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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

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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:
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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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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Assessment of apical radial pulse01:25

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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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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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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Updated: Mar 1, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Transradial Primary Percutaneous Coronary Intervention.

Sasko Kedev1

  • 1Medical Faculty, University Clinic of Cardiology, University of St. Cyril & Methodius, Vodnjanska 17, Skopje 1000, Macedonia.

Interventional Cardiology Clinics
|June 6, 2017
PubMed
Summary
This summary is machine-generated.

Transradial access (TRA) significantly reduces bleeding and vascular complications in primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) patients compared to transfemoral access (TFA). TRA may particularly benefit high-risk individuals.

Keywords:
Acute coronary syndromeBleeding complicationsPercutaneous coronary interventionST segment elevation myocardial infarctionTransfemoral approachTransradial approach

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Bleeding complications are a major concern in ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PPCI).
  • Access site bleeding is a frequent cause of morbidity and mortality in these patients.
  • Advances in antithrombotic and antiplatelet therapies have not eliminated bleeding risks.

Purpose of the Study:

  • To evaluate the efficacy and safety of Transradial Access (TRA) compared to Transfemoral Access (TFA) in patients with STEMI undergoing PPCI.
  • To assess the impact of TRA on bleeding and vascular complications.
  • To determine the effect of TRA on cardiac mortality in STEMI patients.

Main Methods:

  • Comparative analysis of patients undergoing PPCI for STEMI via TRA versus TFA.
  • Assessment of bleeding events, vascular complications, and procedural outcomes.
  • Evaluation of cardiac mortality rates between the two access groups.

Main Results:

  • Transradial access (TRA) PPCI is associated with a significant reduction in bleeding and vascular complications compared to Transfemoral Access (TFA).
  • TRA PPCI demonstrated reduced cardiac mortality in STEMI patients.
  • High-risk patient populations may experience particular benefits from TRA.

Conclusions:

  • Transradial access is a safer alternative to transfemoral access for PPCI in STEMI patients, leading to fewer complications and improved survival.
  • Developing radial skills is crucial for achieving procedural success comparable to TFA.
  • TRA should be strongly considered for STEMI PPCI, especially in high-risk individuals.