Advanced Outcomes Made Simple - SIR 2022

What To Expect from Merit at SIR 2022 – “Advanced Outcomes Made Simple”

Advanced Outcomes Made Simple - SIR 2022Merit will be exhibiting at SIR 2022, the Society of Interventional Radiology’s Annual Scientific Meeting. Join us June 12 – 14 in Boston, MA, for a high-quality educational program with an international audience, in-person training, and hands-on workshops. Along with showcasing an exciting lineup of leading-edge products, this year we’re hosting a Lunch & Learn session you won’t want to miss.

Here’s a sneak peek of what you can expect at booth #418:

LUNCH & LEARN

Lunch is on us! We hope to see you Monday, June 13 at 12:00 PM EDT for the following educational presentation:

Case-Based Discussion of Steerable Technology in Treatment of VCF and Spinal Metastatic Disease

DATE: Monday, June 13

TIME: 12:00 pm EDT

WHERE: Booth #418

LEARNING OBJECTIVES:

  • Understand Clinical & Procedural Value of Steerable Devices
  • Discover Therapy-Awareness Strategies
  • Engage in Case-Based Discussion and Q&A

FACULTY

J. Dana Dunleavy - Think Spine Proctor

Dana Dunleavy, M.D.
Windsong Radiology Director of Interventional & Vascular Services
Buffalo, NY
Learn more about Dr. Dunleavy

PRODUCT SHOWCASE AT BOOTH #418

NEW Prelude Roadster™ Guide Sheath

Prelude Roadster

Expand your diagnostic and interventional procedures with the new Prelude Roadster, a longer guide sheath designed to access difficult anatomy in the peripheral vasculature. Stop by booth #418 to be among the first to discover this brand-new technology.

ReSolve® Thoracostomy Tray

ReSolve Thoracostomy Tray - Merit Medical

The ReSolve Thoracostomy Tray allows air (pneumothorax) and fluid (pleural effusion) to be drained from the pleural space through a percutaneous approach rather than an open surgical approach, providing your patients with minimally invasive care.

TEMNO Elite™ Biopsy System

Sample Assist - Biopsy Samples with the Push of a Button - TEMNO Elite Biopsy System - Merit Medical

The TEMNO Elite Biopsy System offers the reliability you expect with new features designed to provide superior soft tissue samples and total procedure control.

SplashWire™ Hydrophilic Steerable Guide Wire

SplashWire - REIMAGINE YOUR GUIDE WIRE

The Merit SplashWire combines optimum lubricity, exceptional torque response, and enhanced visibility, helping you achieve the successful outcomes you expect for your patients. We designed the SplashWire to successfully perform in the most complex cases.

ReSolve ConvertX® Nephroureteral & Biliary Stent System

ReSolve ConvertX - Ureteral or Biliary Obstructions

Drain to stent in 30 seconds1 with the ConvertX. Designed to treat ureteral and biliary obstructions, you can place it like any internal-external drain, then convert it to a stent when you’re ready.

Surfacer® Inside-Out® Access Catheter System

Surfacer® Inside-Out Access system - Restore Access, Preserve Options - Merit Medical

Pioneered by interventional cardiologist John Gurley, M.D., the Inside-Out approach was developed in response to patients with chronically occluded veins that required life-saving vascular access. Inserted in the femoral vein, the Surfacer Inside-Out Access Catheter System locates an exit from the right internal jugular vein, maintaining viable secondary veins if necessary.

See the Surfacer featured on the cover of June 2022 Journal of Vascular Surgery.

One-Vac™ Evacuated Drainage Bottle

One-Vac Evacuated Drainage Bottle

Engineered with an advanced design, the One-Vac is the smart option when choosing an evacuated drainage bottle. Built with a number of key features, the One-Vac makes percutaneous fluid collection and discard simple, efficient, and safe for you and your patients.

EmboCube® Embolization Gelatin

EmboCube Embolization Gelatin

Specifically designed for embolization of hypervascular tumors and blood vessels to occlude blood flow, EmboCube controls hemorrhaging in the peripheral vasculature. Gelatin is cut uniformly in preloaded 1-mL or 3-mL Medallion® Syringes to help ensure seamless prep and accurate delivery.

