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Radial artery angioplasty after perforation during diagnostic cardiac catheterisation
Ioannis Mamarelis1, Ioannis Kantounakis, Panagiotis Kotileas
1Haemodynamic Laboratory, Cardiology Department, 401 General Army Hospital, Athens, Greece. imamarelis@gmail.com
The use of the radial artery as an access site for diagnostic and interventional cardiac procedures has been extensively developed in recent years as a result of reduced complications at puncture site, reduced costs and the improvement in the patients' quality of life. The complications of trans-radial procedures are rarely major and very rarely life threatening--a key benefit of the radial approach. We describe the case of a patient who underwent percutaneous radial artery angioplasty, because of perforation caused during diagnostic cardiac catheterisation, in order to complete the catheterisation procedure before the patient proceeded to endovascular treatment of a sub-renal abdominal aortic aneurysm.
The use of the radial artery as an access site for diagnostic and interventional cardiac procedures has been extensively developed in recent years as a result of reduced complications at puncture site, reduced costs and the improvement in the patients' quality of life. The complications of trans-radial procedures are rarely major and very rarely life threatening--a key benefit of the radial approach. We describe the case of a patient who underwent percutaneous radial artery angioplasty, because of perforation caused during diagnostic cardiac catheterisation, in order to complete the catheterisation procedure before the patient proceeded to endovascular treatment of a sub-renal abdominal aortic aneurysm.
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Assessment of apical radial pulse
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
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:

