Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

608
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...
608
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

604
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
604
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

1.2K
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.2K
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

398
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
398
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

652
 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,...
652
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

473
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
473

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Non thermal HIFU treatment for vein occlusion: Histological evidence from a pre-clinical animal study.

Phlebology·2025
Same author

Vascular diseases (Paris, France)·2025
Same author

Endovascular treatment of persistent sciatic artery stenoses responsible for critical ischemia.

Journal de medecine vasculaire·2024
Same author

[Diagnosis of varicose disease].

La Revue du praticien·2024
Same author

Standardized Methodology for Duplex Ultrasound Examination of Arteriovenous Access for Hemodialysis: A Proposal of the French Society of Vascular Medicine and the French-Speaking Society of Vascular Access.

Ultrasound in medicine & biology·2023
Same author

Hybrid Approach to a Right Aortic Arch With a Large Kommerell's Diverticulum.

The Annals of thoracic surgery·2020

Related Experiment Video

Updated: Apr 17, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.8K

Vascular access-induced hand ischemia: risks and safe management.

Carmine Sessa1, Albéric De Lambert, Augustin Pirvu

  • 1Departments of Vascular and Thoracic Surgery, University Hospital Grenoble, Grenoble, France.

Contributions to Nephrology
|February 14, 2015
PubMed
Summary

Hand ischemia, often caused by distal arteriopathy below vascular access (VA), requires surgical techniques that improve blood flow. Standard banding techniques are often abandoned due to high failure rates, with ligation considered for severe cases.

More Related Videos

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
07:30

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

Published on: April 1, 2022

9.9K
A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

2.2K

Related Experiment Videos

Last Updated: Apr 17, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.8K
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
07:30

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

Published on: April 1, 2022

9.9K
A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

2.2K

Area of Science:

  • Vascular Surgery
  • Hand Surgery
  • Nephrology

Background:

  • Hand ischemia is a rare but complex complication associated with vascular access (VA).
  • Distal arteriopathy below the VA, not high VA flow, is the primary cause in most cases.
  • Existing surgical techniques for VA-induced hand ischemia require critical evaluation.

Purpose of the Study:

  • To provide an overview of recommended techniques for treating VA-induced hand ischemia.
  • To discuss the efficacy and limitations of current treatment strategies.
  • To emphasize the importance of improving, rather than reducing, blood flow.

Main Methods:

  • Review of standard surgical techniques for VA-induced hand ischemia.
  • Analysis of the effectiveness of banding techniques.
  • Evaluation of ligation as a treatment option for severe cases.

Main Results:

  • Distal arteriopathy is the main cause of hand ischemia, not high VA flow.
  • Banding techniques have largely been abandoned due to high failure and reintervention rates.
  • Ligation is a viable option for patients with severe ischemia, diffuse arterial lesions, or ischemic monomelic neuropathy.

Conclusions:

  • Surgical strategies for VA-induced hand ischemia should prioritize enhancing blood flow and pressure.
  • Traditional banding techniques are often ineffective and associated with poor outcomes.
  • Ligation offers a necessary alternative for specific, severe patient presentations.