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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...
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 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 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...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
05:31

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Published on: September 20, 2020

Transradial approach to lower extremity interventions.

Ravikiran Korabathina1, Sidharth S Yadav, John T Coppola

  • 1Department of Cardiovascular Medicine, Saint Vincents Catholic Medical Center, New York, NY, USA.

Vascular Health and Risk Management
|August 24, 2010
PubMed
Summary

The transradial approach offers a safer alternative to the transfemoral approach for peripheral vascular interventions, reducing bleeding complications. New tools enhance its efficacy for lower extremity endovascular treatments.

Keywords:
aorto-iliac angioplastyendovascular interventionsperipheral arterial diseasetransradial interventions

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Interventions

Background:

  • Historically, femoral artery access was standard for percutaneous interventions.
  • Increased recognition of bleeding complications and mortality associated with the transfemoral approach.
  • The transradial approach is emerging as a safer alternative.

Purpose of the Study:

  • To review the safety and efficacy of the transradial approach for lower extremity endovascular interventions.
  • To discuss advancements addressing access site-to-lesion distance limitations.
  • To explore applications in special patient populations.

Main Methods:

  • Review of current literature on transradial access for peripheral endovascular procedures.
  • Discussion of technical considerations and new device development.
  • Analysis of outcomes in diverse patient groups.

Main Results:

  • The transradial approach demonstrates recognized safety and efficacy.
  • Technological advancements are overcoming previous limitations.
  • The approach is applicable to complex cases and special populations.

Conclusions:

  • The transradial approach is a safe and effective alternative for lower extremity endovascular interventions.
  • Ongoing innovation is expanding its utility.
  • Consideration for specific patient groups enhances its applicability.