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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

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Reverse Radial Artery Flap Perforator Anatomy and Clinical Applications.

Colin P White¹, Anna K Steve, Edward W Buchel

¹From the *Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba; †College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan; and ‡Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Annals of Plastic Surgery

|December 19, 2015

Summary

This summary is machine-generated.

This study details the anatomy of radial artery perforators, crucial for modifying the reverse radial forearm flap. These anatomical insights aim to reduce postoperative venous congestion in patients undergoing soft tissue reconstruction.

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Area of Science:

Anatomy
Vascular Surgery
Reconstructive Surgery

Background:

The pedicled reverse radial forearm flap is a standard treatment for soft tissue defects, particularly on the dorsal hand.
Understanding the detailed anatomy of the radial artery perforators is essential for optimizing flap design and surgical outcomes.

Observation:

A comprehensive anatomical study was conducted on 6 fresh human cadavers.
Detailed documentation of the number, diameter, origin, course, and location of radial artery perforators was performed following lead oxide and gelatin injection.

Findings:

The study provides precise anatomical data on radial artery perforators.
This data forms the basis for modifying the reverse radial forearm flap technique.

Implications:

The findings support modifications to the reverse radial forearm flap to mitigate postoperative venous congestion.
Clinical case reports demonstrate the importance and efficacy of these flap modifications in practice.