Relevant bibliographies by topics / Arterial puncture

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Arterial puncture'

Author: Grafiati
Published: 4 June 2021
Last updated: 3 February 2022

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Journal articles on the topic "Arterial puncture"

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Hudson, Timothy L., Susan F. Dukes, and Karen Reilly. "Use of Local Anesthesia for Arterial Punctures." American Journal of Critical Care 15, no. 6 (2006): 595–99. http://dx.doi.org/10.4037/ajcc2006.15.6.595.

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• Background Except for intravenous therapy, arterial access is the most common invasive procedure performed on critically ill patients. Arterial puncture is a source of pain and discomfort. Intradermal injection of lidocaine around the puncture site decreases the incidence and severity of localized pain when used before arterial puncture. • Objective To review the recommendations and studies related to the use of intradermal lidocaine to decrease pain during arterial punctures. • Methods Articles were identified by doing a systematic computerized search of MEDLINE (1980 to January 2006) to evaluate articles and reference lists of articles and a manual search of the references listed in original and review articles. English-language articles that evaluated any aspect of pain related to arterial puncture and cannulation, pain related to and methods of introducing lidocaine subcutaneously, and perceptions and use of local anesthesia for arterial or intravenous punctures were reviewed. • Results Except among anesthesia providers, the use of a local anesthetic before arterial puncture is not universal, contrary to the standard of practice. A number of false perceptions may prevent wider use of such anesthetics. • Conclusion Before a plan for behavior modification or policy change is recommended for use of local anesthesia to decrease pain associated with arterial puncture, further research must be done to determine nurses’ perceptions of use, actual practice, and currently established local policies.
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Tong, Zhu, Yongquan Gu, Lianrui Guo, et al. "An Analysis of Complications of Brachial and Axillary Artery Punctures." American Surgeon 82, no. 12 (2016): 1250–56. http://dx.doi.org/10.1177/000313481608201235.

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To examine the complications of brachial and axillary artery punctures and the precautionary measures taken to lower their incidences. Retrospective analysis of 266 cases of brachial and axillary artery punctures was performed for angiography or angioplasty between January 2009 and December 2013 at the Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University. Complications and their causes were assessed. Among all brachial artery punctures (n = 140), there were complications in 3.6 per cent of cases, including local hematoma in 1.4 per cent, pseudoaneurysm in 0.7 per cent, acute arterial thrombosis in 0.7 per cent, and median nerve injury in 0.7 per cent. Among all axillary artery punctures (n = 126), there were complications in 10.3 per cent of cases, including local hematoma in 4.8 per cent, pseudoaneurysm in 0.8 per cent, acute arterial thrombosis in 0.8 per cent, acute venous thrombosis in 0.8 per cent, and nerve injury in 3.2 per cent. The incidence of complications was significantly lower in brachial axillary artery puncture compared with axillary artery puncture ( P < 0.05). The main factors associated with complications might be patient's vascular condition, perioperative medication, anatomical features of the artery, puncture site, successful rate of first-attempt puncture, and bandage strength. Incidence of complications of brachial and axillary artery punctures could be lowered by strengthening the choice of indications, improving the perioperative managements, being fully aware of the anatomical characteristics of the brachial and axillary arteries, and applying the standardized techniques of puncture and compression hemostasis.
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Katzenschlager, Reinhold, Reinhold Tischler, Georg Kalchhauser, Michael Panny, and Mirko Hirschl. "Angio-Seal Use in Patients with Peripheral Arterial Disease (ASPIRE)." Angiology 60, no. 5 (2009): 536–38. http://dx.doi.org/10.1177/0003319708330007.

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Purpose To investigate the incidence of complications after the use of an arterial closure device (Angio-Seal) in patients with peripheral arterial disease. Methods In 105 consecutive patients after transfemoral catheterization, the puncture site was closed using a closure device (Angio-Seal). Colourflow-duplexsonography studies were conducted 1 to 4 days before, within 3 days after and 3 month after the intervention. Results All patients had peripheral arterial disease, 34 had calcification at the puncture site. Detection of calcification did not prevent device deployment. Complications (2 minor bleedings, 1 pseudoaneurysm) were not associated with high risk groups (these were: 69 antegrade punctures, 22 obese and 32 hypertensive patients). Three-month postinterventional diameter and blood velocity changes were <1%. Conclusions Patients with peripheral arterial disease in the region of the puncture site and patients at higher complication risk can safely and effectively be closed with an Angio-Seal device. At the puncture site, no lumen change can be observed 3 months postinterventional.
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Giner, Jordi, Pere Casan, José Belda, Mercedes González, Rosa Ma Miralda, and Joaquín Sanchis. "Pain During Arterial Puncture." Chest 110, no. 6 (1996): 1443–45. http://dx.doi.org/10.1378/chest.110.6.1443.

