Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

114
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...
114
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

136
 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
136
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

101
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...
101
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

77
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
77
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

124
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
124
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

310
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
310

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Angiography-Derived Fractional Flow Reserve to Guide PCI.

The New England journal of medicine·2026
Same author

Angiography-Derived Physiology for Coronary Artery Disease Assessment: Expert Opinion From a SCAI Roundtable.

Journal of the Society for Cardiovascular Angiography & Interventions·2026
Same author

Response to publication: Percutaneous micro-axial flow pump use during non-emergent high-risk PCI: Systematic review and meta-analysis by Elbenawi et al.

Cardiovascular revascularization medicine : including molecular interventions·2026
Same author

Spontaneous Coronary Artery Dissection Clinical Review: Current State of Evidence and Challenges Ahead.

The International journal of angiology : official publication of the International College of Angiology, Inc·2025
Same author

Mechanical circulatory support in high-risk elective PCI: rationale and design of the PROTECT IV trial.

EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·2025
Same author

Outcomes of Percutaneous Mechanical Aspiration in Right-Sided Infective Endocarditis: A Multicenter Registry.

Journal of the American College of Cardiology·2025

Related Experiment Video

Updated: Nov 12, 2025

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity
09:38

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity

Published on: January 31, 2025

681

Large Sheath Management in Patients with Poor Peripheral Access.

Amir Kaki1, Hemindermeet Singh2

  • 1Division of Interventional Cardiology, Department of Medicine, Ascension St John Hospital, 22101 Moross Road, Detroit, MI 48236, USA.

Interventional Cardiology Clinics
|March 22, 2021
PubMed
Summary

Peripheral arterial disease increases risks of vascular complications during procedures requiring large sheaths. Pre-procedure assessment and strategies like distal reperfusion or axillary access can mitigate these risks.

Keywords:
Large bore accessLithotripsyOcclusive sheath managementPeripheral arterial disease

More Related Videos

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
09:04

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

9.0K
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

4.6K

Related Experiment Videos

Last Updated: Nov 12, 2025

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity
09:38

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity

Published on: January 31, 2025

681
Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
09:04

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

9.0K
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

4.6K

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Peripheral Arterial Disease Management

Background:

  • Vascular and bleeding complications are significant causes of perioperative morbidity and mortality.
  • These risks are elevated in patients with peripheral arterial disease (PAD).
  • Large bore access sheaths, often used for mechanical support, can exacerbate these complications, especially when indwelling.

Purpose of the Study:

  • To highlight the critical importance of assessing for peripheral arterial disease prior to large bore sheath insertion.
  • To present strategies for managing occlusive sheaths to ensure distal reperfusion.
  • To introduce percutaneous axillary artery access as a viable alternative approach.

Main Methods:

  • Review of perioperative complications associated with large bore sheaths in patients with and without PAD.
  • Description of techniques for managing indwelling sheaths to maintain distal limb perfusion.
  • Evaluation of percutaneous axillary artery access as an alternative access site.

Main Results:

  • Pre-insertion assessment for PAD is crucial for identifying high-risk patients.
  • Specific sheath management strategies can improve distal perfusion.
  • Percutaneous axillary access offers a valuable alternative, potentially reducing lower extremity complications.

Conclusions:

  • Proactive assessment for PAD is essential before utilizing large bore sheaths.
  • Effective management of sheaths and consideration of alternative access sites like the axillary artery can significantly reduce perioperative complications in at-risk patients.