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Related Concept Videos

Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

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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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Assessment of radial pulse01:11

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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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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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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, 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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Updated: Jan 4, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Transradial Artery Access Complications.

Yader Sandoval1, Malcolm R Bell1, Rajiv Gulati1

  • 1Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.

Circulation. Cardiovascular Interventions
|November 2, 2019
PubMed
Summary
This summary is machine-generated.

Transradial access (TRA) offers benefits over transfemoral access for cardiac procedures, reducing complications and improving survival. This review details preventing, identifying, and managing TRA complications for better patient outcomes.

Keywords:
hemorrhagehumansmuscle crampradial arteryspasm

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Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Transradial access (TRA) is increasingly preferred for coronary angiography and percutaneous coronary intervention.
  • TRA offers advantages over transfemoral access, including reduced vascular and bleeding complications.
  • A survival benefit has been documented for ST-segment-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention via TRA.

Purpose of the Study:

  • To summarize contemporary techniques for preventing, identifying, and managing transradial access complications.
  • To provide guidance on minimizing adverse events associated with TRA.

Main Methods:

  • Review of current literature and best practices for transradial access.
  • Categorization of TRA complications into intra- or postprocedural and bleeding or nonbleeding issues.
  • Emphasis on contemporary access techniques to limit arterial injury.

Main Results:

  • Major TRA complications like radial artery perforation and compartment syndrome are rare but can be severe.
  • Nonbleeding complications, such as radial artery spasm and occlusion, are more frequent but typically less morbid.
  • Prompt identification and management are crucial for severe complications.

Conclusions:

  • Effective strategies for preventing TRA complications are essential.
  • Understanding and managing TRA-related issues can improve procedural safety and patient outcomes.
  • Contemporary techniques play a vital role in minimizing TRA complications.