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Ultrasound-guided antegrade brachial artery access closure: a staged withdrawal technique for improved hemostasis

Sabharisundaravel Paulraj1, Anadi Gupta1, Rohit Khandelwal1

  • 1Department of Interventional & Endovascular Radiology, R.N. Tagore Hospital, Narayana Health, Mukundapur, Kolkata, West Bengal, India.

CVIR Endovascular
|December 2, 2025
PubMed
Abstract

No abstract available in PubMed .

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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