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Bates, D. "Local anaesthetic and arterial puncture." Emergency Medicine Journal 18, no. 5 (2001): 378. http://dx.doi.org/10.1136/emj.18.5.378.

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Martens, Peter B., James A. Levine, and Gene G. Hunder. "Splinter hemorrhages following arterial puncture." Arthritis & Rheumatism 39, no. 1 (1996): 169–70. http://dx.doi.org/10.1002/art.1780390124.

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Ellison, Norig, and David R. Jobes. "Arterial puncture during venous cannulation." Journal of Cardiothoracic Anesthesia 3, no. 1 (1989): 135–36. http://dx.doi.org/10.1016/0888-6296(89)90041-0.

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Hussain, T., and S. Al-Hamali. "Femoral artery occlusion with a percutaneous arterial closure device after a routine coronary angiogram: a case report and literature review." Annals of The Royal College of Surgeons of England 93, no. 6 (2011): e102-e104. http://dx.doi.org/10.1308/147870811x591143.

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Groin vessels are most commonly used to obtain vascular access for angiography because of their size and accessibility. Haemostasis at the puncture site can be achieved with manual compression alone or by using a vascular closure device. We highlight the case of a 68-year-old woman who developed acute claudication in the right leg after a routine diagnostic coronary angiogram when an Angio-Seal™ device had been employed to close a relatively low arterial puncture. On exploring the common femoral artery, fragments of the device were found occluding the bifurcation. A patch angioplasty was carried out and the patient’s claudicant symptoms improved. The Angio-Seal™ device has a polylactide and polyglycolide polymer anchor, a collagen plug and a suture contained within a carrier system. Haemostasis is achieved by compressing the arterial puncture site between the anchor and the collagen plug. The manufacturer’s recommended criterion for using the device safely permits its use only for common femoral artery punctures with an internal vessel diameter of 4mm. Anatomical confirmation of the puncture site and evidence of any arterial disease or stenosis in the artery is detected on fluoroscopy during the procedure. Recent meta-analyses have cast doubt on the assumption that vascular closure devices are superior to mechanical compression alone and serious complications do occur occasionally but are under-reported. Clinicians should be aware of the potentially serious problems that may occur when deciding to employ vascular closure devices, especially with an anatomically low puncture site.
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SPOKOJNY, ARTUR M., and TIMOTHY A. SANBORN. "Management of the Arterial Puncture Site." Journal of Interventional Cardiology 7, no. 2 (1994): 187–93. http://dx.doi.org/10.1111/j.1540-8183.1994.tb00902.x.

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Dev, Shelly P., Melinda D. Hillmer, and Mauricio Ferri. "Arterial Puncture for Blood Gas Analysis." New England Journal of Medicine 364, no. 5 (2011): e7. http://dx.doi.org/10.1056/nejmvcm0803851.

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Dissertations / Theses on the topic "Arterial puncture"

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Dhaya, Ibtihel. "Study of the blood-brain interface and glial cells during sepsis-associated encephalopathy : from imaging to histology." Thesis, Bordeaux, 2017. http://www.theses.fr/2017BORD0966/document.

