scholarly journals Ultrasound evaluation of effect of different degree of wrist extension on radial artery dimension at the wrist joint

2016 ◽  
Vol 19 (1) ◽  
pp. 63 ◽  
Author(s):  
Venkatesh Selvaraj ◽  
FaizaSulaiman Buhari
Keyword(s):  
Radial Artery ◽  
Wrist Joint ◽  
Wrist Extension ◽  
Ultrasound Evaluation

scholarly journals Safety and feasibility of the distal transradial approach: A novel technique for diagnostic cerebral angiography

2020 ◽  
Vol 26 (6) ◽  
pp. 713-718
Author(s):  
Shoji Saito ◽  
Hitoshi Hasegawa ◽  
Tomoyoshi Ota ◽  
Toru Takino ◽  
Yuichi Yoshida ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cerebral Angiography ◽  
Artery Occlusion ◽  
Transradial Approach ◽  
Novel Technique ◽  
Ultrasound Evaluation ◽  
The Mean ◽  
Cannulation Success Rate ◽  
Cannulation Success ◽  
Distal Radial Artery

Purpose We aimed to evaluate the safety and feasibility of the distal transradial approach (DTRA) as a novel technique for cerebral angiography based on our institutional initial experience. Methods We retrospectively analyzed our institutional database of consecutive diagnostic cerebral angiographies performed with DTRA from December 2018 to August 2019. Patient demographics and clinical and procedural data were recorded. Results In total, 51 diagnostic cerebral angiographies in 51 patients (age, 15–83 years; mean age, 59.4 years, SD 13.5; 35 (69%) females) were performed or attempted with DTRA. Ultrasound evaluation showed that the mean inner distal radial artery diameter was significantly smaller than the mean inner forearm radial artery diameter (2.19 mm vs. 2.56 mm, P < 0.001). Cannulation via the distal radial artery was successful in 47 (92%) procedures. In the four procedures that failed, operators converted to the ipsilateral transradial approach without repositioning or redraping. Selective catheterization of the intended vessel was achieved in 64 (91%) of 70 vessels. In the remaining six, operators achieved the objective of the examination with angiography injecting from proximal and conversion to another approach was not required. One patient experienced temporary numbness around the puncture site after the procedure. No radial artery occlusion was identified in the patients who underwent ultrasound evaluation. Conclusion Our results demonstrate that DTRA could become a standard approach for diagnostic cerebral angiography owing to the low complication rate and the high cannulation success rate.

scholarly journals Ultrasound evaluation of percutaneously created arteriovenous fistulae between radial artery and perforating vein at the elbow

2020 ◽  
Vol 21 (5) ◽  
pp. 694-700
Author(s):  
Gilbert Franco ◽  
Alexandros Mallios ◽  
Pierre Bourquelot ◽  
William Jennings ◽  
Benoit Boura
Keyword(s):  
Radial Artery ◽  
Resistive Index ◽  
Study Groups ◽  
Mean Flow ◽  
Arteriovenous Anastomosis ◽  
Cross Sectional ◽  
Arteriovenous Fistulae ◽  
Ultrasound Evaluation ◽  
Significant Difference ◽  
Perforating Vein

Objective: To investigate the hemodynamics of percutaneous arteriovenous fistulae (pAVF) created between the proximal radial artery and the deep communicating vein of the elbow. Methods: Consecutive patients with a percutaneously created proximal radial artery to perforating vein arteriovenous fistulae were evaluated and compared with control patients with clinically well-functioning surgical wrist radiocephalic arteriovenous fistulae (sWRC-AVF). Results: Thirty-one patients with a pAVF (21 males – 68%, mean age: 62 years, range: 53–81), with mean follow-up of 254 days (range: 60–443) and 32 patients with a surgical fistula (20 males – 62%, mean age of 63 years, range: 30–84) were evaluated. Mean access flow and distribution range were similar in the two study groups, with a mean flow of 859 mL/min vs 919 mL/min, respectively. There was no significant difference in the mean radial artery diameter (4 mm vs 4.3 mm, p = 0.2). Statistically significant trends were observed for resistive index (0.57 pAVF vs 0.52 (0.07) and brachial vein cross-sectional area (13 pAVF vs 33 mm2, p = 0.06). The arteriovenous anastomosis area was significantly smaller with pAVFs (13 vs 43 mm2, p = 0.002) and the pressure difference between extremities was less for the pAVF group vs sWRC-AVF (19 vs 27 mm Hg, respectively, p = 0.03). Existence of single cephalic or basilic versus cephalic and basilic outflow did not affect vein maturation or overall flow. Conclusions: pAVF have a favourable hemodynamic profile with many similarities when compared with surgically created wrist fistulae. Cephalic and/or basilic vein matured with only minor outflow shunted to the deep venous system.

scholarly journals Iatrogenic carpal tunnel syndrome induced by wrist extension for placement of an indwelling radial artery catheter: a case report

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Kunitaro Watanabe ◽  
Shingo Mitsuda ◽  
Akira Motoyasu ◽  
Joho Tokumine ◽  
Kumi Moriyama ◽  
...  
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Radial Artery ◽  
Carpal Tunnel ◽  
Wrist Extension ◽  
Tunnel Syndrome ◽  
Radial Artery Catheter

