AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsTechnology, Industry, AgricultureHumanitiesInformation ScienceHealth Care
Radial ArteryAnatomyArteriesUlnar ArteryMammary ArteriesCoronary Artery BypassSpasmTissue and Organ HarvestingPulmonary ArteryFemoral ArteryRadial NerveCarotid ArteriesCatheterization, PeripheralThoracic ArteriesVascular PatencyRenal ArteryCerebral ArteriesBrachial ArteryMesenteric ArteriesBasilar ArterySaphenous VeinVasodilationIliac ArteryVertebral ArteryDissectionTreatment OutcomeCoronary AngiographyAngiographyCarotid Artery, CommonForearmRegional Blood FlowAdventitiaGraft Occlusion, VascularBlood PressureArteriovenous Shunt, SurgicalPulseCoronary VesselsCarotid Artery, InternalSubclavian ArteryRadial NeuropathyInternal Mammary-Coronary Artery AnastomosisArterial Occlusive DiseasesAnatomy, ComparativeVasodilator AgentsCarotid Artery DiseasesCardiac CatheterizationComplianceSplenic ArteryNitroglycerinHepatic ArteryTime FactorsVasoconstrictionPhotoplethysmographyHandMiddle Cerebral ArteryKeratotomy, RadialCadaverElasticityAneurysmCeliac ArteryEndothelium, VascularPulsatile FlowHemodynamicsCoronary DiseaseProspective StudiesTomography, X-Ray ComputedMesenteric Artery, SuperiorBlood Pressure DeterminationFollow-Up StudiesOphthalmic ArteryVeinsCatheterizationAnastomosis, SurgicalAnatomy, ArtisticMuscle, Smooth, VascularUmbilical ArteriesBronchial ArteriesRetrospective StudiesRenal Artery ObstructionBrachiocephalic VeinsMonitoring, IntraoperativeBlood Flow VelocityAortaTemporal ArteriesUltrasonography, DopplerPopliteal ArteryHyperemiaVasoconstrictor AgentsElectrocoagulationStentsUltrasonography, InterventionalCathetersAngioplasty, Balloon, CoronaryBlood Pressure MonitorsAnatomy, Cross-SectionalPostoperative ComplicationsPapaverineHemostasis, SurgicalCarotid Artery, ExternalUterine Artery
CannulationAxillaryProximalPalmarUlnar and radial arteriesNerveBranches of the radial arteryNervesPunctureWristStyloidAnatomicalCatheterizationPersistent median arteryPatient'sHuman anatomyVascularForearm and handSubclavian arteryDistallyRecurrent arteryDistal arteriesSuperficial coursePosteriorCatheter removalMedialArteriaPercutaneousLargest arteryJournal of AnatomyScaphoidPalpationOcclusionCoronary arteriesInsertionFemoral arterialComplicationsBranchThumbDorsal aspectGray's AnatomyFlexorPrincepsUndergoneProceduralPulseIpsilateral
Cannulation10
  • Hager HH, Burns B. Artery Cannulation . (medscape.com)
  • Liquid stylet" for percutaneous radial artery cannulation. (medscape.com)
  • For radial artery cannulation, either the catheter-over-needle technique or the catheter-over-wire technique may be used. (medscape.com)
  • As a last resort, a surgical cutdown can be performed for cannulation of the radial artery. (medscape.com)
  • For femoral artery cannulation, the catheter-over-wire technique is preferred. (medscape.com)
  • The catheter-over-needle technique can also be used for femoral artery cannulation, either alone or in combination with an over-the-wire technique (ie, Seldinger) if a longer indwelling catheter is desired. (medscape.com)
  • Many experts recommend that an Allen test be performed before radial artery cannulation is initiated. (medscape.com)
  • Patients with abnormal test results have safely undergone radial artery cannulation, and patients with normal results have experienced hand ischemia. (medscape.com)
  • Therapeutic anticoagulation (eg, for atrial fibrillation) increases the risk of bleeding with radial artery cannulation, but this must be balanced against the increased risk of thrombosis (eg, stroke) if anticoagulation is reversed. (msdmanuals.com)
  • Lifelike skin provides a realistic look and feel Realistic arterial network Palpable radial and brachial pulse Radial and brachial arterial access sites support cannulation and blood sampling/collection Easily replaceable arteries. (drwonganatomy.com)
Axillary5
  • Third part of axillary artery gives rise to three branches, anterior circumflex humeral, posterior circumflex humeral and an anomalous common trunk for radial and subscapular artery. (aijournals.com)
  • Recent graduates Shivika Ahuja and Dane Meyer were authors of a study, along with co-authors Ahmad Odeh, Sania Karir, Felicia Lee, Young Lee, Zoe Henkes, Larry Yang, and Drs. Daniel T. Daly, and Yun Tan, titled "Rare Branching Pattern from the First Part of the Axillary Artery. (slu.edu)
  • Drs. Daniel T. Daly and Yun Tan, along with several student co-authors, published "A Unique Ipsilateral Axillary Artery Variation" in the International Journal of Anatomical Variations, volume 14, number 1. (slu.edu)
  • The mnemonic STAR (Subscapular, Thoracodorsal, Axillary, Radial) is an easy way to remember the 4 branches. (medscape.com)
  • In the axilla, the radial nerve descends behind the axillary and brachial arteries, passes between the long and medial heads of the triceps muscle, and enters the posterior compartment of the arm. (medscape.com)
Proximal13
  • A total of 90 perforators (40.54%) were identified on distal side (Radial styloid) & 132 perforators (59.45%) were identified on proximal side (Lateral epicondyle). (uab.cat)
  • Methylene blue injections into the proximal part of radial artery demonstrated clusters both in proximal & distal forearm & also cutaneous territory of flap. (uab.cat)
  • Conclusion: Increase in knowledge of vascular territory of radial artery perforators with regards to numbers, size, location, and cutaneous territory can lead to expanded use of radial forearm flap based on either distal or proximal perforator alone, without sacrificing the radial artery. (uab.cat)
  • The dog shoulder bone anatomy only consists of the distal extremity of the scapula and proximal extremity of the humerus. (anatomylearner.com)
  • Proximal shunting is attributed to the reversal of blood flow through distal arteries, induced by the low-pressure system produced by the arteriovenous connection. (diaridelsestudiants.com)
  • The Subclavian Steal Syndrome is a rare yet well-known phenomenon that presents when a steno-occlusive lesion of the proximal subclavian artery results in the flow reversal of the vertebral artery, giving rise to vertebrobasilar insufficiency [1,2]. (diaridelsestudiants.com)
  • When to use a proximal radial artery fistula? (diaridelsestudiants.com)
  • The proximal row includes (from radial to ulnar) the scaphoid, lunate, triquetrum, and pisiform. (teachmeorthopedics.info)
  • This process, located on the dorsal and radial aspect of the middle finger metacarpal, points to the articular interface between the capitate and trapezoid, and is just proximal to the insertion of the ECRB tendon. (teachmeorthopedics.info)
  • the posteroulnar styloid is most readily palpable in supination and is approximately 1 cm proximal to the plane of the radial styloid. (teachmeorthopedics.info)
  • In a retrograde fashion, this branch of the radial artery supplies blood to the proximal end. (wikidot.com)
  • These vessels originate proximal to the metacarpophalangeal joint from the common palmar digital arteries. (medscape.com)
  • The proper palmar digital arteries branch proximal to the DIP joint and give off a branch that travels dorsal to the DIP joint, supplying the superficial arcade that feeds the nail fold and proximal matrix. (medscape.com)
Palmar11
  • It passes anteriorly between the heads of the adductor pollicis, and becomes the deep palmar arch, which joins with the deep branch of the ulnar artery. (wikipedia.org)
  • It travels superiorly to anastomose with the radial collateral artery around the elbow joint Palmar carpal branch of radial artery - a small vessel which arises near the lower border of the pronator quadratus Superficial palmar branch of the radial artery - arises from the radial artery, just where this vessel is about to wind around the lateral side of the wrist. (wikipedia.org)
  • The two arteries may arise from a common trunk, the first palmar metacarpal artery. (wikipedia.org)
  • Deep palmar arch - terminal part of radial artery. (wikipedia.org)
  • In most patients, the palmar arches are supplied by both the radial artery and the ulnar artery. (medscape.com)
  • in the cubital fossa, opposite the neck of the radius, and terminates in the palm of the hand, where it the superficial Radialis anastomoses with volar artery to form the superficial volar (palmar) arch. (co.ma)