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L'encéphalopathie associée au sepsis (EAS) est définie comme un dysfonctionnement cérébral diffus induit par une réponse systémique à une infection. Chez les patients septiques, l'imagerie par résonance magnétique (IRM) a indiqué à la fois des anomalies de la substance grise (SG) et blanche (SB) associées à des troubles cognitifs graves, y compris le delirium. Pour améliorer notre compréhension des changements hémodynamiques, métaboliques et structuraux associés au sepsis, différentes séquences d'IRM ont été réalisées chez des rats ayant subi une injection ip de solution saline ou de lipopolysaccharide bactérien (LPS) 2,5h plus tôt ou une ligature et ponction caecale 24h plus tôt. Après ip LPS, l'IRM de contraste de phase a été réalisée pour étudier le flux des artères cérébrales antérieures et moyennes et le marquage des spins artériels (ASL) pour étudier la perfusion des structures cérébrales de la SB et SG. Des séquences d'imagerie par diffusion pondérée (DWI) ont été utilisées pour évaluer les changements structurels. Après la chirurgie CLP, ASL a été utilisé pour étudier les changements de la microcirculation. L'imagerie pondérée en T2, l'imagerie du tenseur de diffusion (DTI) et les statistiques spatiales basées sur les faisceaux (TBSS) ont été réalisées pour caractériser les événements structurels dans différentes structures cérébrales. Après imagerie, les animaux ont été sacrifiés et leur cerveau a été traité pour l'histologie afin de détecter l'enzyme synthétisant les prostaglandines vasoactives cyclooxygénase-2 (COX-2) et le canal hydrique astrocytaire aquaporin-4 (AQP4) dont l'expression peut être régulée à la hausse, évaluer la présence d'immunoglobulines périvasculaires (Ig) indiquant une rupture de la barrière hémato-encéphalique (BHE) et étudier la morphologie des glies puisque la microglie et l’astroglie changent de morphologie lors des conditions inflammatoires. L'IRM n'a indiqué aucun changement hémodynamique dans la substance grise après l'administration de ip LPS, alors qu'une perfusion cérébrale accrue a été montrée au niveau du corps calleux comme indiqué par l'ASL. DTI a indiqué une augmentation de la diffusion des molécules d’eau parallèlement aux fibres du corps calleux. Ces changements étaient accompagnés d'une dégradation de BHE dans la SB ainsi que la substance grise corticale et striatale adjacente tel est indiqué par la présence périvasculaire d'IgG, sans aucun changement majeur de COX-2 vasculaire ou de morphologie des glies du coprs calleux. Le dysfonctionnement du SNC induit par le sepsis a résulté en une augmentation du contraste pondéré en T2 dans le cortex, le striatum et la base du cerveau, une diminution de la perfusion sanguine dans le cortex et une augmentation de la diffusion hydrique du corps calleux et du striatum ventral. Ces changements ont été associés dans la SB à des modifications de la morphologie des glies et dans la substance grise à une expression constitutive de COX-2 et AQP4 plus faible dans le cortex cérébral. La comparaison entre CLP ayant subit ou non une IRM sous anesthésie à l'isoflurane a montré une réponse inflammatoire réduite tel est indiqué par l'expression de COX- 2, une activation réduite des glies ainsi qu’une lésion réduite de la BHE dans le CLP subissant une IRM sous anesthésie. Collectivement, nos résultats suggèrent que des changements hémodynamiques peuvent survenir en l'absence de flux altéré dans les artères irriguant le cerveau antérieur. Ensuite, l'altération de la structure de la SB est une étape précoce de la pathogenèse de l’EAS qui peut résulter soit de la dégradation de la BHE, soit de l'activation des glies. Cette étude sous-tend l'effet délétère d'une seule exposition à l'anesthésie à l'isoflurane qui peut être atténuée par une seconde exposition chez les rats ayant subi une laparotomie ainsi que les effets de l'inflammation systémique induite par le CLP sur les glies pouvant être atténués par imagerie sous anesthésie à l'isoflurane<br>Sepsis-associated encephalopathy (SAE) refers to central nervous system dysfunction during the systemic inflammatory response to infection. In septic patients with encephalopathy MRI has indicated both gray and white matter abnormalities that were associated with worse cognitive outcome including delirium. To improve our understanding of sepsis-associated hemodynamic, metabolic, and structural changes, different MRI sequences were performed in rats that either underwent an i.p injection of saline or bacterial lipopolysaccharide (LPS) 2.5h earlier or cecal ligation and puncture (CLP) 24h earlier. After ip LPS, phase contrast MRI was performed to study anterior and middle cerebral arteries flow and Arterial Spin Labeling (ASL) to study perfusion of white and grey matter brain structures. Diffusion Weighted Imaging (DWI) sequences was used to assess structural changes. After CLP surgery, ASL was used to study microcirculation changes. T2-Weighted Imaging, Diffusion Tensor Imaging (DTI) and tract-based spatial statistics (TBSS) were performed to characterize structural events in different brain structures. After imaging, animals were sacrificed and their brains processed for histology to detect the vasoactive prostaglandin-synthesizing enzyme cyclooxygenase-2 (COX-2) and the astrocytic aquaporin-4 water channel (AQP4) the expression of which can be upregulated during inflammation, to assess the presence of perivascular immunoglobulins (Ig) indicating blood-brain barrier (BBB) leakage and to study glia cell morphology as both microglia and astrocytes are known to change their morphology in inflammatory conditions. Magnetic resonance rat brain imaging indicated no hemodynamic changes in the grey matter after ip LPS administration while an increased CBF was shown in corpus callosum white matter as indicated by ASL. DTI indicated increased water diffusion parallel to fibers of the corpus callosum white matter. These changes were accompanied by BBB breakdown in the white matter and adjacent cortical and striatal grey matter as indicated by the perivascular presence of IgG, but no major changes in vascular COX-2 or white matter glia cell morphology. CLP induced sepsis-associated CNS dysfunction resulted in higher T2-weighted contrast intensities in the cortex, striatum and base of the brain, decreased blood perfusion distribution to the cortex and increased water diffusion in the corpus callosum and ventral striatum compared to sham surgery. These changes were associated in the white matter with modifications in glia cells morphology and in the grey matter with lower expression of constitutive COX-2 expression and AQP4 in the cerebral cortex. The comparison between CLP that underwent or not MRI under isoflurane anesthesia indicated reduced inflammatory response as indicated by COX-2 expression, reduced glia activation and reduced BBB damage in CLP that underwent MRI under isoflurane anesthesia. Collectively, our results suggest that hemodynamic changes may occur in the absence of altered flow in forebrain irrigating arteries. Then, altered white matter structure is an early step in SAE pathogenesis that may result either from BBB breakdown or glial cells activation. This study underlies the deleterious effects of a single exposure to isoflurane anesthesia that may be mitigated by a second exposure in sham-operated rats and the effects of CLP-induced systemic inflammation on glial cells that can be attenuated by imaging under isoflurane anesthesia
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Patout, Maxime. "Evaluation des techniques pour la prise en charge diagnostique et thérapeutique de l'insuffisance respiratoire chronique A Randomized controlled trial on the effect of needle gauge on the pain and anxiety experienced during radial arterial puncture Long term survival following initiation of home non-invasive ventilation : a European study Neural respiratory drive predicts long-term outcome following admission for exacerbation of COPD : a post hoc analysis Neural respiratory drive and cardiac function in patients with obesity hypoventilation syndrome following initiation of non-invasive ventilation Polysomnography versus limited respiratory monitoring and nurse-led titration to optimise non-invasive ventilation set-up a pilot randomised clinical trial Chronic ventilator service Step-down from non-invasive ventilation to continuous positive airway pressure : a better phenotyping is required AVAPS-AE versus ST mode : a randomized controlled trial in patients with obesity hypoventilation syndrome Technological advances in home non-invasive ventilation monitoring : reliability of data and effect on patient outcomes Efficacy of a home discharge care bundle after acute exacerbation of COPD Prediction of severe acute exacerbation using changes in breathing pattern of COPD patients on home noninvasive ventilation Charasteristics and outcome of patients set up on high-flow oxygen therapy at home Trial of portable continuous positive airway pressure for the management of tracheobronchomalacia." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMR115.

