The Experts below are selected from a list of 33690 Experts worldwide ranked by ideXlab platform
Kyle R. Eberlin - One of the best experts on this subject based on the ideXlab platform.
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Radial Artery Pseudoaneurysm.
The Journal of hand surgery, 2017Co-Authors: Rick Tosti, Sezai Özkan, Robert M. Schainfeld, Kyle R. EberlinAbstract:Purpose To review the causes, clinical course, and management of patients with catheter-associated Radial Artery pseudoaneurysm (PSA). Methods We reviewed all patients diagnosed with Radial Artery PSA resulting from arterial line placement or Radial Artery access for cardiac procedures from 2010 to 2015. Results We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the Artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients. Conclusions Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the Artery was effective in all cases. Type of study/level of evidence Therapeutic IV.
Peter H Seidelin - One of the best experts on this subject based on the ideXlab platform.
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predictors of Radial Artery size in patients undergoing cardiac catheterization insights from the good Radial Artery size prediction grasp study
Canadian Journal of Cardiology, 2012Co-Authors: Mark A Kotowycz, Wayne K Johnston, Joan Ivanov, Nadia Asif, Abdulrahman M Almoghairi, Anirban Choudhury, Christian Nagy, Matthew Sibbald, William Chan, Peter H SeidelinAbstract:Abstract Background Radial Artery occlusion occurs after transRadial cardiac catheterization or percutaneous coronary intervention. Although use of a sheath larger than the Artery is a risk factor for Radial Artery occlusion, Radial Artery size is not routinely measured. We aimed to identify bedside predictors of Radial Artery diameter. Methods Using ultrasound, we prospectively measured Radial, ulnar, and brachial Artery diameters of 130 patients who presented for elective percutaneous coronary intervention or diagnostic angiography. Using prespecified candidate variables we used multivariable linear regression to identify predictors of Radial Artery diameter. Results Mean internal diameters of the right Radial, ulnar, and brachial arteries were 2.44 ± 0.60, 2.14 ± 0.53, and 4.50 ± 0.88 mm, respectively. Results for the left arm were similar. The right Radial Artery was larger in men than in women (2.59 vs 1.91 mm; P P r 2 = 0.26; P r 2 = 0.25; P r 2 = 0.14; P r 2 = 0.18; P r 2 = 0.07; P = 0.002), and body surface area ( r 2 = 0.22; P r 2 = 0.26; P r 2 = 0.06; P r 2 = 0.05; P = 0.006; final model r 2 = 0.37; P Conclusions Wrist circumference, male sex, and non-South Asian ancestry are independent predictors of increased Radial Artery diameter. A risk score using these variables can identify patients with small Radial arteries.
Omar Abdul Ghani - One of the best experts on this subject based on the ideXlab platform.
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Radial Artery AND VEIN THROMBOSIS FOLLOWING Radial Artery ACCESS
Journal of the American College of Cardiology, 2018Co-Authors: Katie Mastoris Schoenman, Omar Abdul GhaniAbstract:Radial Artery thrombosis following Radial access for cardiac catheterization is a well described complication (reported incidence up to 10%). Radial vein thrombosis following Radial arterial access is a rarely described complication that can have serious consequences. A 76 year old male patient
James Chang - One of the best experts on this subject based on the ideXlab platform.
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Radial Artery perforator flap.
The Journal of hand surgery, 2010Co-Authors: James ChangAbstract:Soft tissue defects in the hand and wrist can be challenging problems for the hand surgeon. The retrograde Radial forearm fasciocutaneous flap has emerged in recent years as the workhorse flap to cover many hand and wrist defects. However, recognition of the intrinsic limitations of this flap has led to the development of other alternative flaps to provide soft tissue coverage for this region. The Radial Artery perforator flap has many of the benefits of the Radial forearm flap but minimizes the disadvantages, such as the need to sacrifice the Radial Artery, color and bulk mismatch of the flap and recipient tissues, and donor site appearance. In this article, we will review the indications for using the Radial Artery perforator flap to cover hand and wrist soft tissue defects. We will discuss the surgical anatomy, indications, operating technique, rehabilitation protocol, potential complications, and pearls and pitfalls for use of this flap for upper-extremity defects.
Rick Tosti - One of the best experts on this subject based on the ideXlab platform.
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Radial Artery Pseudoaneurysm.
The Journal of hand surgery, 2017Co-Authors: Rick Tosti, Sezai Özkan, Robert M. Schainfeld, Kyle R. EberlinAbstract:Purpose To review the causes, clinical course, and management of patients with catheter-associated Radial Artery pseudoaneurysm (PSA). Methods We reviewed all patients diagnosed with Radial Artery PSA resulting from arterial line placement or Radial Artery access for cardiac procedures from 2010 to 2015. Results We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the Artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients. Conclusions Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the Artery was effective in all cases. Type of study/level of evidence Therapeutic IV.
