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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

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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:
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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: Apr 26, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Transradial vascular access: a growing trend.

Mary Lynn Dunne1, Eileen Phillips

  • 1Mary Lynn Dunne is a nurse practitioner at Hackensack University Medical Center, Hackensack, N.J. Eileen Phillips is a director of acute care services at Riddle Hospital Main Line Health System, Media, Pa.

The Nurse Practitioner
|July 19, 2014
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Summary

Transradial access for coronary angiography is increasing. Nurse practitioners play a key role in assessing patients and evaluating arterial hand circulation for this minimally invasive procedure.

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Area of Science:

  • Cardiovascular Interventions
  • Vascular Access Techniques
  • Nursing Practice

Background:

  • The transradial approach is gaining popularity for coronary angiography in the US.
  • Nurse practitioners (NPs) are integral to patient care before and after procedures.
  • Understanding transradial access is crucial for NPs managing cardiac patients.

Purpose of the Study:

  • To review the benefits and risks associated with the transradial route.
  • To provide NPs with methods for assessing hand arterial circulation.
  • To support NPs in the preprocedural care of patients undergoing coronary angiography.

Main Methods:

  • Literature review on transradial access.
  • Discussion of NP roles in preprocedural assessment.
  • Explanation of techniques for evaluating arterial hand circulation.

Main Results:

  • Transradial access offers advantages such as reduced bleeding and faster patient recovery.
  • Potential risks include radial artery occlusion and hand ischemia.
  • Effective assessment of collateral circulation is vital for patient safety.

Conclusions:

  • The transradial route is a safe and effective alternative for coronary angiography.
  • NPs require specific skills to assess arterial circulation for transradial access.
  • Optimizing NP involvement enhances patient outcomes in transradial procedures.