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L’insuffisance respiratoire chronique est un syndrome défini par une défaillance monoviscéralerespiratoire. Sa principale origine est aujourd’hui le syndrome obésité-hypoventilation qui concerne 4 à 5% des patients obèses. L’IRC est aussi le stade évolutif terminal de la bronchopneumopathie chronique obstructive qui touche 6 à 8% de la population adulte. L’incidence de ces pathologies et donc de l’insuffisance respiratoire est en augmentation constante. Dans cette thèse, nous avons évalué les nouvelles modalités diagnostiques et thérapeutiques qui pourraient améliorer la prise en charge des patients atteints d’insuffisance respiratoire chronique.Concernant la prise en charge diagnostique, nous avons montré que les données fournies par l’électromyographie de surface des muscles intercostaux, outil qui évalue le travail respiratoire, constituent un marqueur pronostique indépendant chez les patients atteints de bronchopneumopathie chronique obstructive. Nous avons également montré leur pertinence pour prédire l’efficacité clinique et l’observance à la ventilation non-invasive à domicile.Concernant la prise en charge thérapeutique, nous avons montré que l’utilisation d’un mode semi-automatisé de ventilation non-invasive a la même efficacité que celle de modes classiques en permettant une mise en place plus rapide du traitement. Nous avons également rapporté l’intérêt de l’oxygénothérapie à haut débit au domicile alors que ce traitement était utilisé jusque-là dans le seul cadre des soins intensifs. Enfin, nous avons rapporté les bénéfices de la pression positive continue au cours de l’effort chez les patients ayant une trachéobronchomalacie. Concernant le suivi des patients, nous avons montré que les données des logiciels de ventilation non invasive permettent de prédire la survenue d’une exacerbation sévère de BPCO mais que l’utilisation de la télémédecine chez les patients insuffisants respiratoires chroniques ne peut être encore pleinement intégrée dans la pratique clinique. Au cours de cette thèse, nous avons identifié de nouveaux outils physiologiques, de nouvelles modalités d’administration des traitements et de nouveaux outils de suivi à domicile, à même d’améliorer la prise en charge des patients insuffisants respiratoires chroniques<br>Single-organ respiratory failure defines chronic respiratory failure. Obesity hypoventilation syndrome is the main cause of chronic respiratory failure and occurs in 4 to 5% of obese patients. Chronic respiratory failure is also the end-stage evolution of chronic obstructive pulmonary disease that has a prevalence of 6 to 8% in the adult population. The incidence of these diseases increases so does the incidence of chronic respiratory failure. In this thesis, we will evaluate novel diagnostic and therapeutic modalities that could improve the care of patients with chronic respiratory failure. Regarding diagnostic modalities, we have seen that evaluating the work of breathing with surface parasternal electromyography was an independent prognostic marker in patients with chronic obstructive pulmonary disease. We have also seen that it was a relevant tool to predict the clinicalefficacy and compliance to home non-invasive ventilation. Regarding therapeutic modalities, we have shown that the use of a semi-automatic mode of non-invasive ventilation had the same efficacy of a standard mode with a shorter length of stay for its setup. We have shown the relevance and feasibility of the use of high-flow oxygen therapy in the home setting whilst it was only used in intensive care units. Finally, we have shown the benefits of continuous positive airway pressure during exertion in patients with tracheobronchomalacia. Regarding patients’ follow-up, we have shown that the use of data from built-in software could predict the onset of a severe exacerbation of chronic obstructive pulmonary disease. However, we also show that the implementation of tele-medicine in patients with chronic respiratory failure cannot be included in daily clinical practice yet. In this thesis, we have identified novel physiological tools, novel ways to administer treatments and novel follow-up tools that can improve the management of patients with chronic respiratory failure
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Tremblay, Cécilia. "Une étude cadavérique pour réduire les risques des approches chirurgicales et percutanées de l’artère fémorale." Thèse, 2015. http://hdl.handle.net/1866/13878.

