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Updated: Apr 6, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Preventing Radial Artery Occlusion by Using Reverse Barbeau Assessment: Bringing Evidence-Based Practice to the
Colleen Bonnett1, Nancy Becker2, Brenda Hann2
1Colleen Bonnett is a cardiac vascular certified nurse, currently the arrhythmia coordinator in the cardiology clinic at Stanford Health Care, Stanford, California.Nancy Becker is a coronary care nurse and educator in the coronary care/cardiac surveillance unit at Stanford Health Care.Brenda Hann is a registered nurse specializing in interventional cardiology, a certified clinical research coordinator, and director of clinical research operations at Stanford Cancer Institute, Stanford, California.Annette Haynes is a cardiology clinical nurse specialist and an advanced practice registered nurse at Stanford Health Care.Jennifer Tremmel is an interventional cardiologist and clinical director of Women's Heart Health at Stanford Health Care and an assistant professor of cardiovascular medicine at Stanford University Medical Center. cbonnett@stanfordhealthcare.org.
No abstract available in PubMed .
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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
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:

