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| | The Journal of Invasive Cardiology |
 | | Currently, there are sufficient data to support a strategy utilizing radial artery cannulation in patients at low risk for endothelial dysfunction and intimal hyperplasia and in those with a low likelihood of requiring future surgical use of the radial artery. | | | Existing reports focus on flow characteristics and suggest that after transradial cannulation, cessation of radial flow, as measured by ultrasound, occurs in anywhere from 5 to 9% of patients in the short term, and between 3 and 5% chronically. | | | The use of a hydrophilic-coated catheter during transradial cardiac catheterization is associated with a low incidence of radial artery spasm. |
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http://www.mmhc.com/JIC/displayArticle.cfm?articleID=article3334
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| | Radial artery appears to be a safe alternative to femoral artery for catheter procedures |
| | It is useful for cardiologists to learn the radial approach in addition to the femoral approach, so they have the opportunity to choose the right one in every patient, and in order to predict possible complications and avoid them," said Pierfrancesco Agostoni, MD at the University of Verona in Italy. | | | Goran Stankovic, MD, with the Institute for Cardiovascular Diseases at the Clinical Center of Serbia in Belgrade, Serbia-Montenegro, who was not connected with this study, said it is the first meta-analysis of good quality randomized trials comparing the two approaches. | | | "These findings support the radial approach as an interesting choice in a broad range of patients, provided that experienced operators, state-of-the-art materials, and willingness to cross over to the femoral approach ('always prep a groin!') are available," Dr. Stankovic said. |
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http://www.news-medical.net/?id=3504
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| | Myocardial Revascularization with Cardiopulmonary Bypass -- Woo and Gardner 2 (2003): 581 -- Cardiac Surgery in the ... |
| | The parietal pleura and endothoracic fascia medial and lateral to the internal thoracic artery and accompanying veins are incised with the electrocautery and then, using a combination of blunt and electrocautery dissection, the internal thoracic artery pedicle is separated from the chest wall. | | | The artery can be approached via a midline or paramedian skin incision with appropriate lateral or medial retraction of the rectus abdominus muscle, respectively. | | | Care is taken to avoid injury to the nearby superficial radial nerve. |
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http://cardiacsurgery.ctsnetbooks.org/cgi/content/full/2/2003/581?ck=nck
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| | CABG Using Radial Artery Grafts Associated With Good Patient Outcomes |
| | Mohamed Amrani and colleagues, from Harefield Hospital, Middlesex, note in the February issue of the Annals of Thoracic Surgery that uptake of radial artery CABG by surgeons has been low, but their concerns may be unwarranted. | | | To evaluate outcomes, the researchers collected data on 151 patients who received radial grafts and compared them with 179 patients who underwent conventional surgery using saphenous vein grafts. | | | They also assessed subjective outcomes in 127 radial graft patients via telephone interviews. |
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http://www.geocities.com/rmcra3/radialgrafts.html
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| | American Journal of Critical Care: Cannulation injuries of the radial artery |
| | When such techniques are adhered to, the risk of trauma to the radial artery and subsequent thrombosis is reduced even when collateral circulation in the hand is reduced. | | | The catheter should be directed toward the artery at a 45[degrees] angle, with the bevel of the needle up and advanced into the artery. | | | Needles designed for a through-and-through puncture technique usually have an obturator that is removed after the needle containing the obturator has passed through the vessel. |
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http://www.findarticles.com/p/articles/mi_m0NUB/is_4_13/ai_n6354736
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| | eMedicine - Free Tissue Transfer, Osteocutaneous Radial Forearm Flap : Article by Terry Tsue, MD |
| | The radial artery pedicle can run close to the BR tendon medial margin; use exceptional caution in separating the lateral intermuscular septum from the medial border of this tendon. | | | Make the radial longitudinal skin incision and perform lateral-to-medial subfascial dissection over the large brachioradialis (BR) tendon (see Image 3). | | | The FDS can usually be brought over the flexor carpi radialis (FCR) tendon to the radial skin edge. |
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http://www.emedicine.com/ent/topic720.htm
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| | PICC |
| | Another study used ultrasonography to document changes in hand circulation in patients with and without radial artery harvesting. | | | Infusion Therapy In The Arm With Radial Artery Harvesting | | | If a complication occurs from the infusion therapy, surgically created changes in the circulation could slow it’s healing, leading to greater risk to the hand circulation. |
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http://www.hadawayassociates.com/article7.htm
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| | Probert Encyclopaedia: Medicine (R) |
| | The radial (radialis) nerves branch off of the spinal cord between the fifth cervical and the first thoracic vertebrae. | | | These muscles assist in rotating the scapula and supporting the head. | | | Radium therapy is the treatment of disease, usually cancer, by exposing affected tissues to radiation from radium. |
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http://www.probertencyclopaedia.com/EI.HTM
