WEIRTON - A Weirton Medical Center physician is one of the few cardiologists in West Virginia using transradial arterial access for coronary and peripheral procedures as an alternative to the traditional access through the femoral artery in the groin.
WMC's Dr. Stanley C. Mannino said using the wrist as the access point is not only more comfortable for patients, but also reduces recovery times and the risk of complications and improves patient outcomes.
"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."
NEW PROCEDURE — Dr. Stanley Mannino, a cardiologist at Weirton Medical Center, studies 3D images on monitors in the hospital’s new advanced cardiovascular lab. - Contributed
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, according to officials.
Cardiologists perform coronary angiograms to obtain clear images of the patient's vascular system and the heart. These procedures, performed in the hospital's new cardiovascular lab, houses an advanced X-ray system manufactured by Phillips. This fully digital system enables physicians to capture and view 3D images of a patient's cardiac vasculature.
Mannino said 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."
Mannino, the only cardiologist in the region who routinely uses TRA for catheterization, said that in his practice, 80 percent of the patients he sees have a form of heart disease. He said the procedure benefits physicians as well as patients.
"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," 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 on his or her way to recovery and discharge sooner."
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 his bachelor of science degree in biology at the University of California Irvine and his doctorate 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 and has authored many scientific papers for national and international medical journals and symposia on catheterization and new treatments for coronary disease.