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Related Concept Videos

Assessment of apical radial pulse01:25

Assessment 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
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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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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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Assessment of apical pulse01:17

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Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
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Assessment of radial pulse01:11

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810
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:
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Related Experiment Video

Updated: Jun 17, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training.

Arnold H Seto1, Jerry D Estep2, Rajiv Tayal3

  • 1Long Beach VA Health Care System, Long Beach, California.

Journal of the Society for Cardiovascular Angiography & Interventions
|August 12, 2024
PubMed
Summary

Percutaneous axillary artery access offers a less invasive alternative for procedures like transcatheter aortic valve replacement (TAVR). This approach avoids surgical incisions and reduces infection risks, enhancing patient recovery.

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Axillary artery access is an emerging alternative to femoral access for major vascular interventions.
  • Percutaneous axillary access offers benefits such as avoiding surgical incisions and reducing infection risks.

Purpose of the Study:

  • To review the anatomical considerations and risks associated with percutaneous axillary artery access.
  • To outline best practices for access techniques, hemostasis, closure, and complication management.
  • To recommend training and privileging guidelines for this procedure.

Main Methods:

  • Review of anatomical considerations for axillary artery access.
  • Discussion of percutaneous access techniques and closure strategies.
  • Analysis of potential complications and their management.

Main Results:

  • Percutaneous axillary access is feasible for transcatheter aortic valve replacement (TAVR), endovascular aortic repair (EVAR), and mechanical circulatory support (MCS).
  • Key anatomical landmarks and potential risks are identified.
  • Best practices for technique, hemostasis, and complication management are proposed.

Conclusions:

  • Percutaneous axillary artery access is a valuable technique for complex vascular procedures.
  • Standardized training and clear privileging are essential for safe implementation.
  • This approach offers significant advantages over traditional femoral access in select patient populations.