Embosphere® Microspheres

The most clinically studied spherical embolic, Embosphere is the clear choice among interventional radiologists. Designed for predictable and durable occlusion for the embolization of symptomatic uterine fibroids, ABMs, and hypervascular tumors, the elastic material allows for temporary compression of up to 33%,3 yielding targeted results for patients and practitioners.

Merit Maestro® Microcatheters

Maestro Microcatheter - Embolotherapy Delivery System

A multipurpose microcatheter, the Maestro is designed to deploy coils up to 0.018″ and embolics up to and including 900 µm. A swan neck design helps you seat the catheter in the vessel, reducing the recoiling effect.

SwiftNINJA® Steerable Microcatheter

SwiftNINJAfull_coiled-sm

The SwiftNINJA is an innovative straight-tip catheter featuring an ergonomic steering dial that navigates up to 180 degrees and enables in vivo control. Consisting of a hydrophilic-coated distal 80 cm, the device delivers exceptional precision and speed even when you’re navigating the most challenging vascular ostium.

Prelude IDeal™ Hydrophilic Sheath Introducer

Prelude IDeal Sheath Introducer - Merit Medical

A hydrophilic access sheath with increased kink and compression resistance makes the IDeal the tool of choice for your radial access procedures.

Arcadia™ Steerable Balloon-Assisted Vertebral Augmentation

Arcadia Steerable Balloon-Assisted Vertebral Augmentation

The Arcadia is designed to achieve controlled, precise, targeted cavity creation in your vertebral augmentation procedures—whether your approach is unipedicular or bipedicular.

NEW AT MERIT: Arcadia™ Curved Delivery Cannula

Arcadia Curved Delivery Cannula - VCF

Stop by booth #418 and ask us about our NEW Arcadia™ Curved Delivery Cannula—a bone cement delivery system designed for predicable cement deposition across the midline of the vertebral body, optimizing cement volume, while potentially reducing the need for bipedicular access.

STAR™ Tumor Ablation System

STAR Tumor Ablation - Radiofrequency Ablation - Merit Medical

STAR delivers meaningful pain relief and localized tumor destruction in a single treatment. Your patients will appreciate that this mechanism is designed to perform successfully and comfortably in an outpatient setting.

We look forward to seeing you at SIR 2022 and discussing all the ways we can help you enhance your patient care. Questions? Contact our Customer Support team and speak to one of our representatives. Live chat, phone, or email—we are here for you.

Don’t forget to follow us on social media for live conference updates!

Before using any of the Merit products mentioned above, refer to Instructions for Use for indications, contraindications, warnings, precautions, and directions for use.

REFERENCES

  1. Data on File.
  2. Laurent et al. Am J Neuroradial 1996.
Distal Radial Access

“A Real Winning Combination”: Prelude IDeal™ and PreludeSYNC DISTAL™ Provide Complete Solution for Distal Radial Access

Distal Radial AccessDistal radial access has emerged as an accessible, optimal solution for physicians seeking to provide the greatest experience for their patients. While femoral and traditional radial access have previously been standard, distal radial offers additional advantages to both patient and operator. To support distal radial artery access, Merit offers a suite of products designed to minimize risk, maximize patient comfort, and provide ease of use for care teams to incorporate.

Ethan C. Korngold, MD, FSCAI - Distal Radial AccessWe spoke with Ethan C. Korngold, MD, FSCAI, interventional cardiologist at Providence St. Vincent Hospital in Portland, OR, to hear his experience choosing two Merit products in particular for his distal radial artery access procedures: the Prelude IDeal Hydrophilic Sheath Introducer and the PreludeSYNC DISTAL, a radial compression device specially created for the distal radial access site.

Why Distal Radial?

