Author + information
- Morton J. Kern, MD⁎ ()
- ↵⁎University of California, Irvine Building 53, Route 81, Room 100, 101 The City Drive, Orange, California 92868
I thank Dr. Chen for his interest in my editorial (1) and for again highlighting the undeniable facts about the superiority of the transradial approach relative to the U.S. standard of femoral access. The issue is not whether radial access is better but why has it taken so long to be adopted in this country and what can we do about it?
As a recently converted sinner, I am intimately familiar with the rationale to delay adoption but once on the “Radial First” road, my experience and that of my patients confirms it is the right road. I gained some insight from a recent conversation with a young catheterization lab director in Springfield, Massachusetts, when asked why he was not teaching radial technique to the fellows in training. The same litany of excuses was chagrinly provided. “It was the way I was trained” was the first excuse. If we kept to that approach, I would still be doing cut-downs on the brachial artery.
I believe it is the duty of every interventionalist in charge of training fellows to take this challenge and duty to their patients to heart. I am sure Dr. Chen would agree that we should use this new momentum, driven by the extensive datasets on better radial access outcomes to encourage the next generation of interventionalists to step to the front of the world's stage in patient care.
- American College of Cardiology Foundation