  • crosses anterior to the main part of the transverse carpal ligament, on the radial side of the pisiform bone, and enters the palm of the hand to form the main part of the superficial volar (palmar) arch. (co.ma)
  • Figure 11.1-1 A . Skeletal anatomy of the wrist, palmar aspect. (teachmeorthopedics.info)
  • The hook of the hamate, located on the ulnar and palmar aspect of the distal carpus, can be palpated approximately 1 cm radial and distal to the pisiform. (teachmeorthopedics.info)
  • A second source of supply comes from the palmar and superficial palmar branches of the radial artery. (wikidot.com)
  • The arterial blood supply to the perionychium originates from the terminal branches of the radial and ulnar proper palmar (volar) digital arteries. (medscape.com)
Ulnar and radial arteries2
  • With the patient's hand in a fist, the examiner applies simultaneous pressure to the ulnar and radial arteries so as to occlude them (see the image below). (medscape.com)
  • The main arteries are the ulnar and radial arteries, which supply blood to the front of the hand, fingers, and thumb. (drmahantesh.com)
Nerve18
  • On its volar aspect it is crossed, in the oblique part of its course, by the pronator teres, the median nerve, which is separated from the artery by the deep head of the pronator teres, the flexor digitorum sublimis, the flexor carpi radialis, and the palmaris longus. (co.ma)
  • Anatomy Carpal tunnel syndrome contains median nerve, flexor pollicis longus and flexor digitorum superficialis. (medicosplexus.com)
  • Anatomy Integrity of long thoracic nerve after damage due to surgery can be tested bedside by asking patient to raise the arm above the head on the affected side. (medicosplexus.com)
  • The radial nerve runs down the thumb side of the forearm and provides sensation to the back of the hand from the thumb to the third finger. (ftlauderdaleortho.com)
  • The ulnar artery travels next to the ulnar nerve through Guyon's canal in the wrist. (ftlauderdaleortho.com)
  • It thus provides a landmark for the ulnar nerve and artery (located just ulnar to the hook), and the ulnar boundary of the carpal tunnel. (teachmeorthopedics.info)
  • The three main nerves of the hand and wrist are the ulnar nerve, radial nerve and median nerve. (pamelalevinemd.com)
  • Radial nerve block is a simple procedure that can be performed at various levels along the course of the radial nerve. (medscape.com)
  • Surgical anesthesia, postoperative analgesia, and palliative measures for acute painful conditions are all indications for radial nerve block. (medscape.com)
  • The radial nerve is 1 of the 4 important branches of the posterior cord of the brachial plexus and has the root values of C5, C6, C7, C8, and T1. (medscape.com)
  • A brachial plexus schematic, radial nerve sensory distribution, and radial nerve course are shown in the images below. (medscape.com)
  • Sensory distribution of the radial nerve. (medscape.com)
  • Course of the radial nerve. (medscape.com)
  • The superficial branch of the radial nerve descends lateral to the radial artery and passes backward under the tendon of the brachioradialis muscle. (medscape.com)
  • The deep branch of the radial nerve winds around the lateral part of the neck of the radius and enters the posterior compartment of the forearm. (medscape.com)
  • [ 2 ] This is a painful condition of the radial nerve. (medscape.com)
  • [ 3 ] This syndrome is secondary to compression of the radial nerve distal to the musculospiral grove. (medscape.com)
  • In adults, the radial nerve block is well tolerated with reassurance from the practitioner. (medscape.com)
Branches of the radial artery2
  • The named branches of the radial artery may be divided into three groups, corresponding with the three regions in which the vessel is situated. (wikipedia.org)
  • It receives its blood supply primarily from lateral and distal branches of the radial artery . (en-academic.com)
Nerves3
  • Whether in anatomical structures like blood vessels and nerves or design elements like spikes on a wheel, radial follows a center-outward orientation. (differencewise.com)
