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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Preserving Radial Patency: Multiple Prior Radial Procedures and Now Large-Bore Access
Samir B Pancholy1, Najam Saqib1, Sanjay C Shah2
1The Wright Center for Graduate Medical Education, Scranton, PA, USA.
Summary
This case study shows successful 8 French transradial access coronary intervention. A novel hemostasis technique preserved radial artery patency post-procedure, advancing minimally invasive cardiac interventions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- Percutaneous coronary intervention (PCI) is a cornerstone of modern cardiology.
- Transradial access (TRA) is increasingly preferred for PCI due to its safety and efficacy.
- Larger sheath sizes in TRA can pose challenges for radial artery hemostasis and patency.
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01:11Assessment 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:
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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01:25Assessment of apical radial pulse
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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
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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01:27Peripheral 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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