Literature shows that radial access provides multiple benefits, including less bleeding complications, decreased procedure cost, and enhanced sheath performance.1

According to Dr. Korngold, patients undergoing distal radial access interventions may experience additional advantages over radial access, including increased mobility post-procedure. “It is much less invasive than traditional radial access—my patients are able to resume normal activities much more quickly,” Dr. Korngold says. “Distal radial access may also lead to less occlusion of the radial artery. I think the important thing is that it preserves the radial artery should future interventions be necessary.”

Mitigating Risk

Prelude IDeal Sheath Introducer - Merit MedicalKinking and compressing are recognized challenges for operators when navigating catheters during radial access procedures.

“It’s very important when performing distal access to have a sheath that’s kink resistant. I really do prefer the kink resistance of the braided Prelude IDeal sheath. I also find it has impressive push forces; it’s a stronger, stiffer sheath that performs better than others I’ve used,” Dr. Korngold explains.

Merit designed the Prelude IDeal specifically to reduce the impact of these risks to patients. Composite braiding technology gives the Prelude IDeal sheath a 13% thinner wall than the leading competitor.2 With proprietary engineering, the sheath is thinner and stronger while achieving 124% increased compression resistance and 23% more kink resistance than the leading competitor.2

Prelude IDeal Compression & Kink Resistance Features

Dr. Korngold shares his firsthand experience with similar products. “I’ve used other non-braided sheaths, both slender and non-slender varieties. I found that even the non-slender varieties are just too prone to kinking. The kink resistance of the Prelude IDeal is excellent; it’s an essential feature for distal radial access.”

Maximizing Patient Comfort

PreludeSYNC DISTAL - Secure, Comfortable and EffectiveDr. Korngold has found that he’s received significantly fewer patient complaints of swelling, discomfort, or hematomas since opting for the PreludeSYNC DISTAL.

Constructed with soft material, the PreludeSYNC DISTAL provides comfortable wear. Its three-strap band configuration allows for an adjustable fit with optional extension if needed especially for larger hands. The PreludeSYNC DISTAL also delivers clear, unobstructed site visibility for focused compression. A built-in Slip-n-Lock™ Cap provides a specialized connection, securing syringes during inflation and deflation, supporting patient safety.

“The PreludeSYNC DISTAL band is really just perfectly designed. Everyone who does distal radial access has experimented with different ways of doing it. No solution is as efficient, convenient, or as comfortable for patients,” Dr. Korngold says.

Ease of Use

Medical devices must be effective, but equally important is ease of use. Dr. Korngold reports that incorporating the Prelude IDeal and PreludeSYNC DISTAL into his practice was seamless.

“It’s very easy to train the care team on how to use them properly,” he says, referring to his experience introducing both products to his staff. “Our nurses on the floor found it very intuitive and easy to manage. Both products fit perfectly into our existing workflows, so I’d say it’s a real winning combination.”

A Complete Solution

Merit is committed to developing tools that improve patient’s lives in partnership with the physicians who provide their care. The Prelude IDeal Hydrophilic Sheath Introducer and PreludeSYNC DISTAL are prime examples of this dedication and have become the go-to tools for distal radial access procedures around the globe.

Discover the Prelude IDeal Hydrophilic Sheath Introducer and the PreludeSYNC DISTAL, and live chat with our Customer Support team to see how you can incorporate them into your practice.

REFERENCES

  1. Rathore S et al. 2010. “Impact of Length and Hydrophilic Coating of the Introducer Sheath on Radial Artery Spasm During Transradial Coronary Intervention.” JACC 3, no. 5 (May): 475 ̶ 483. PMID: 20488402.
  2. 6F Data on File.
The Solutions for Your Clinical Challenges - Merit Medical

What’s Your Clinical Challenge? We Have a Solution.

As a leader in customer-focused healthcare, Merit Medical’s priority is to ensure that you have the tools you need to care for your patients. Ranging from product kits to education opportunities, our Complete Solutions simplify preparation and streamline procedures to support quality patient care with a trusted, innovative range of medical devices.

BIOPSY

Biopsy Solution

We offer a wide range of reliable biopsy devices for precise samples every time. Our proven soft tissue biopsy brands, such as Achieve®, Temno®, Tru-Cut®, and CorVocet®, offer a complete selection with advanced features to obtain top-quality tissue samples with ease and efficiency.

