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Distal Transradial Access (dTRA) for Coronary Angiography and Interventions: A Quality Improvement Step Forward?
Marcos Danillo P Oliveira, Adriano Caixeta1
1Department of Interventional Cardiology, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, Napoleão de Barros, nº 715 - Vila Clementino, Sao Paulo-SP, Brazil, 04024-002. mdmarcosdanillo@gmail.com.
Abstract:
Distal TRA is a novel access site in the interventional cardiology field, with current data demonstrating high success and infrequent complication rates - global procedural metrics that are comparable with historical proximal TRA. Distal TRA may conversely provide important advantages over proximal TRA, including patient comfort, shorter hemostasis time, and lower radial artery occlusion rates.
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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:
Assessment of apical radial pulse
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
Cardiac Catheterization I: Pre-Procedure Overview
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