  • There are some of the vessels and nerves that are involved with the canine shoulder joint anatomy. (anatomylearner.com)
  • All these nerves and arteries from the shoulder will describe later with a diagram. (anatomylearner.com)
Puncture4
  • The puncture site for the femoral artery should be below the inguinal ligament to allow control of bleeding and prevention of bleeding into the pelvis. (medscape.com)
  • In addition to disagreement about precisely what constitutes an abnormal result, there has been some debate in the literature about whether an Allen test is needed before radial artery puncture and how well it predicts complications. (medscape.com)
  • Radial puncture was successful in 98.9% of patients. (onacademic.com)
  • Even including the time for patients to be crossed-over, the mean procedural time for the radial cases was only three minutes longer (18 minutes) than for femoral (15 minutes) -- the time was measured from the arterial puncture to completion of the final cine-angiogram. (ptca.org)
Wrist15
  • The artery winds laterally around the wrist, passing through the anatomical snuff box and between the heads of the first dorsal interosseous muscle. (wikipedia.org)
  • The princeps pollicis artery branches from the radial artery near the wrist and extends into the hand toward the thumb. (healthline.com)
  • This muscle, lying to the medial side of pronator teres, is the most prominent and may be traced downward to its tendon, which is situated nearer to the radial than to the ulnar border of the front of the wrist and medial to the radial artery. (wikibooks.org)
  • The remaining 357 patients were randomized to the femoral (leg) or radial (wrist) approach. (ptca.org)
  • Of the 152 patients randomized for transradial, 13 (9%) could not be done via the wrist, due to arterial spasm or difficult anatomy, and they crossed-over to femoral. (ptca.org)
  • The radial artery is the largest artery supplying the hand and wrist area. (ftlauderdaleortho.com)
  • Traveling across the front of the wrist, nearest the thumb, it is this artery that is palpated when a pulse is counted at the wrist. (ftlauderdaleortho.com)
  • B. Skeletal anatomy of the wrist, dorsal aspect. (teachmeorthopedics.info)
  • It is situated between the hand and forearm on the thumb-side of the wrist (also called the lateral or radial side). (en-academic.com)
  • The lateral surface is rough and narrow, and gives attachment to the radial collateral ligament of the wrist. (en-academic.com)
  • Fortunately, it is relatively difficult to break, but is the most commonly fractured bone in the carpus, particularly because of its unique anatomy and position within the wrist. (en-academic.com)
  • The radial artery is the largest artery of the hand, traveling across the front of the wrist, near the thumb. (drmahantesh.com)
  • Extend the patient's wrist to identify the radial artery insertion site. (incitevr.com)
  • The objectives of this article are to provide an overview of the most common problems that are encountered in the diagnosis of ulnar-sided wrist pain and to review the anatomy, diagnostic modalities, clinical presentation, and various treatments available. (medscape.com)
  • Because the structures of the wrist are highly interactive in producing normal and abnormal wrist mechanics, a brief review of the anatomy and kinetics of the entire carpus is included here. (medscape.com)
Styloid1
Anatomical5
  • In less than 1% of the population, the radial artery takes a superficial course in the anatomical snuff box. (wikipedia.org)
  • The radial artery can be less easily felt as it crosses the anatomical snuff box. (wikipedia.org)
  • The purpose of this cadaveric observational anatomical study was to determine the location, size & vascular territory of the radial artery cutaneous perforators. (uab.cat)
  • Anatomy Artery in anatomical snuff-box is radial artery. (medicosplexus.com)
  • Says Henneberg, "We've collected all the data published in anatomical literature and continued to dissect cadavers donated for studies in Adelaide, and we found about one third of Australians have the median artery in their forearm and everyone will have it by the end of the century if this process continues. (bigthink.com)
