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TRI 30th Anniversary

The year 2022 marks the 30th anniversary since Dr. F. Kiemeneij performed the first transradial intervention (August 1992).

In celebration of this milestone, Terumo Intervention Systems features the history of the transradial approach, which has evolved together with our customers. We continue to advance  a radial first approach as our commitment to improving the quality of life of our patients.

Symposium & Events

  • Disco Radial Webinar
  • R.A.V.I.

TRI x History

1992

First Trans-radial Intervension

First trans-radial angiography/intervention in cardiology

Dr. Campeau (Canada, 1989)
Dr. Kiemeneij (The Netherlands, 1992)
Dr. Wu (Taiwan, 1993)
Dr. Saito (Japan, 1995)

2000

Product Launch

RADIFOCUS Introducer II M coat
RADIFOCUS Optitorque
TR Band

Trans-radial procedures

First trans-radial procedure in various fields

Neuro angioplasty (2000)
Renal stent (2001)
TACE (2002)
Neuro coil (2004)
Iliac stent (2005)

Expansion of Trans-radial procedures in the Europe Union

First PCR Live transmission by Dr. Saito
Massy TRI Course (France)

Publication

1st clinical study on Radifocus™ Introducer II Mcoat™ & the benefits of hydrophilic coating on TRI
Saito S. et al. Catheter Cardiovasc Interv 2002;56:328-32
Usefulness of hydrophilic coating on arterial sheath introducer in transradial coronary intervention - Saito - 2002 - Catheterization and Cardiovascular Interventions - Wiley Online Library

Clinical study on Radifocus™ Introducer II Mcoat™ & its benefits on patient discomfort following TRI
Kiemeneij F. et al. Catheter Cardiovasc Interv 2003;59:161-164
Hydrophilic coating aids radial sheath withdrawal and reduces patient discomfort following transradial coronary intervention: A randomized double‐blind comparison of coated and uncoated sheaths - Kiemeneij - 2003 - Catheterization and Cardiovascular Interventions - Wiley Online Library

2005

Product Launch

Heartrail II Guiding Catheter Ikari Curve
1.5 mm J-TIP Radifocus™ Guide Wire M / Baby J
1.5 mm J-TIP Radifocus™ Guide Wire M

Terumo Activity

China, Korea, Japan friendship TRI seminar was held

Brazil-Japan 100 years anniversary TRI seminar was held

Training tools and simulators were developed

Trans-radial procedures

Expansion of trans-radial procedures in the United States, Asia, and Latin America

Publication

1st clinical study on Optitorque™'s universal shape TIGER II & its benefits for transradial angiography
Kim S-M et al. Int J Cardiovasc Imaging 2006;22:295-303
Novel diagnostic catheter specifically designed for both coronary arteries via the right transradial approach | SpringerLink

MORTAL Study demonstrates a reduction in mortality and transfusion rate with transradial access (PCI all-comers)
Chase AJ et al. Heart 2008;94:1019–25
Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg) | Heart (bmj.com)

2010

Product Launch

Glidesheath Slender

Trans-radial procedures

Trans-radial intervention training for physicians in Latin America conducted through public-private partnership to contribute to improved patient quality of life and reduced healthcare expenditures.

ESC/EACTS 2014 guidelines: Class IIa A recommendation for patients with STEMI ACS -
Kolh P et al. Eur J Cardiothorac Surg 2014;46:517–92

PCI consensus document recommends aiming for the highest possible transradial rate for optimal outcomes
Rao S.V. et al. Catheter Cardiovasc Interv. 2014;83:228-36

Publication

1st clinical study on 6Fr Glidesheath Slender™ & its use for transradial coronary angiography and PCI
Aminian A. et al. Catheter Cardiovasc Interv 2014;84:436-442

2015

Trans-radial procedures

ESC 2015 Guidelines: Class 1 A recommendation for patients with non-STEMI -
Roffi M et al. Eur Heart J 2016;37:267–315.

ESC/EACTS 2018 Guidelines: Class 1 A recommendation for patients with STEMI ACS
Ibanez B et al. Eur Heart J 2018;39:119–7

ESC/EACTS 2018 Guidelines: Class 1 A recommendation
Neumann FJ et al. Eur Heart J 2019;40:87–16

Radial Access for Visceral Intervention (R.A.V.I)

Radial to Peripheral (R2P)

Distal radial approach

ESC 2019 guidelines: Class I B recommendation in elderly patients
Knuuti J et al. Eur Heart J 2020;41:407–77

International Consensus Paper on Best Practices for the pr ion of radial artery occlusion
Bernat I et al. J Am Coll Cardiol Interv 2019;12:2235–46.

