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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...

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[REFORCE registry].

Annales de cardiologie et d'angeiologie·2023
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Related Experiment Video

Updated: Jun 19, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
05:31

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Published on: September 20, 2020

[Radial difficulties during percutaneous coronary intervention].

P Schiano1, J Monsegu

  • 1Département de cardiologie, HIA Val-de-Grâce, 74, boulevard Port-Royal, 75005 Paris, France. patrick.schiano@orange.fr

Annales De Cardiologie Et D'Angeiologie
|November 3, 2009
PubMed
Summary

The transradial approach is a preferred method for percutaneous coronary intervention in France, offering reduced complications. Mastering techniques to overcome challenges like radial spasm ensures procedural success comparable to the femoral approach.

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access

Context:

  • The transradial approach (TRA) is the primary method for percutaneous coronary intervention (PCI) in France, accounting for nearly 60% of procedures in 2008.
  • TRA is recognized for significantly reducing bleeding complications, positively impacting patient morbidity and mortality.

Purpose:

  • To highlight the challenges associated with the transradial approach in PCI.
  • To provide strategies for overcoming common difficulties such as radial artery spasm and anatomical variations.
  • To emphasize the importance of mastering these techniques for successful PCI outcomes.

Summary:

  • TRA is the leading PCI approach in France, with documented benefits in reducing bleeding.
  • Procedural success requires addressing specific challenges, including radial artery spasm and anatomical variations.
  • Effective management of these challenges leads to success rates comparable to the traditional femoral approach.

Impact:

  • Increased adoption and success rates of the transradial approach in percutaneous coronary intervention.
  • Improved patient outcomes due to reduced bleeding complications and comparable procedural efficacy.
  • Enhanced training and procedural guidance for interventional cardiologists utilizing the transradial route.