Catheterization5
Persistent median artery2
  • We present here an atypical case of carpal tunnel syndrome, of acute onset, triggered by persistent median artery (PMA) thrombosis, condition associated with distal embolization and hypoper-fusion of the limb. (bvsalud.org)
  • Another work in progress is titled "Unique Case of Vascularization: Accessory Brachial Artery and Radial Persistent Median Artery. (slu.edu)
Patient's2
  • 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. (wikipedia.org)
  • can support and fix patient's arm, be convenient for intervene the operation from the radial artery. (google.com)
Human anatomy3
  • In human anatomy, the radial artery is the main artery of the lateral aspect of the forearm. (wikipedia.org)
  • Get a clear picture of human anatomy from the sculpted alveolar sac, bronchial tree, and blood vessel structures of the. (drwonganatomy.com)
  • [ 1 ] This refers to the shape of the bone, supposedly reminiscent of a boat, and in older literature on human anatomy [ 2 ] the scaphoid is referred to as the navicular bone of the hand, since there is also a bone in a similar position in the foot, called the navicular. (en-academic.com)
Vascular5
  • In this article, we will review the relevant vascular anatomy, describe the state-of-the-art acquisition protocols, and illustrate the different patterns of vascular lesions of the hand in adults, while avoiding common diagnostic pitfalls. (springer.com)
  • A clear understanding of vascular anatomy of individual perforators relative to its vascular territory & flow characteristics is essential for both flap harvest & design. (uab.cat)
  • Materials and Methods: 12 fresh human cadavers & 24 cadaveric forearms were dissected to determine the total number, location, size & vascular territory of radial artery adipo-fascio cutaneous perforator. (uab.cat)
  • When there is an increase in perfusion, the vascular smooth muscle stretches, causing it to constrict the artery. (onteenstoday.com)
  • It shows the surgical dissection techniques of each flap step by step, from vascular anatomy, flap design and elevation to harvest and transfer. (nshealth.ca)
Forearm and hand2
Subclavian artery1
  • The procedure was successfu ll y performed by radial approach in 98.8% of patients with tortuous configurations, 91.9% of radial stenosis, 93.9% of hypoplastic radial artery, 83.3% of radioulnar loop, 96.7% of radial axi ll ary origin, and 60% of lusoria subclavian artery setting. (onacademic.com)
Distally3
  • It runs distally, on the volar aspect of the first metacarpal bone, between the adductor and the opponens pollicis, and under cover of the long flexor tendon, and divides, near the distal end of the bone, into collateral branches which run along the sides of Radial artery the thumb and anastomose with the dorsales pollicis arteries. (co.ma)
  • 2) The arteria volaris indicis radialis is a branch which runs distally between the ulnar head of the first dorsal interosseous muscle and the adductor of the thumb and along the radial side of the index-finger to its tip. (co.ma)
  • She underwent a Revascularisation Using Distal Inflow procedure which involved ligating the fistula at its origin and extending the inflow for the fistula distally to the radial artery in the midforearm using a segment of the upper arm cephalic vein as the conduit, thus reducing flow in the fistula. (diaridelsestudiants.com)
Recurrent artery1
Distal arteries1
Superficial course1
  • High origin and superficial course of radial artery may be hazardous and vulnerable to injury during venepuncture and surgical approaches. (aijournals.com)
Posterior3
  • There, it serves as a landmark for the division between the anterior and posterior compartments of the forearm, with the posterior compartment beginning just lateral to the artery. (wikipedia.org)
