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TRAnsition for VALUE Scorecard

Establish your own TRA utilization, create goals, and track your progress with the TRAnsition for VALUE scorecard in partnership with your cath lab management and hospital administrators.

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Module Videos

All of the educational Modules that are part of the TRAnsition for VALUE initiative are available as interactive videos with faculty members providing an audio presentation of the slides. Click on the video links below to view the Modules in an enhanced format and understand the key takeaways.

Module 1: How Value-Based Healthcare Affects Your Practice
Module 2: Clinical Benefits of TRA
Module 3: Economic Benefits of TRA
Module 4: Femoral to Radial 101
Module 5: Clinical Best Practices, Tips and Tricks for TRA
Module 6: Rethinking Care Delivery in the Cath Lab
Module 7: Cath Lab Staff Role in TRA Adoption
Module 8: Your TRA Support Network

Clinical Guidelines and Consensus Documents

SCAI-Endorsed Guidelines and Consensus Documents

Length of stay following percutaneous coronary intervention: An expert consensus document update from the society for cardiovascular angiography and interventions.Seto AH, Shroff A, Abu-Fadel M, Blankenship JC, Boudoulas KD, Cigarroa JE, Dehmer GJ, Feldman DN, Kolansky DM, Lata K, Swaminathan RV, Rao SV.
Catheter Cardiovasc Interv. 2018 Oct 1;92(4):717-731. doi: 10.1002/ccd.27637. Epub 2018 Apr 24.
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Best practices for transradial angiography and intervention: a consensus statement from the society for cardiovascular angiography and intervention's transradial working group. Rao SV, Tremmel JA, Gilchrist IC, Shah PB, Gulati R, Shroff AR, Crisco V, Woody W, Zoghbi G, Duffy PL, Sanghvi K, Krucoff MW, Pyne CT, Skelding KA, Patel T, Pancholy SB; Society for Cardiovascular Angiography and Intervention's Transradial Working Group.
Catheter Cardiovasc Interv. 2014 Feb;83(2):228-36. doi: 10.1002/ccd.25209. Epub 2013 Oct 23.
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Transradial arterial access for coronary and peripheral procedures: executive summary by the Transradial Committee of the SCAI.Caputo RP, Tremmel JA, Rao S, Gilchrist IC, Pyne C, Pancholy S, Frasier D, Gulati R, Skelding K, Bertrand O, Patel T.
Catheter Cardiovasc Interv. 2011 Nov 15;78(6):823-39. doi: 10.1002/ccd.23052. Epub 2011 May 4. Review.
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Other Key Guidelines and Consensus Documents

2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio ALP, Crea F, Goudevenos JA, Halvorsen S, Hindricks G, Kastrati A, Lenzen MJ, Prescott E, Roffi M, Valgimigli M, Varenhorst C, Vranckx P, Widimský P; ESC Scientific Document Group.
Eur Heart J. 2018 Jan 7;39(2):119-177. doi: 10.1093/eurheartj/ehx393.
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Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology. Hamon M, Pristipino C, Di Mario C, Nolan J, Ludwig J, Tubaro M, Sabate M, Mauri-Ferré J, Huber K, Niemelä K, Haude M, Wijns W, Dudek D, Fajadet J, Kiemeneij F; European Association of Percutaneous Cardiovascular Interventions; Working Group on Acute Cardiac Care of the European Society of Cardiology; Working Group on Thrombosis on the European Society of Cardiology.
EuroIntervention. 2013 Mar;8(11):1242-51. doi: 10.4244/EIJV8I11A192.
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2014 ESC/EACTS Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Authors/Task Force members, Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V, Filippatos G, Hamm C, Head SJ, Jüni P, Kappetein AP, Kastrati A, Knuuti J, Landmesser U, Laufer G, Neumann FJ, Richter DJ, Schauerte P, Sousa Uva M, Stefanini GG, Taggart DP, Torracca L, Valgimigli M, Wijns W, Witkowski A.
Eur Heart J. 2014 Oct 1;35(37):2541-619. doi: 10.1093/eurheartj/ehu278. Epub 2014 Aug 29.
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Key Trials and Papers