LEARN MORE >

CARDIAC CATHETERIZATION

Our cardiac catheterization solutions provide you with a variety of tools to help you accurately diagnose and successfully treat patients with heart problems. From sheath introducers, like our Prelude IDeal™, and guide wires to catheters, inflation devices, and more, we offer a number of superior devices for your procedures.

LEARN MORE >

CRITICAL CARE

Critical Care Solutions

When treating vulnerable patients, every product you use matters. We offer a broad spectrum of tools designed for patients being treated in the critical care unit. Merit critical care technologies aim to reduce contaminant exposure, accurately monitor patient blood pressure, and decrease workplace injury, helping you provide treatment that is safe, effective, and efficient.

LEARN MORE >

DIALYSIS ACCESS

Dialysis Access Solution

Kidney disease is a global issue, and access is the foundation for any successful dialysis procedure. Our comprehensive dialysis access portfolio, including our catheter-dependence reducing HeRO® Graft, brings reliable and innovative solutions to your practice.

LEARN MORE >

PERITONEAL DIALYSIS

Our home dialysis options offer several patient advantages over in-center dialysis, including better kidney disease-related quality of life. We offer virtual and hands-on physician training, a wide range of catheter sizes, accessories, kits, and patient resources.

LEARN MORE >

RADIAL

Radial access has many well-documented benefits that include improved patient safety, a significant reduction in cost of care, and increased patient and staff satisfaction. We support radial access with a diverse portfolio of innovative products and a world-renowned hands-on physician education program, helping you offer the advantages of radial to your patients.

LEARN MORE >

DISTAL RADIAL ACCESS

Distal radial artery access offers both patient and operator advantages. To help bring these benefits to your practice, we provide advanced training on the distal technique as well as innovative products to support your procedures, such as the first-to-market PreludeSYNC DISTAL™ Radial Compression Device.

LEARN MORE >

DRAINAGE

Over the past two decades, we have continually expanded our drainage portfolio to include a diverse range of solutions that work together to help you achieve optimal drainage care. We offer multiple drainage catheters designed to lessen trauma and promote a more accurate placement.

LEARN MORE >

ELECTROPHYSIOLOGY & CRM

Successful diagnosis and treatment of electrical cardiac activity is crucial—this is why we offer a range of physician education courses and specialized tools to assist in making accurate diagnoses and create effective treatment plans. Features include extra-stiff transseptal needles, ergonomic handles for exceptional control, and advanced introducer systems.

LEARN MORE >

EMBOLOTHERAPY

Our proprietary embolic products are the most studied on the market and allow for efficient and safe delivery and predictable outcomes. To complement our offerings, we provide excellent ongoing customer service to ensure you have the tools you need for your procedures.

PROSTATIC ARTERY EMBOLIZATION
To help support your prostatic artery embolization (PAE) practice, we offer virtual and hands-on training, trusted products, clinical resources, patient materials, and more.

UTERINE FIBROID EMBOLIZATION
Our uterine fibroid embolization (UFE) solutions offer trusted products that deliver predictable clinical results as well as long-term symptom control.

We also offer extensive patient resources at our Ask4PAE and Ask4UFE sites.

LEARN MORE >

GASTROENTEROLOGY STRICTURE MANAGEMENT

GI Stricture Management

Merit Endoscopy’s fully covered, laser-cut esophageal stent technology provides for accurate placement and minimized migration. In addition to our state-of-the-art stent technology, we deliver best-in-class dilation products, including our BIG60® Inflation Device and our Elation dilation balloons as well as enhanced physician training.

LEARN MORE >

PULMONARY STRICTURE MANAGEMENT

For patients with tracheobronchial strictures, stent technology can provide rapid palliation and improve quality of life. We offer fully covered, laser-cut tracheobronchial stents and advanced over-the-wire and direct visualization delivery systems. Download case studies and participate in virtual and hands-on training—all designed to help you advance patient care.