Terumo Activity

Partnered with Euro PCR and conducted training.

Publication

The MATRIX Access trial demonstrates clinically relevant reduction in all-cause mortality with transradial access in patients with STEMI or non-STEMI ACS
Valgimigli M et al. Lancet 2015;385:2465–76

1st clinical study on 5Fr Glidesheath Slender™ & its use for transradial coronary angiography and PCI
Yoshimachi F. et al. Cardiovasc Interv and Ther 2016;31:38-41

RAP and BEAT trial compares 6Fr Glidesheath Slender™ with a standard 5 Fr sheath for transradial coronary angiography and PCI
Aminian A. et al. EuroIntervention. 2017;13:e549-e556.

CRASOC I, II, and III studies featuring with TR Band™ demonstrates the benefits of a gentle and short hemostasis for transradial coronary angiography and PCI
Dangoisse V. et al Am J Cardiol. 2017;120:374-379

1st clinical study on 7Fr Glidesheath Slender™ & its use for complex transradial PCI
Aminian A. et al. Catheter Cardiovasc Interv 2017;89:1014-1020

RAP and BEAT trial substudy featuring with TR Band™ demonstrates the benefits of short hemostasis time on radial artery patency
Aminian A. et al Catheter Cardiovasc Interv. 2018 ;92:844-851

Clinical trial on Optitorque™'s universal shape TIGER II & its benefits over conventional two-catheter strategy
Xanthopoulou I et al. EuroIntervention 2018;13:1950-1958

Clinical study featuring Optitorque™'s universal shape TIGER I demonstrates a positive impact on coronary catheterization performance and economic costs
Costa-Mateu J et al. Arq Bras Cardiol 2019;113:960-968

Clinical study featuring 7 Fr Glidesheath Slender™ supports its uses for left distal transradial approach & CTO intervention
Gasparini G.L. et al. EuroIntervention. 2019;15:126-128

2020

Product Launch

RADIFOCUS Glidecath R.A.V.I. MG1/MG2 Shape

Trans-radial procedures

ACC/AHA/SCAI Decision to Designate Radial Access Class 1, Level of Evidence A
2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines | Journal of the American College of Cardiology (jacc.org)

Publication

COLOR Trial featuring 7Fr Glidesheath Slender™ demonstrates that TRA is superior to TFA in complex large bore PCI
Meijers T.A. et al. JACC Cardiovasc Interv.2021;14:1293-1303

1st clinical study on Heartrail II's Ikari left curve & its benefits door-to-balloon time for PCI STEMI patients
Lee K.H. et al. Catheter Cardiovasc Interv. 2021 May 31. Online ahead of print

DISCO RADIAL trial featuring Glidesheath Slender™ designed to investigate the benefits of dTRA over cTRA on RAO rates at discharge
Terumo Press Release 21 January 2020. Available at: https://www.terumo.com/pressrelease/detail/20200121/514/; Glidesheath Slender™ product
information https://www.terumois.com/products/access/glidesheath-slender.html; all accessed May 2020

Newsletter

Product Information

Educational Contents

Sheath Insertion

The use of a slender sheath is effective in reducing the risk of arterial spasms and radial occlusion. Glidesheath SlenderTM ensures smooth insertion and removal during the transradial procedures. *1

Catheter Manipulation

This section provides instructions on how to manipulate the bilateral angiographic catheter to engage both coronary arteries efficiently. Tips are provided on ways to manage a complex anatomy.

Hemostasis

The TR Band and patent hemostasis can help to minimize radial artery risks, such as radial artery occlusion (RAO). *2

  • 1. Kiemeneij F, et al, Catheter Cardiovasc Interv. 2003; 59 (2): 161-164
  • 2. Rathore S. et al., 2010. A Randomized Comparison of TR Band and Radistop Hemostatic Compression Devices Afer Trans-radial Coronary Intervention.
    Catheterization and Cardiovascular Interventions, 76 (5), pp.660–667.

About Us

  • Hydrophilic guidewires

    70 % share

  • TRI pioneer

  • Biodegradable

    polymer DES pioneer

  • Revenue

    599.5 billion yen

    (for FYE Mar. 2019)

  • 100 years in 2021

    (Founded 1921)

  • From Japan

    Designed in Japan

    Manufactured in Japan

  • 160

    countries world wide

  • 24,000+

    Global Employees

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