Key Trials and Papers: Economics and Same Day Discharge

Economic impact of same-day home discharge after uncomplicated transradial percutaneous coronary intervention and bolus-only abciximab regimen. Rinfret S, Kennedy WA, Lachaine J, Lemay A, Rodés-Cabau J, Cohen DJ, Costerousse O, Bertrand OF.
JACC Cardiovasc Interv. 2010 Oct;3(10):1011-9. doi: 10.1016/j.jcin.2010.07.011.
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Costs of transradial percutaneous coronary intervention. Amin AP, House JA, Safley DM, Chhatriwalla AK, Giersiefen H, Bremer A, Hamon M, Baklanov DV, Aluko A, Wohns D, Mathias DW, Applegate RA, Cohen DJ, Marso SP.
JACC Cardiovasc Interv. 2013 Aug;6(8):827-34. doi: 10.1016/j.jcin.2013.04.014. Epub 2013 Jul 17.
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Comparison of costs between transradial and transfemoral percutaneous coronary intervention: a cohort analysis from the Premier research database. Safley DM, Amin AP, House JA, Baklanov D, Mills R, Giersiefen H, Bremer A, Marso SP.
Am Heart J. 2013 Mar;165(3):303-9.e2. doi: 10.1016/j.ahj.2012.10.004. Epub 2012 Nov 15.
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Ambulatory transradial percutaneous coronary intervention: a safe, effective, and cost-saving strategy. Le Corvoisier P, Gellen B, Lesault PF, Cohen R, Champagne S, Duval AM, Montalescot G, Elhadad S, Montagne O, Durand-Zaleski I, Dubois-Randé JL, Teiger E.
Catheter Cardiovasc Interv. 2013 Jan 1;81(1):15-23. doi: 10.1002/ccd.24545. Epub 2012 Nov 14.
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Costs Associated With Access Site and Same-Day Discharge Among Medicare Beneficiaries Undergoing Percutaneous Coronary Intervention: An Evaluation of the Current Percutaneous Coronary Intervention Care Pathways in the United States. Amin AP, Patterson M, House JA, Giersiefen H, Spertus JA, Baklanov DV, Chhatriwalla AK, Safley DM, Cohen DJ, Rao SV, Marso SP.
JACC Cardiovasc Interv. 2017 Feb 27;10(4):342-351. doi: 10.1016/j.jcin.2016.11.049.
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Key Trials and Papers: Clinical

Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Jolly SS, Yusuf S, Cairns J, Niemelä K, Xavier D, Widimsky P, Budaj A, Niemelä M, Valentin V, Lewis BS, Avezum A, Steg PG, Rao SV, Gao P, Afzal R, Joyner CD, Chrolavicius S, Mehta SR; RIVAL trial group.
Lancet. 2011 Apr 23;377(9775):1409-20. doi: 10.1016/S0140-6736(11)60404-2. Epub 2011 Apr 4. Erratum in: Lancet. 2011 Apr 23;377(9775):1408. Erratum in: Lancet. 2011 Jul 2;378(9785):30.
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Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial. Valgimigli M, Gagnor A, Calabró P, Frigoli E, Leonardi S, Zaro T, Rubartelli P, Briguori C, Andò G, Repetto A, Limbruno U, Cortese B, Sganzerla P, Lupi A, Galli M, Colangelo S, Ierna S, Ausiello A, Presbitero P, Sardella G, Varbella F, Esposito G, Santarelli A, Tresoldi S, Nazzaro M, Zingarelli A, de Cesare N, Rigattieri S, Tosi P, Palmieri C, Brugaletta S, Rao SV, Heg D, Rothenbühler M, Vranckx P, Jüni P; MATRIX Investigators.
Lancet. 2015 Jun 20;385(9986):2465-76. doi: 10.1016/S0140-6736(15)60292-6. Epub 2015 Mar 16.
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Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study. Romagnoli E, Biondi-Zoccai G, Sciahbasi A, Politi L, Rigattieri S, Pendenza G, Summaria F, Patrizi R, Borghi A, Di Russo C, Moretti C, Agostoni P, Loschiavo P, Lioy E, Sheiban I, Sangiorgi G.
J Am Coll Cardiol. 2012 Dec 18;60(24):2481-9. doi: 10.1016/j.jacc.2012.06.017. Epub 2012 Aug 1.
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Baseline bleeding risk and arterial access site practice in relation to procedural outcomes after percutaneous coronary intervention. Mamas MA, Anderson SG, Carr M, Ratib K, Buchan I, Sirker A, Fraser DG, Hildick-Smith D, de Belder M, Ludman PF, Nolan J; British Cardiovascular Intervention Society; National Institute for Cardiovascular Outcomes Research.
J Am Coll Cardiol. 2014 Oct 14;64(15):1554-64. doi: 10.1016/j.jacc.2014.05.075.
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Transradial approach (left vs right) and procedural times during percutaneous coronary procedures: TALENT study. Sciahbasi A, Romagnoli E, Burzotta F, Trani C, Sarandrea A, Summaria F, Pendenza G, Tommasino A, Patrizi R, Mazzari M, Mongiardo R, Lioy E.
Am Heart J. 2011 Jan;161(1):172-9. doi: 10.1016/j.ahj.2010.10.003.
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Real-time ultrasound guidance facilitates transradial access: RAUST (Radial Artery access with Ultrasound Trial). Seto AH, Roberts JS, Abu-Fadel MS, Czak SJ, Latif F, Jain SP, Raza JA, Mangla A, Panagopoulos G, Patel PM, Kern MJ, Lasic Z.
JACC Cardiovasc Interv. 2015 Feb;8(2):283-291. doi: 10.1016/j.jcin.2014.05.036. Epub 2015 Jan 14.
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Balloon-assisted tracking: a must-know technique to overcome difficult anatomy during transradial approach. Patel T, Shah S, Pancholy S, Rao S, Bertrand OF, Kwan T.
Catheter Cardiovasc Interv. 2014 Feb;83(2):211-20. doi: 10.1002/ccd.24959. Epub 2013 May 9.
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Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Pancholy S, Coppola J, Patel T, Roke-Thomas M.
Catheter Cardiovasc Interv. 2008 Sep 1;72(3):335-340. doi: 10.1002/ccd.21639.
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Prevention of Radial Artery Occlusion After Transradial Catheterization: The PROPHET-II Randomized Trial. Pancholy SB, Bernat I, Bertrand OF, Patel TM.
JACC Cardiovasc Interv. 2016 Oct 10;9(19):1992-1999. doi: 10.1016/j.jcin.2016.07.020.
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Efficacy and safety of transient ulnar artery compression to recanalize acute radial artery occlusion after transradial catheterization. Bernat I, Bertrand OF, Rokyta R, Kacer M, Pesek J, Koza J, Smid M, Bruhova H, Sterbakova G, Stepankova L, Costerousse O.
Am J Cardiol. 2011 Jun 1;107(11):1698-701. doi: 10.1016/j.amjcard.2011.01.056. Epub 2011 Mar 23
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Radiation exposure in relation to the arterial access site used for diagnostic coronary angiography and percutaneous coronary intervention: a systematic review and meta-analysis. Plourde G, Pancholy SB, Nolan J, Jolly S, Rao SV, Amhed I, Bangalore S, Patel T, Dahm JB, Bertrand OF.
Lancet. 2015 Nov 28;386(10009):2192-203. doi: 10.1016/S0140-6736(15)00305-0. Epub 2015 Sep 25. Review.
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Reduction of scatter radiation during transradial percutaneous coronary angiography: a randomized trial using a lead-free radiation shield. Politi L, Biondi-Zoccai G, Nocetti L, Costi T, Monopoli D, Rossi R, Sgura F, Modena MG, Sangiorgi GM.
Catheter Cardiovasc Interv. 2012 Jan 1;79(1):97-102. doi: 10.1002/ccd.22947. Epub 2011 Apr 25.
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The learning curve for transradial percutaneous coronary intervention among operators in the United States: a study from the National Cardiovascular Data Registry. Hess CN, Peterson ED, Neely ML, Dai D, Hillegass WB, Krucoff MW, Kutcher MA, Messenger JC, Pancholy S, Piana RN, Rao SV.
Circulation. 2014 Jun 3;129(22):2277-86. doi: 10.1161/CIRCULATIONAHA.113.006356. Epub 2014 Apr 22.
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Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012). Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC, Minutello RM, Messenger JC, Moussa I, Garratt KN, Piana RN, Hillegass WB, Cohen MG, Gilchrist IC, Rao SV.
Circulation. 2013 Jun 11;127(23):2295-306. doi: 10.1161/CIRCULATIONAHA.112.000536.
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Transradial coronary catheterization and intervention across the whole spectrum of Allen test results. Valgimigli M, Campo G, Penzo C, Tebaldi M, Biscaglia S, Ferrari R; RADAR Investigators.
J Am Coll Cardiol. 2014 May 13;63(18):1833-41. doi: 10.1016/j.jacc.2013.12.043. Epub 2014 Feb 26.
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Last modified: Monday, February 4, 2019, 10:43 AM