The transradial learning curve and volume-outcome relationship

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

This article discusses how learning curves correlate with learning in transradial catheterization. Although learning curves exist in the conversion to transradial approaches, current percutaneous coronary intervention (PCI) procedures are so safe that only surrogate end points such as contrast usage and x-ray exposure show learning effects. Using these surrogates, a learning curve of 30 to 50 patients seems typical to transition cardiologists from transfemoral to transradial PCI. This transition occurs with the immediate benefit of reduced vascular complications and bleeding and without loss of overall procedural success. These measures of safety during learning exist despite difference of procedural volumes.

Original languageEnglish (US)
Pages (from-to)203-211
Number of pages9
JournalInterventional Cardiology Clinics
Volume4
Issue number2
DOIs
StatePublished - Jan 1 2015

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Learning Curve
Learning
Percutaneous Coronary Intervention
Catheterization
Blood Vessels
Biomarkers
X-Rays
Hemorrhage
Safety

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "The transradial learning curve and volume-outcome relationship",
abstract = "This article discusses how learning curves correlate with learning in transradial catheterization. Although learning curves exist in the conversion to transradial approaches, current percutaneous coronary intervention (PCI) procedures are so safe that only surrogate end points such as contrast usage and x-ray exposure show learning effects. Using these surrogates, a learning curve of 30 to 50 patients seems typical to transition cardiologists from transfemoral to transradial PCI. This transition occurs with the immediate benefit of reduced vascular complications and bleeding and without loss of overall procedural success. These measures of safety during learning exist despite difference of procedural volumes.",
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The transradial learning curve and volume-outcome relationship. / Gilchrist, Ian.

In: Interventional Cardiology Clinics, Vol. 4, No. 2, 01.01.2015, p. 203-211.

Research output: Contribution to journalReview article

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