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Balloon-assisted tracking in dealing with radial artery loop by transradial approach: a technical report
Surender Deora1, Sanjay Shah, Tejas Patel
1NHL Medical College, Ahmedabad, VS Hospital, Department of Cardiology, Ashram Road, Ellisbridge, Ahmedabad, Gujarat 380006, India. drsdeora@gmail.com.
Abstract:
The transradial approach for various coronary procedures has gained worldwide popularity because it reduces bleeding complications and increases patient comfort level. There may be difficulties encountered at various anatomical levels from radial artery to coronary artery level by this approach. Radial artery loop is one of the most common anatomical reasons for deferring or failure of transradial approach and shifting to the femoral route. Balloon-assisted tracking of catheters may help deal with radial artery loops without injuring the endothelium and increase the success rate of the coronary procedure.
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Related Concept Videos
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
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