LEARN MORE >

KITS & PACKS

Designed to bring convenience and efficiency to your office, our kits and packs solutions can help simplify prep and procedure, support quality patient care, and reduce inventory levels. Our team analyzed hundreds of kits and created a set of standard configurations that meet the needs of the majority of cath labs, interventional radiology, and vascular surgery departments. We also offer customizable kits to fit your unique procedural needs.

LEARN MORE >

SPINE

Through a diverse portfolio of sophisticated steerable technologies, we deliver complete procedural solutions designed to treat pathologies of the vertebrae, reduce pain, and improve patient quality of life. Our comprehensive education programs and unique products allow physicians to address patient-specific needs and physician preference in the treatment of vertebral pathologies.

LEARN MORE >

VENOUS

Venous Solutions from Merit Medical

Our minimally invasive venous solutions are designed to treat symptoms, minimize post-operative pain, and provide faster recovery. Explore products, accessories, and kits, packs, and trays—each complementing the next to provide you with better patient outcomes.

LEARN MORE >

Merit’s dedication to comprehensive customer care starts with providing the tools you need to treat your patients. Ready to get started? Available via email, phone, and live chat, our Customer Support team is here to help find a solution for you. Browse our virtual in-service and product support videos, all designed to help you obtain additional product knowledge and insights. We look forward to working with you.

SplashWire - It's Time to Reimagine Your Guide Wire

New SplashWire™ Delivers Superior Performance in Diagnostic and Interventional Procedures

Merit Medical is proud to announce the launch of the SplashWire™, a hydrophilic steerable guide wire designed to facilitate the placement of devices during diagnostic and interventional procedures. The SplashWire is the result of Merit’s commitment to continued innovation and dedication to making superior products that meet the specific needs of physicians.

A number of key features enable the SplashWire to attenuate common issues associated with guide wire use—such as wire whipping and friction—as well as promote rapid catheter exchanges, all helping to traverse difficult lesions and support successful clinical outcomes in the most challenging procedures.

KEY FEATURES

Resilient Hydrophilic Coating—Provides a constant lubricity that’s superior to the market-leading hydrophilic guide wire,1 enhancing lesion crossability and reducing friction and insertion forces when traversing complex lesions.

Tungsten-Infused Polymer Jacket—Combined with the nitinol core wire, boosts visualization under fluoroscopy for accurate positioning.

Multiple Configurations—For added procedural flexibility, the SplashWire is available in many diameters, lengths, and angled and straight configurations.

Stiff Configuration—Offers more support and pushability.

Nitinol Core—Delivers kink resistance and true 1:1 torque response for smooth navigation in tortuous vessels.1

SPLASHWire Torque Response Comparison Chart

Comparative torque testing1 shows the SplashWire consistently meets the 1:1 torque target, unlike the market leader’s exaggerated torque response. As displayed in the chart, bars closest to the target line indicate true 1:1 torqueability.

Stiff Configuration
Nitinol Core
Resilient Hydrophilic Coating

The SplashWire is a valued addition to the Merit Angiography portfolio, a compilation of tools developed by applying physician feedback, investing in new technologies, and improving upon legacy products. This dedication to continued innovation and ongoing excellence has resulted in products that deliver superior performance for diagnostic and interventional procedures.

Learn more about the SplashWire Hydrophilic Steerable Guide Wire by exploring its product page or by connecting with our Customer Support Center to see how you can incorporate it and other Merit solutions into your practice today.

References

1. Test data on file.

Prelude IDeal - Providing Solution for Radial Access Challenge - Merit Medical

Prelude IDeal™ Provides Real Solution to Common Radial Access Challenge

During radial access procedures, many thin-walled sheath introducers on the market pose the risk of kinking or compressing, either near the access site or inside the radial artery, resulting in wires, catheters, and other devices unable to move through. After years of research, the Merit R&D team built the Prelude IDeal™, a hydrophilic sheath introducer designed to specifically resist kinking and compression while also facilitate smooth device movement and exchange, providing a real solution to this common radial access challenge.

THINNER BUT STRONGER

To combat both kinking and compression, the Merit R&D team envisioned a sheath with a wall that was thinner and stronger than the products physicians currently used.

