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Assessment of radial pulse

Assessment of radial pulse

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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Related Experiment Video

Updated: Sep 14, 2025

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Published on: September 20, 2020

Sheathless Distal Radial Access for Carotid Stenting.

Boby Varkey Maramattom¹

¹Department of Neurology, Aster Medcity, Kochi, Kerala, India.

Neurology India

|July 24, 2025

Summary

This summary is machine-generated.

Transradial access (TRA) for carotid artery stenting (CAS) can be improved using a distal approach in the snuff box. This sheathless technique, using standard materials, demonstrated safety and efficacy in three patients, reducing complications.

Keywords:

Carotid stenting dTRA distal radial access radial sheathless distal radial access snuff box radial access

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Area of Science:

Interventional Cardiology
Vascular Surgery
Neuroendovascular Therapy

Background:

Transradial access (TRA) is increasingly utilized for carotid artery stenting (CAS).
Distal radial artery access in the anatomical snuff box (SB-TRA) presents a promising alternative to conventional TRA, potentially reducing bleeding and occlusive complications.
Limitations in dedicated neurovascular catheters and sheaths have historically hindered radial access for CAS.

Purpose of the Study:

To evaluate the feasibility and safety of a sheathless carotid artery stenting (CAS) technique using a distal radial artery approach in the anatomical snuff box (SB-dTRA).
To demonstrate the utility of commonly available neurovascular materials for performing CAS via the SB-TRA.
To assess procedural and access site outcomes in patients undergoing CAS with the SB-dTRA approach.

Main Methods:

A sheathless system was employed for CAS utilizing a distal radial artery access in the anatomical snuff box (SB-dTRA).
Standard, readily available neurovascular long sheaths were adapted for the procedure.
Three patients with right carotid artery stenosis underwent CAS using the SB-TRA approach.

Main Results:

Carotid artery stenting (CAS) was successfully completed in all three patients using the snuff box transradial access (SB-TRA) approach.
No procedural complications were observed during or after the interventions.
No access site complications were reported, highlighting the safety of the SB-dTRA technique.

Conclusions:

Carotid artery stenting (CAS) can be safely and effectively performed using a distal transradial approach in the anatomical snuff box (SB-TRA).
The utilization of conventionally available neurovascular long sheaths facilitates CAS via the SB-TRA route.
The sheathless SB-dTRA technique offers a viable alternative for CAS, potentially minimizing access-related complications.