Ultrasound evaluation of the radial artery for arterial catheterization in healthy anesthetized patients

2015 ◽  
Vol 30 (2) ◽  
pp. 215-219 ◽  
Author(s):  
Dongchul Lee ◽  
Ji Young Kim ◽  
Hong Soon Kim ◽  
Kyung Cheon Lee ◽  
Su Jin Lee ◽  
...  
Keyword(s):  
Radial Artery ◽  
Arterial Catheterization ◽  
Ultrasound Evaluation

Clinical accuracy of reverse Barbeau test in the diagnosis of radial artery occlusion after transradial catheterization

2021 ◽  
Vol 29 ◽  
pp. 1-6
Author(s):  
Roberto da Silva ◽  
Paulo Britto ◽  
Rodrigo Joaquim ◽  
Pedro Andrade ◽  
Alexandre Abizaid ◽  
...  
Keyword(s):  
Radial Artery ◽  
Clinical Care ◽  
False Negative ◽  
Artery Occlusion ◽  
Type D ◽  
Ultrasound Evaluation ◽  
Duplex Doppler ◽  
Radial Artery Occlusion ◽  
Doppler Evaluation ◽  
Transradial Catheterization

Background Radial artery occlusion is an infrequent complication of transradial catheterization. Assessment of radial artery occlusion is a critical aspect of clinical care, and it should be done with an additional test, commonly by a plethysmographic test (reverse Barbeau test) or ultrasound (Doppler), the last is the gold standard. The objective of this study was to evaluate the accuracy of the reverse Barbeau test in detecting radial artery occlusion after transradial catheterization. Methods A study carried out in two centers encompassing patients submitted to procedures by radial access. All patients received at least 5,000IU of heparin. Sheaths were immediately removed after the procedure, using a patent hemostasis protocol. Patency of the radial artery was verified by reverse Barbeau test and duplex Doppler evaluation within the first 24 hours. Results A total of 350 patients were enrolled, with a mean age of 61.7 (±9.7) years. Radial artery occlusion was verified after the procedure in 19 (5.4%) patients, using duplex Doppler scan. Application of reverse Barbeau test had the following results: 64.0% type A curve, 15.7% type B, 8.3% type C, and 12.0% type D (the last suggesting occlusion). With reverse Barbeau test, patients with confirmed occlusion by ultrasound evaluation, 21.1% would be missed by a false-negative test, and in the ones, without radial artery occlusion, 8.2% would be misdiagnosed as having it (sensibility 78.9%; specificity 91.8%). Conclusion Reverse Barbeau test has good accuracy to detect radial artery occlusion, and it is a good option for clinical day use, although using reverse Barbeau test results in the overestimation of radial artery occlusion.

Ultrasound evaluation of the radial artery in young adults – a pilot study

2021 ◽  
pp. 151763
Author(s):  
Zygmunt Domagała ◽  
Joanna Grzelak ◽  
Natalie Pospiech ◽  
Nicole Hunter ◽  
Jakub Klekowski ◽  
...  
Keyword(s):  
Young Adults ◽  
Pilot Study ◽  
Radial Artery ◽  
Ultrasound Evaluation

Adventitial Cyst of the Radial Artery With a Wrist Joint Connection

2007 ◽  
Vol 32 (1) ◽  
pp. 126-130 ◽  
Author(s):  
Huan Wang ◽  
Robert J. Spinner ◽  
Kimberly K. Amrami
Keyword(s):  
Radial Artery ◽  
Wrist Joint ◽  
Joint Connection

A NEW DIAGNOSTIC PROVOCATION TEST FOR CARPAL TUNNEL SYNDROME: OKUTSU TEST

Hand Surgery ◽  
2010 ◽  
Vol 15 (02) ◽  
pp. 65-69 ◽  
Author(s):  
A. Yoshida ◽  
I. Okutsu ◽  
I. Hamanaka
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Success Rate ◽  
Carpal Tunnel ◽  
Wrist Joint ◽  
Provocation Test ◽  
Joint Movement ◽  
Wrist Extension ◽  
Provocation Tests ◽  
Positive Rate ◽  
Tunnel Syndrome

Many authors have reported various clinical provocation tests for diagnosis of carpal tunnel syndrome, however, some tests cannot be administered correctly on patients who suffer from restricted wrist joint movement. We compiled positive rates from a new diagnostic provocation test (Okutsu test) carried out on 3474 hands, and compared them and their success rates with results from other provocation tests performed on these same hands. The Okutsu test positive rate was 72.4%. There were statistical differences between Phalen test (69.8%) and wrist-extension test (60.2%) results. The Okutsu test success rate was 99.9% and there were statistical differences between Phalen test (52.8%) and wrist-extension test (56.8%) results. There were no statistical differences between percussion test at the wrist results in positive rate (71.1%) and in success rate (99.7%). The Okutsu test positive rate is high and it serves as a reliable screening test for clinical diagnosis of carpal tunnel syndrome.

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