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| | California Heart and Lung Surgery - Endoscopic Radial Artery Harvesting |
| | The recovery from surgery should be shorter, allowing the patient to concentrate on cardiac rehabilitation. | | | It is important to remember that the goal of any bypass surgery is to increase blood flow to the heart’s arteries. | | | However, every patient is unique, and the surgical team will recommend the best procedure for each patient. |
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http://californiaheartandlungsurgery.com/erah.htm
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| | City gets radial angiography, angioplasty centre- The Times of India |
| | Most patients undergoing radial angiography can be discharged within an hour after the procedure, making it very convenient for working individuals. | | | This technique called femoral approach, has many drawbacks especially from patient's point of view. | | | "This is going to be the first centre to provide benefits of radial angiography to all its patients. |
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http://timesofindia.indiatimes.com/articleshow/1109994.cms
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| | CardioVations Introduces A Novel Technique For Less-Invasive Endoscopic Radial Artery Harvesting |
| | This new technique allows for the surgeon to retrieve an artery through a single incision small enough to be hidden behind a watchband. | | | CardioVations is a pioneer in cardiovascular surgery devices that reduce complications and improve outcomes for patients. | | | As with any surgical procedure, there are risks associated with endoscopic radial artery harvesting. |
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http://www.jnj.com/news/jnj_news/20020724_112842.htm
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| | Anatomy: The Upper Extremity |
| | This tendon can get pinched between the carpal bones and the radial tubercle as the patient falls on his/her hands. | | | You can take a pulse in anatomical snuffbox, by palpating the radial artery against the Scaphoid bone. | | | INJURY: Wrist-Drop is the sign of radial nerve injury. |
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http://www.geocities.com/doctor_uae/upper_extremity.htm
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| | Prakash K. Thomas, "Radial Artery" |
| | She speaks her pain every time I put the needle in. | | | I put the needle in but no blood comes out. | | | I am in silent pain searching for the artery. |
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http://info.med.yale.edu/intmed/hummed/yjhm/archives/pthomas.htm
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| | tibetanmedicine.com |
| | Next the physician analyzes a urine sample, feels the twelve distinct pulses on the radial artery of each wrist, observes the tongue and the sclera of the eyes, and if necessary, applies pressure to appropriate points on the body. | | | Treatment is then tailored to address the specific etiology of the individual's condition. | | | Appropriate diagnosis of the condition is determined through an interview and physical examination, in which the patient's history and presenting symptoms are elicited. |
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http://www.tibetanmedicine.com/html/article2.html
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| | CVT: Radial Artery Coronary Artery Bypass Grafting |
| | The possible advantages of radial artery coronary bypass surgery are the avoidance of a leg incision, patient preference for the arm incision, and better long-term patency of the bypass graft. | | | Therefore, the radial artery may be used in selected patients. | | | It is our hope, however, that for some patients, radial artery coronary bypass may provide a better outcome. |
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http://www.cvtsc.com/infomc2.htm
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| | DiagnosisHeart.com: Articles |
| | The final conclusion of the research is that "ten years after surgery, radial artery grafts have excellent patency rates when appropriate surgical technique is used." It is hoped that more coronary artery procedures utilize the radial artery for bypass grafting because of these excellent results. | | | The patients were followed carefully for 10 years with stress testing and coronary angiography to demonstrate graft patency. | | | Updated on March 17, 2004: More and more surgeons are performing "all arterial" surgical revascularization of the heart. |
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http://www.diagnosisheart.com/showarticle.php?articleid=152
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| | Radial artery - Wikipedia, the free encyclopedia |
| | It is palpable in the anatomical snuff box and on the anterior aspect of the arm over the carpal bones (where it is commonly used to assess the | | | The radial artery is the main blood vessel, with oxygenated blood, of the lateral aspect of the | | | It arises from the brachial artery and terminates in the deep palmar arch, which joins with the deep branch of the |
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http://en.wikipedia.org/wiki/Radial_artery
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| | Surgery Types / Cardiac Surgery / Coronary Artery Disease / Radial Artery |
| | This minimally invasive technique can reduce hospital stay, pain and recovery time for patients. | | | This technique allows the retrieval of the artery through one or two incisions, 2-centimeters in length, small enough to be hidden behind a watchband. | | | Arterial conduits may have better long-term graft patency when compared to the saphenous vein. |
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http://www.cvtst.com/radial_artery.asp
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| | ANATOMIC ANALYSIS OF THIRTY-ONE CASES OF RADIAL ARTERY STRING SIGN |
| | Analysis did not show any relationship between radial artery string sign and peri-operative myocardial infarction. | | | METHODS: 561 patients were enrolled in a 13 center clinical trial. | | | The patients underwent postoperative angiography between 8 and 12 months. |
