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Transradial Arterial Catheterization Introduced at Weirton Medical Center

Stanley C. Mannino, M.D., Weirton Medical Center cardiologist, described the advantages of what is called “transradial arterial (TRA) access for coronary and peripheral procedures” as a excellent alternative to the traditional access through the femoral artery in the groin. Dr. Mannino is one of the few cardiologists in West Virginia performing this procedure.

“When we are performing coronary angiography, transradial access is the procedure that produces less vascular complications, is more comfortable for the patient and enables a faster recovery,” he explained. “During this method, we feed the angiocath into the radial artery at the wrist with a needle, which is then extracted when the posterior wall of the artery is punctured. Then the catheter is advanced through the radial artery toward the heart by means of a small caliber guidewire for diagnostic or interventional treatment such as the deployment of stents or angioplasty to dilate (widen) a blood vessel.”

Coronary angiograms are part of a general group of procedures known as cardiac catheterization. Heart catheterization procedures can both diagnose and treat heart and blood vessel conditions.

Dr. Mannino and other Weirton Medical Center cardiologists perform coronary angiograms to obtain clear images of the patient’s vascular system and the heart. These procedures are performed in the new catheterization lab at the hospital, which houses the advanced X-ray system manufactured by Philips. This fully digital system enables WMC physicians to capture and view 3D images of a patient’s cardiac vasculature.

According to Dr. Mannino, radial coronary angiography is gaining in popularity around the world, with approximately 20 percent of the procedures currently using TRA. “The benefits to the patient are numerous, including significant reductions in bleeding and discomfort, fewer complications, decreased length of stay, reduced cost and improved outcomes,” he said. “Depending upon the treatment plan, we can have a patient in and out in around an hour and half and home resting comfortably.”

TRA provides benefits not only to the patient, but to the physicians as well. “"The use of TRA for diagnostics and intervention combine to produce improved outcomes in the new catheterization lab, which produces detailed, clear images of the heart and peripheral blood vessels for more accurate diagnosis and treatment of cardiac disease," Dr. Mannino said.

“Also, patient outcomes are improved by enabling us to complete a variety of diagnostic and interventional procedures faster. The patient is off the table and his or her way to recovery and discharge sooner,” he explained.

Dr. Mannino has been a cardiologist at Weirton Medical Center for 15 years. Prior to that, he held a Cardiology Fellowship at Allegheny General Hospital in Pittsburgh. He earned a BS in biology at the University of California Irvine and his Doctor of Medicine at the University Autonomous of Guadalajara, Mexico. He interned at St. Joseph’s Medical Center in New York and St. Francis General Hospital in Pittsburgh. Dr. Mannino has authored many scientific papers for national and international medical journals and symposia on catheterization and new treatments for coronary disease.

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