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Assessment of radial pulse

Assessment of radial pulse

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:

Arteries of the Upper Limbs

Arteries of the Upper Limbs

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...

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

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Published on: September 20, 2020

Radial artery access for peripheral endovascular procedures.

Avnee J Kumar¹, Lauren E Jones², Kenneth R Kollmeyer²

¹University of Texas Southwestern Medical School, Dallas, Tex.

Journal of Vascular Surgery

|June 3, 2017

Summary

Radial artery access is safe and effective for peripheral endovascular procedures, offering lower complication rates than femoral access. This approach enhances patient mobility and reduces local issues.

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Area of Science:

Vascular Surgery
Interventional Cardiology
Endovascular Interventions

Background:

Radial artery access is established for coronary angiography, showing reduced complications and improved patient mobility.
Limited data exists on radial artery utilization for peripheral endovascular procedures.

Purpose of the Study:

To evaluate the safety and efficacy of radial artery access for diagnostic and endovascular interventions.
To compare complication rates with traditional femoral artery access.

Main Methods:

Retrospective analysis of 95 endovascular procedures in 80 patients between February 2012 and March 2015.
Data collection included demographics, perioperative, postoperative, and 30-day follow-up for major and minor complications.
Major adverse events included hospitalization, stroke, amputation, transfusion-requiring bleeding, surgical hematoma, and death.

Main Results:

100% technical success rate for percutaneous radial artery access.
Major adverse events occurred in 3.2% of cases, unrelated to radial access.
Radial artery access site complications occurred in 3.2%, all minor hematomas requiring no treatment. No stroke, hand ischemia, or limb loss reported.

Conclusions:

Radial artery access is a safe and effective option for peripheral endovascular procedures.
The complication rate is lower compared to femoral artery access.
Increased consideration of radial artery access for these interventions is warranted.