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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

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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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Cardiac Catheterization IV: Nursing Management01:26

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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...
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Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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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...
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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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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.
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Related Experiment Video

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Hand dysfunction after transradial artery catheterization for coronary procedures.

Muhammad Ayyaz Ul Haq1, Muhammad Rashid1, Chun Shing Kwok1

  • 1Muhammad Ayyaz Ul Haq, Muhammad Rashid, Chun Shing Kwok, Chun Wai Wong, James Nolan, Mamas A Mamas, Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent ST4 7QB, United Kingdom.

World Journal of Cardiology
|August 22, 2017
PubMed
Summary

Hand dysfunction after transradial catheterization is rare, with most symptoms resolving without lasting effects. This review synthesizes literature on hand function outcomes following the procedure.

Keywords:
Hand dysfunctionTransfemoral accessTransradial access

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Transradial catheterization is a common procedure for cardiac interventions.
  • Understanding potential complications, such as hand dysfunction, is crucial for patient care.

Purpose of the Study:

  • To synthesize existing literature on the incidence and types of hand dysfunction following transradial catheterization.
  • To evaluate the outcomes and resolution of hand function complications.

Main Methods:

  • A comprehensive literature search was conducted using MEDLINE and EMBASE.
  • Studies evaluating transradial procedures and hand function outcomes were reviewed.
  • Data was extracted and narratively synthesized, with no restrictions on sample size, assessment method, or language.

Main Results:

  • 13 studies involving 3815 participants were included.
  • The overall incidence of hand dysfunction was low (0.26%).
  • Reported dysfunctions included nerve damage (0.16%), sensory loss (1.52%), and pain (6.67%), with most resolving without sequelae. Radial artery occlusion occurred in 2.41%.

Conclusions:

  • Hand dysfunction is an infrequent complication of transradial catheterization.
  • The majority of hand dysfunction symptoms experienced post-procedure resolve without significant clinical impact.