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Assessment of radial pulse

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:

Assessment of apical radial pulse

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

Arteries of the Upper Limbs

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...

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Related Experiment Video

Updated: May 8, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

Harvesting the radial artery.

Arie Blitz¹, Robert M Osterday, Richard F Brodman

¹Department of Surgery, Division of Cardiac Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio, USA;

Annals of Cardiothoracic Surgery

|August 27, 2013

Summary

The radial artery (RA) is a key graft for bypass surgery. A meticulous "no-touch" harvesting technique ensures optimal patency and durability of the RA conduit for improved patient outcomes.

Area of Science:

Cardiovascular Surgery
Vascular Grafting
Surgical Anatomy

Background:

The radial artery (RA) is increasingly utilized as an arterial graft in coronary artery bypass grafting (CABG).
Optimizing RA conduit harvesting techniques is crucial for improving graft patency and long-term durability.
Current literature highlights the need for standardized and effective RA harvesting methods.

Purpose of the Study:

To present a detailed approach to radial artery harvesting for coronary bypass surgery.
To emphasize critical steps for successful RA conduit preparation.
To advocate for the "no-touch" harvesting technique to enhance graft performance.

Main Methods:

Detailed description of the RA harvesting procedure.
Emphasis on identifying and respecting anatomical landmarks.

Keywords:

Artery harvest radial revascularization

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Techniques for protecting sensory nerves of the volar forearm.

Meticulous management of RA branches during dissection.

Application of the "no-touch" principle throughout the harvest.

Main Results:

Successful harvesting of the radial artery as a conduit.
Preservation of sensory innervation to the volar forearm.
Demonstration of a meticulous approach to handling RA branches.
The "no-touch" technique facilitates optimal conduit handling.

Conclusions:

Adherence to anatomical landmarks and nerve protection are paramount for successful RA harvesting.
A "no-touch" harvesting technique is essential for maximizing the patency and durability of the radial artery graft.
This approach ensures a high-quality arterial conduit for coronary bypass surgery.