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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...

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Updated: Jun 26, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Access strategies for peripheral arterial intervention.

Craig R Narins1

  • 1Divisions of Cardiology and Vascular Surgery, The University of RochesterSchool of Medicine and Dentistry, Rochester, NY 14642 , USA. craig_narins@urmc.rochester.edu

Cardiology Journal
|January 9, 2009
PubMed
Summary
This summary is machine-generated.

Choosing the right vascular access strategy is key for safe and successful peripheral endovascular interventions. Understanding patient anatomy and various access techniques ensures optimal outcomes.

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Last Updated: Jun 26, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Radiology

Background:

  • Optimal vascular access is crucial for safe and effective peripheral endovascular interventions.
  • Individualized access strategies require comprehensive knowledge of vascular anatomy and patient-specific factors.
  • Awareness of technical nuances, safety, and indications for percutaneous arterial access is essential.

Purpose of the Study:

  • To review available vascular access techniques for peripheral endovascular interventions.
  • To highlight considerations for accessing various arterial beds, including lower extremity, renal, subclavian, and carotid arteries.
  • To emphasize the importance of individualized planning for vascular access.

Main Methods:

  • Review of established and alternative percutaneous arterial access techniques.
  • Discussion of retrograde and antegrade common femoral approaches.
  • Consideration of upper extremity and alternative lower extremity access sites.

Main Results:

  • Multiple access strategies exist, including common femoral, contralateral crossover, and upper extremity approaches.
  • Retrograde access via popliteal, dorsalis pedis, or tibial arteries is an option in select cases.
  • Techniques for accessing renal, subclavian, and carotid arteries are also discussed.

Conclusions:

  • Selecting the optimal vascular access strategy requires a thorough understanding of patient anatomy and available techniques.
  • Individualized planning based on patient history, physical exam, and non-invasive testing is paramount.
  • Mastery of diverse access methods enhances procedural safety and success rates in endovascular interventions.