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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
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

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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...
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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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,...
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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...

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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Published on: September 20, 2020

Transradial peripheral vascular interventions.

John T Coppola1, Damian C Kurian, Cezar S Staniloae

  • 1Department of Cardiology, St. Vincents Hospital, New York, USA. JCoppola@svcmcny.org

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Transradial access significantly reduces bleeding complications in coronary and peripheral interventions. This approach simplifies procedures and enables same-day patient discharge, despite low adoption in the US.

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Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery

Background:

  • Post-procedure bleeding is a significant factor in patient mortality.
  • Transradial access is known to decrease access site bleeding complications.
  • Transradial interventions are underutilized in the United States compared to other global regions.

Purpose of the Study:

  • To evaluate the application of transradial approach for peripheral interventions.
  • To assess the feasibility and benefits of transradial access for lower extremity, renal, and subclavian arteries.
  • To extend the benefits of reduced access site complications to peripheral interventions.

Main Methods:

  • Implementation of transradial approach for peripheral interventions.
  • Systematic description of the procedural approach for lower extremity, renal, and subclavian arteries.
  • Clinical experience and procedural observations.

Main Results:

  • Transradial approach simplifies many peripheral interventional procedures.
  • Reduced access site complications observed.
  • Enabled same-day patient discharge in numerous cases.

Conclusions:

  • Transradial access is a viable and beneficial approach for peripheral interventions.
  • Wider adoption of transradial access can improve patient outcomes and reduce healthcare costs.
  • Transradial approach offers procedural simplicity and facilitates same-day discharge for peripheral interventions.