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En chirurgie vasculaire, l’accès à l’artère fémorale, qu’il soit par une incision chirurgicale ou par une approche percutanée, est très fréquemment utilisé pour une multitude d’interventions vasculaires ou endovasculaires; pour des pontages divers, le traitement d’occlusions artérielles, la réparation d’anévrismes et la pose d’endoprothèses. L’objectif général de ce projet de recherche est de faciliter et réduire les risques des approches de l’artère fémorale par une meilleure compréhension anatomique du triangle fémoral. La méthodologie a été réalisée grâce à l’utilisation de cadavres spécialement embaumés par la méthode développée par Walter Thiel. Les résultats présentés dans ce mémoire ont permis de proposer des solutions en réponse à des problèmes cliniques en chirurgie vasculaire. Dans un premier temps, l’étude de la vascularisation cutanée du triangle fémoral a mené à proposer de nouvelles incisions chirurgicales afin de limiter la dévascularisation cutanée des plaies et ainsi réduire les problèmes de cicatrisation observés. Ensuite, nous avons validé l’identification radiographique et échographique de l’artère fémorale à son croisement avec le ligament inguinal afin de faciliter l’identification d’un site de ponction artérielle adéquat. Enfin, nous avons développé une méthode échographique simple qui facilite l’approche percutanée de l’artère fémorale, même chez les patients obèses. Les retombées de ce projet de recherche sont multiples pour les cliniciens, l’étude fournit une meilleure compréhension anatomique tridimensionnelle du triangle fémoral et les techniques proposées dans ce mémoire pourront apporter une amélioration de la pratique chirurgicale et faciliter le travail des médecins. Toutefois, ces propositions devront maintenant être validées en clinique.<br>In vascular surgery, access to the femoral artery is frequently used either through a surgical incision of the groin or by a percutaneous approach in a wide variety of vascular and endovascular procedures; for multiple bypasses, treatment of arterial occlusions, aneurysms repair and placement of various stents. The general purpose of this study is to facilitate and reduces the risks of both the surgical and the percutaneous approaches of the femoral artery through a better anatomical understanding of the femoral triangle. The methodology was conducted on specifically embalmed cadavers according to the method developed by Walter Thiel. The results presented in this memory allowed us to propose solutions to clinical problems in vascular surgery. First, the study of the cutaneous vascularisation of the femoral triangle led to suggest new surgical approaches in order to reduce lesions of the cutaneous arteries and the potential devascularization of the borders of the wound yielding a better postoperative outcome. Then, we validated the radiographic and ultrasonographic position and identification of the inguinal ligament and the proximal femoral artery to facilitate the identification of a safe arterial puncture site. Moreover, we developed a simple method for ultrasound-guided arterial puncture, suitable for obese patients, to facilitate the percutaneous approach of the femoral artery. The benefits of this research project are multiple for clinicians, the study provides a better tridimensional anatomic understanding of the femoral triangle and the techniques proposed will lead to an improved surgical practice and facilitate the work of doctors. However, our work and propositions still need to be validated clinically.
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Books on the topic "Arterial puncture"

