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Endovascular procedure can be performed achieving access in to body’s arterial system from either femoral artery (in groin), brachial artery (in elbow) or radial artery in the wrist. The transfemoral (through groin) approach to perform cardiac catheterization has typically been more prevalent in invasive cardiology.
An external vascular closure device of radial artery following a cardiac catheterization. The device allows for gradual release of pressure over the puncture site, reducing patient discomfort, until closure is achieved. Prior to the development of VCD's, the main method for closing the femoral artery was manual compression.
The diagnosis should be suspected if the patient has a history of arterial trauma. This can include arterial access for catheterization (i.e., the common femoral artery), blunt trauma (i.e., to an extremity), or penetrating trauma (i.e., gunshot or blast injury). Blunt or penetrating trauma can cause a disruption in the arterial wall, leading ...
However, scientific patient safety research by Annegret Hannawa, among others, has shown that ineffective communication has the opposite effect as it can lead to severe patient harm. [28] [29] [30] Communication regarding patient safety can be classified into two categories: prevention of adverse events and responding to adverse events ...
In some cases, pseudoaneurysms of the femoral and radial arterials can be a complication of arterial access for endovascular procedures. Depending on the size and location of the pseudoaneurysm, it may be treatable with minimally-invasive interventional radiology methods, though some, particularly the infected ones, may require open surgery.
Presence of radial pulse was thought to indicate a systolic blood pressure of at least 70 mmHg, as estimated from the 50% percentile, although this was found to generally be an overestimation of a patient's true blood pressure. [3] The radial artery can be less easily felt as it crosses the anatomical snuff box.
The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal , and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh.
The patient will be moved to a recovery area where he/she will be monitored. For patients who had a catheterization at the femoral artery or vein (and even some of those with a radial insertion site), in general recovery is fairly quick, as the only damage is at the insertion site.