAGNOSTIC GUIDE WIRES
InQwire Diagnostic Guide Wires Increase trackability, lubricity, and durability with the InQwire, a diagnostic guide wire with innovative PTFE precoating over then entire wire surface. Its precise J-tip memory doesn’t require reloading the J straightener, and the tight guide wire tolerances ensure catheter and sheath compatibility.
HYDROPHILIC GUIDE WIRES
The Merit SplashWire combines optimum lubricity, exceptional torque response, and enhanced visibility, helping you achieve the successful outcomes you expect, even in the most complex cases.
TORQUE DEVICES
Operable with one hand, this ergonomic torque device is designed to enhance manipulation of the guide wire tip. Simply squeeze and release.
Minimize blood loss and optimize control of your interventional devices with the Merit Torque Device.
INTERVENTION
Achieve effective and quick aspiration with ASAP and ASAPLP Aspiration Catheter Kits, designed to add convenience and time-saving accessibility to your interventional cardiology and radiology procedures.
HEMOSTASIS VALVES & ACCESSORIES
The FLO40XR offers you a shorter body, extension tubing as an additional feature, and is rated up to 400 psi.
The PhD Hemostasis Valve simplifies procedures with an easy one-handed, push-and-release mechanism, freeing your other hand to deliver interventional equipment. Dual-seal technology provides easy bleedback control, minimizing patient blood loss.
INFLATION DEVICES
The DiamondTOUCH offers you the visibility and accuracy of a digital device with the convenience of an ergonomic one-handed prep handle.
The basixTOUCH provides expanded capacity for inflation. With 35 ATM pressure capability and 30 mL syringe volume, the basixTOUCH is ideal for any interventional lab using high-pressure, large-volume balloons. With wider threads and quick-release handle, the basixTOUCH offers rapid inflation and deflation to busy labs that need top efficiency.
BasixCOMPAK™ Inflation Device
With more than 10 million devices used worldwide, your busy interventional lab can rely on the basixCOMPAK for your procedures. The basixCOMPAK offers 30-ATM pressure and 20-mL volume and can be packaged with a wide variety of angioplasty kits and procedure packs.
Blue Diamond™ Digital Inflation Device
The Blue Diamond offers you the accuracy of a digital device with the simplicity of analog systems. One-button functionality provides ease of use, and a high-resolution display facilitates visualization from multiple angles.
STEERABLE MICROCATHETERS
The SwiftNINJA is the most advanced and first 180° articulating coronary and peripheral vascular microcatheter on the market today. One-handed operation and 3D steering help you navigate the most challenging vascular anatomy.
HEMOSTASIS
Be confident in your radial interventions with the PreludeSYNC EZ, an advanced solution for achieving patent hemostasis. The PreludeSYNC EZ simplifies application for you and your staff without sacrificing patient comfort.
The PreludeSYNC EVO is designed to assist you in gaining and maintaining hemostasis of the radial and ulnar arteries following catheterization procedures. It offers multiple key features, including a clear window area for site visibility and a Slip-n-Lock™ cap to secure the syringe during inflation/deflation.
COMFORTABLE
Unique band configuration is soft, comfortable, and adjustable for larger hands.
SECURE
Three-strap band stays securely in place and is specially designed for distal radial artery access.
EFFECTIVE
Provides clear, unobstructed site visibility and focused compression.
ACCESSORIES
Rad Board® 2 Radial Arm Board & Rad Board Accessories
Find support for your radial access procedures with the Rad Board 2 and Rad Board Accessories. Rad Boards are reusable, fit all cath lab and radiology procedure tables, are reversible for right- or left-side access, and offer radiation scatter protection.
Radial Drapes
Radial Drapes are a stand-alone product that offer you convenience in clinical settings where a fenestrated drape outside of the procedure pack is necessary or desired.
Advance Needles were engineered to provide you with smooth guide wire insertion and removal of the needle over the wire. They offer a unique hub design with ergonomic feel and reference point to help you orient the bevel. Increased sharpness facilitates entry into tissue and vessel walls.
PHYSICIAN EDUCATION
Think Radial®
Interested in radial training? Our Think Radial program is designed to offer you valuable hands-on training, with taped or live cases, and engaging didactic presentations given by some of the world’s most-respected radial faculty.
Your Partner in Distal Radial Access
Access via the distal radial artery offers advantages for both you and your patients. Merit Medical provides advanced training on this technique as well as the first-to-market PreludeSYNC DISTAL™ radial compression device.
On-Demand Education
Merit Medical offers physician education in many formats – virtual video conferences, in-person classes, on-demand webinars, as well as courses designed around continuing education credits.
WHY RADIAL?
“Aside from the benefits of earlier ambulation and fewer complications, transradial access procedures are preferred by patients.”
– Darren Klass, MD, PhD, Interventional Radiologist,
Vancouver Coastal Health, Vancouver, Canada
“The main reason I wanted to get started with the radial approach is the easy recovery and patient comfort. The patient can literally get off from the angio table and immediately start ambulating.”
– Christoph Binkert, MD, MBA, Interventional Radiologist,
Winterthur, Switzerland
“I tell my colleagues that the radial approach will change their practices, affect their bottom lines, and is significantly better for patients. I have had a number of patients thank me because their procedures were simpler and less complicated.”
– Michael Neuwirth, MD, Interventional Radiologist,
Heart and Vascular Radiology-Carle, Urbana, Illinois, USA
Before using any of the products mentioned, refer to Instructions for Use for indications, contraindications, warnings, precautions, and directions for use.
REFERENCES
1. Casazza R. 2020. “Benefits of Radial Access: Decreased Length of Stay, Reduction of Costs, and Improved Patient and Staff Satisfaction. The Trifecta of Hospital Metrics.” CathLab Digest 28, no 10 (Oct 5). https://www.cathlabdigest.com/content/benefits-radial-access-decreased-length-stay-reduction-costs-and-improved-patient-and-staff-satisfaction-trifecta-hospital-metrics.
* 6F Data on File. Merit assumes no responsibility to update the test data.