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http://www.pulsus.com/ccc2004/abs/a130.htm
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| | MedlinePlus Medical Encyclopedia: Wrist pulse |
| | Press firmly with flat fingers until you feel the pulse in the radial artery. | | | The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. | | | To measure the pulse at the wrist, place the index and middle finger over the underside of the opposite wrist, below the base of the thumb. |
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http://www.nlm.nih.gov/medlineplus/ency/imagepages/9801.htm
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| | PT Central - Muscles of the Arm |
| | Nerve: posterior interosseous nerve of the radial nerve, C6,7,(C8) | | | Nerve: posterior interosseous nerve of the radial nerve, C6,7,8 |
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http://www.ptcentral.com/muscles/musclearms.html
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| | Procedures - Radial Artery Puncture - Medstudents |
| | 8) Once you have taken blood sample remove the needle from the artery and apply direct pressure over the site for 5 minutes. | | | The Allen Test is performed with the patient sit with her hands supinated on her knees. | | | When you hit the artery there will be a sudden gush of arterial blood into the hub of the needle. |
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http://www.medstudents.com.br/proced/radial.htm
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| | Guardian Unlimited Special reports Kelly death paramedics query verdict |
| | The big question is: if Kelly did not kill himself, then what happened? | | | Birnstingl said he believed it was 'extremely unlikely' for Kelly to have died by simply severing the ulnar artery. | | | In particular, one group of doctors has pointed to the fact that the pathology report into Kelly's death revealed that the only artery completely severed was in his left wrist, called the ulnar artery. |
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http://www.guardian.co.uk/hutton/story/0,13822,1372077,00.html
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| | VI. The Arteries. 4b. 4. The Ulnar Artery. Gray, Henry. 1918. Anatomy of the Human Body. |
| | On its medial side is the pisiform bone, and, somewhat behind the artery, the ulnar nerve. | | | Arteries of the back of the forearm and hand. | | | In the interval between this process and the olecranon, it lies beneath the Flexor carpi ulnaris, and ascending between the heads of that muscle, in relation with the ulnar nerve, it supplies the neighboring muscles and the elbow-joint, and anastomoses with the superior and inferior ulnar collateral and the interosseous recurrent arteries (Fig. |
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http://www.bartleby.com/107/152.html
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| | VI. The Arteries. 4b. 3. The Radial Artery. Gray, Henry. 1918. Anatomy of the Human Body. |
| | —( a) In the forearm the artery extends from the neck of the radius to the forepart of the styloid process, being placed to the medial side of the body of the bone above, and in front of it below. | | | It ascends between the branches of the radial nerve, lying on the Supinator and then between the Brachioradialis and Brachialis, supplying these muscles and the elbow-joint, and anastomosing with the terminal part of the profunda brachii. | | | —The origin of the radial artery is, in nearly one case in eight, higher than usual; more often it arises from the axillary or upper part of the brachial than from the lower part of the latter vessel. |
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http://www.bartleby.com/107/151.html
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| | Vascular: Retrocarpal radial artery occlusion with finger ischemia |
| | Case 2: more severe problem: ulnar artery is occluded as well. | | | Clinical Example: Retrocarpal radial artery occlusion with finger ischemia | | | 3 cases of hand ischemia associated with radial artery occlusion in the first web space. |
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http://www.eatonhand.com/img/IMG00020.htm
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| | Effect of target artery location and severity of stenosis on mid-term patency of aorta-anastomosed vs. internal ... |
| | Effect of target artery location and severity of stenosis on mid-term patency of aorta-anastomosed vs. internal thoracic artery-anastomosed radial artery grafts -- Gaudino et al. | | | Objective : To verify the effect of location and severity of | | | Effect of target artery location and severity of stenosis on mid-term patency of aorta-anastomosed vs. internal thoracic artery-anastomosed radial artery grafts |
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http://ejcts.ctsnetjournals.org/cgi/content/abstract/25/3/424
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| | Radial Artery/Vein |
| | At the wrist, branches of the ulnar and radial arteries join to form a network of vessels, which supply the structures in the wrist, hand and fingers. | | | The corresponding radial vein will parallel the artery as it travels back to the heart. | | | The radial artery, a true continuation of the brachial artery, travels down the radial side of the forearm to the wrist. |
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http://www.innerbody.com/text/card38.html
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| | Rultract Grafting of Radial Artery |
| | The arm board can present a problem for the proper placement of the Rultract® Retractor for IMA dissection while harvesting the radial artery. | | | A Tilting Post or Extender Bar can facilitate with proper placement of the Rultract® ratchet assembly. |
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http://www.rultract.net/procedures/GrafRadialArt_home.html
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