To achieve this balance, they developed a composite braiding technology to serve as the inner layer of the Prelude IDeal sheath, giving it a 13% thinner wall than the leading thin-walled sheath competitor.1 Unlike other thin-walled sheaths, the braiding of the Prelude IDeal also gives it structural integrity to increase kinking and compression resistance, making it 124% more resistant to sidewall compression and 23% more kink resistant than the leading competitor.1

Prelude IDeal - 13% Thinner Wall - Merit Medical
Prelude IDeal - 124% Increased Compression Resistance - Merit Medical
Prelude IDeal - 23% Inc Kink Resistance - Merit Medical

SAME OD, LARGER ID

With a thinner wall, the Prelude IDeal maintains the same sheath outer diameter (OD) as the market leader but larger inner diameter (ID). This increased internal capacity enables smooth wire, catheter, and device manipulation and exchange.

Thinner Wall, Larger Inner Diameter - Prelude IDeal

MADE FOR RADIAL

The Prelude IDeal was developed specifically with radial access in mind. Combining a thinner wall with a composite braiding technology enable the Prelude IDeal to maintain structural integrity, protecting the sheath from compression during vessel spasm, a potential side effect of radial artery access.

In addition, the Prelude IDeal’s kink resistance is crucial when implementing the distal radial technique, where the anatomy of the hand can be more tortuous and accessing the vessel at an increased upright angle is necessary. The robust structure of the Prelude IDeal makes it a practical device choice in distal radial procedures.

Prelude IDeal - Smaller OD but Larger ID

WITHSTANDS EXTERNAL PRESSURE

A typical thin-walled sheath may collapse, for example, when it encounters a narrowing of the vessel, preventing catheters and wires from passing through.

With structural integrity provided by its braided composite structure, the Prelude IDeal withstands the natural bends and curves of the artery and aids in straightening the vessel, allowing catheter manipulation and torque without sheath compression.

DISCOVER THE PRELUDE IDEAL

The Prelude IDeal Hydrophilic Sheath Introducer has become the tool of choice for radial and distal radial access procedures around the globe. Its story is much like Merit’s overall goal—to listen to the needs of physicians and innovate ways to improve patient care.

Explore all the Prelude IDeal has to offer by visiting its product page or contacting the Merit Customer Support Center.

References

  1. 6F Data on File. Merit assumes no responsibility to update test data.
Two Decades of Quality and Confidence - Merit Medical - Compression and Hemostasis Devices

For Nearly Two Decades, Merit Compression Devices Deliver Quality and Confidence

Read more

Recap of SIR 2019

Read more
Distal Featured Image

Distal Transradial Access Is Taking Social Media by Storm

Distal Radial Access

Distal transradial access—also known by its hashtags #dTRA, #ldTRA, and #rdTRA—is taking social media by storm. An alternative site for conventional transradial access, distal radial access uses the anatomical snuffbox, a method that’s being widely adopted across several fields.

From experiences and preferred products to the latest research and more, physicians are sharing their knowledge through strings of tweets, retweets, and likes—a virtual Twitter buzz signaling that distal transradial is gaining traction both online and off.

Interventional cardiologists can be seen posting their positive procedural experiences and using cutting-edge distal devices.

Matheen Khuddus's Tweet
David Homan's Tweet
Ethan Korngold’s Tweet

Other physicians are tweeting distal transradial advantages, whereas several, like this neurointerventionalist, are posting published case studies demonstrating distal radial’s feasibility in their field.

Krishnarpan Chatterjee's Tweet
Dr. Starke's Tweet

Some are using social media to share ideas and seek opinions.

Nirman Bhatia's Tweet

And others log on to talk about their day spent with interventional radiologist and cardiologist trainees and just how cool it is to be an interventionalist during the #RadialFirst era.

Darren Klass's Tweet

We couldn’t agree more. Join the conversation. We look forward to hearing about your experiences with distal transradial access. For more information about distal including videos, resources and training opportunities, visit Merit.com/Distal.