  • 2) The dorsal ulnar recurrent branch, larger than the volar, arises in the cubital fossa, from the ulnar side of the ulnar artery, and ascends, on the brachialis and under cover of the muscles which arise from the medial epicondyle, to the posterior aspect of that prominence, where it passes between the humeral and olecranoid heads of the flexor carpi ulnaris, and anastomoses with the superior and inferior ulnar collateral arteries. (co.ma)
  • Master's student Lokesh Coomar, along with co-authors Nicholas R. Fanselow, Nolan Wallace, Daniel Sehi, and Drs. John Martin, Yun Tan, and Daniel T. Daly published "A Case of Multiple Posterior Intercostal Artery Common Trunks in Conjunction with Additional Arterial Variations. (slu.edu)
Catheter removal2
  • Lesser incidence of accidental catheter removal with femoral versus radial arterial access. (medscape.com)
  • Occluded arteries nearly always recanalize after catheter removal. (msdmanuals.com)
Medial2
  • It passes proximally, to the anterior aspect of the medial epicondyle, under cover of the pronator teres, and anastomoses with branches of the superior and inferior ulnar collateral arteries. (co.ma)
  • La arteria obturatriz izquierda se originaba en la arteria ilíaca externa, luego discurrió hacia medial, adhiriéndose a la rama púbica superior. (bvsalud.org)
Arteria3
  • Continuación de la arteria axilar, que se divide en las arterias radial y cubital. (bvsalud.org)
  • Branches of splenic arteries includes short gastric artery, hilar branches and arteria pancreatica magna. (medicosplexus.com)
  • La arteria epigástrica inferior izquierda se originaba en la arteria femoral y discurría por detrás de la vena femoral. (bvsalud.org)
Percutaneous1
Largest artery1
Journal of Anatomy2
Scaphoid1
  • The more radial scaphoid facet is triangular, whereas the more ulnarly located lunate facet is quadrilateral. (medscape.com)
Palpation2
  • Ultrasound Guidance Versus Landmark-Guided Palpation for Radial Arterial Line Placement by Novice Emergency Medicine Interns: A Randomized Controlled Trial. (medscape.com)
  • In tennis elbow, this palpation reveals tenderness over the lateral epicondyle that is absent in radial tunnel syndrome. (medscape.com)
Occlusion2
  • The patient is then asked to open the hand, which should appear blanched as a consequence of the occlusion of the radial and ulnar arteries (see the image below). (medscape.com)
  • An artery occlusion may be missed with magnetic resonance imaging if magnetic resonance angiography is not performed. (springer.com)
Coronary arteries1
Insertion2
Femoral arterial1
  • Kim WY, Jun JH, Huh JW, Hong SB, Lim CM, Koh Y. Radial to femoral arterial blood pressure differences in septic shock patients receiving high-dose norepinephrine therapy. (medscape.com)
Complications2
  • In the August issue of JACC: Interventions, a study of 600,000 procedures showed a 58% reduction in bleeding complications with the radial approach. (ptca.org)
  • What was different, however, was the incidence of major complications: 3.2% in the femoral group versus none in the radial group. (ptca.org)
Branch4
Thumb1
  • The princeps pollicis artery branches off into two smaller branches near the second joint of the thumb. (healthline.com)
Dorsal aspect1
  • 3) The common interosseous artery, a short trunk which springs from the radial and dorsal aspect of the ulnar artery, in the distal part of the cubital fossa. (co.ma)
Gray's Anatomy2
Flexor1
  • On the radial side there is also, in its distal two-thirds, the flexor digitorum sublimis. (co.ma)
Princeps2
  • Princeps pollicis artery - arises from the radial artery just as it turns medially to the deep part of the hand. (wikipedia.org)
  • In such circumstances, if the princeps pollicis artery and other arteries of the hand are not able to supply the cells with oxygen, then emergent surgery may be required to correct or bypass the blockage. (healthline.com)
Undergone1
Procedural1
  • Procedural characteristics and clinical outcomes differ considerably from those associated with PCI in patients without previous CABG surgery, owing to altered coronary anatomy and differences in conduit pathophysiology. (mssm.edu)
Pulse1
Ipsilateral1
  • During educational dissection of a male cadaver, we encountered a combined variation of the left obturator artery and ipsilateral aberrant inferior epigastric artery. (bvsalud.org)