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Related Concept Videos

Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

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Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
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Assessment of blood pressure in brachial artery(one-step method)01:15

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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
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Sites for measruring blood pressure01:21

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Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
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Arteries of the Upper Limbs01:12

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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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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Related Experiment Video

Updated: Jul 2, 2025

Manufacturing Abdominal Aorta Hydrogel Tissue-Mimicking Phantoms for Ultrasound Elastography Validation
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True brachial artery aneurysm: A systematic review.

Syed Muhammad Hammad Alam1, Saima Moin2, Rabia Gilani1

  • 1Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|February 29, 2024
PubMed
Summary

True brachial artery aneurysms are rare but serious vascular conditions. Arteriovenous fistula and immunosuppression are key risk factors, necessitating long-term follow-up in renal failure patients.

Keywords:
Brachial artery, Aneurysm, Systematic review, Arteriovenous fistula, Immunosuppression.

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Area of Science:

  • Vascular Surgery
  • Aneurysm Research
  • Systematic Review

Background:

  • True brachial artery aneurysm is a rare condition with potential for severe neurological and vascular complications.
  • Identifying demographic characteristics, etiologies, and clinical manifestations is crucial for effective management.

Approach:

  • A systematic review of literature was conducted adhering to PRISMA guidelines.
  • Databases searched included MEDLINE, EMBASE, and Cochrane for studies published up to May 31, 2022.
  • Data from 113 articles involving 157 patients were analyzed descriptively.

Key Points:

  • The mean age of affected patients was 43.1 years, with a male predominance (73%).
  • Common presentations included localized swelling, pain, distal ischemia, and median nerve compression.
  • Renal failure patients with a history of arteriovenous fistula creation and immunosuppression were most commonly affected (51.5%).
  • Other causes included idiopathic (17.1%), trauma (8.2%), connective tissue disorders (5%), and vasculitis (4.5%).
  • Aneurysmectomy with reversed great saphenous vein graft was the preferred treatment (50.3%).

Conclusions:

  • True brachial artery aneurysms, though rare, pose significant risks and are strongly associated with arteriovenous fistulas and immunosuppression in renal failure patients.
  • Open surgical repair, particularly aneurysmectomy with vein grafting, remains the primary treatment modality.
  • Further research comparing open versus endovascular interventions is needed to refine future treatment strategies.