November 26, 2017
SCAI Launches Transradial Educational Initiative for PCI Procedures
November 27, 2017—The Society for Cardiovascular Angiography and Interventions (SCAI) recently announced the launch of TRAnsition for VALUE, a multifaceted educational initiative to inform cardiologists, hospital administrators, and catheterization lab staff about the benefits of expanding the adoption of transradial percutaneous coronary intervention (PCI) in the United States. The TRAnsition for VALUE initiative is supported by Medtronic.
Adhir Shroff, MD, serves as Chair of TRAnsition for VALUE, and Sunil V. Rao, MD, is Co-Chair of the initiative. Dr. Shroff is Director, Cardiovascular Catheterization Laboratories, University of Illinois Hospital in Chicago, Illinois. Dr. Rao is Associate Professor of Medicine, Duke University Medical Center in Durham, North Carolina.
SCAI noted that although approximately 70% of PCI procedures in the United States are performed through transfemoral access and are often successful, this approach is associated with challenges, including an increased risk of bleeding complications at the insertion site and a slower recovery process for the patient.
As the country’s health care system moves toward a value-based approach, TRAnsition for VALUE highlights the clinical and economic advantages of transradial intervention, which has increased in use from 16% to nearly 30% of procedures in the past decade. Eligible patients may experience improved safety with reductions in major bleeding and vascular complications, increased comfort, a shorter hospital stay, and a lower risk of mortality.
SCAI noted that despite the potential benefits, usage rates among interventionalists in the United States remain lower than those in similar health care systems, with cardiologists in major European and Asian countries reporting transradial usage of more than 70%. Research indicates that a lack of education and training has affected United States transradial adoption rates, stated SCAI.
In the society's announcement, Dr. Shroff commented, “Value for your health care dollar is an increasingly important driving force in the current health care environment. It is demanded by patients, payers, and regulators. The transradial approach represents an opportunity to provide value-based health care through improving outcomes for patients and streamlining care delivery within medical centers.”
In addition, the transradial approach increases hospital efficiency by allowing same-day discharge, reducing recovery time and hospital staffing needs, and decreasing the cost of care. It also may expand treatment options for those who may not be candidates for PCI via transfemoral access, such as those who are obese, elderly, or have orthopedic disabilities that make it difficult to lie flat.
Dr. Rao added, “Transradial PCI is truly a patient-centric approach with undisputed clinical benefits and patient preference. The issue has been a lack of training opportunities for physicians interested in adopting this approach. SCAI’s comprehensive TRAnsition for VALUE program offers the resources, training, and opportunity to learn from the nation’s experts.”
The TRAnsition for VALUE education curriculum will be guided by the SCAI Quality Improvement Committee. The curriculum supports SCAI’s consensus statement on transradial best practices.
The primary education destination is a new website, TRAnsitionForVALUE.org, where visitors can register to receive custom education and training opportunities. The site will also host a modular, eight-part, quality improvement toolkit with accompanying webinars hosted by SCAI Quality Improvement experts on the following topics:
- How Value-Based Healthcare Affects Your Clinical Practice
- The Clinical Benefits of Transradial Access
- The Economic Benefits of Transradial Access
- Femoral to Radial 101—Where to Begin for MDs
- Clinical Best Practices, Tips & Tricks for TRA Technique
- Rethinking Care Delivery in a TRA Cath Lab
- The Cath Lab Staff’s Role in TRA Adoption
- Your TRA Support Network: How to Initiate Change
The TRAnsition for VALUE program will also be featured at the annual SCAI Scientific Sessions, as well as other regional events in partnership with hospitals and health care systems throughout the United States.