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Madassery, Sreekumar. Obtaining Hemostasis at Puncture Sites. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0046.

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This chapter pertains to femoral artery access. Attaining an “ideal” access is essential for maximizing the chances of maintaining effective hemostasis. Deciding whether to perform arterial access closure using the gold standard of manual compression versus a vascular closure device (VCD) requires the operator to evaluate many characteristics of the patient. The location of the arteriotomy, vessel size, degree of calcification, use of anticoagulants, and sheath size during the procedure are the primary factors that need to be considered. The ISAR-CLOSURE study reported that use of VCDs was not inferior to manual compression. This chapter discusses applications and potential complications of VCDs.
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Paul, Richard. Ultrasound-guided vascular access in intensive/acute cardiac care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0021.

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Vascular access is an essential requirement for the care of the critically ill cardiac patient, being necessary for drug and fluid delivery and monitoring of a patient’s haemodynamic response to an instigated therapy. The most common vascular access procedures conducted in the acute cardiac care unit are central venous and peripheral venous access, and arterial cannulation. Traditional landmark methods are associated with complication rates, ranging from 18 to 40%, depending on the site of access. The use of ultrasound to guide venous and arterial access has been shown to reduce the incidence of complications, such as inadvertent arterial puncture and pneumothorax formation (venous) and posterior wall puncture (arterial), to reduce the time taken and number of attempts to place a catheter, and to reduce the incidence of complete failure to insert a vascular access device. Since 2002, international consensus groups have published recommendations that two-dimensional ultrasound guidance be the preferred method for elective and emergency internal jugular catheter insertion. This chapter explores the evidence for the use of ultrasound to guide vascular access across multiple sites of insertion and describes the basic equipment and techniques necessary for successful deployment.
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Dake, Michael D. Transcaval Aortic Catheterization for Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Device Delivery. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0014.

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During the past decade, development of catheter-based techniques for treatment of thoracic aortic and aortic valve pathologies has required that interventionalists focus on the anatomic suitability of vascular access to allow safe introduction of large size devices. Both thoracic endovascular aortic repair (TEVAR) and transcatheter aortic valve implantation (TAVI) procedures require 20 French and larger sheaths and most of major complications during these procedures have been access related. This chapter reviews transcaval aortic access techniques for delivering large devices during TEVAR and TAVI. Alternative arterial access or adjunctive femoral access techniques that increase the safety of access and reduce the overall procedural risk for patients with challenging access are critically important for the success of TEVAR or TAVI. The procedure involves transcatheter puncture of the abdominal aorta from the inferior vena cava, with delivery of a large vascular sheath and tract closure post device delivery using a nitinol occlusion device.
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Sewall, Luke E. Retrograde Femoral Access for Difficult Superficial Femoral Artery Occlusions. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0019.

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Obtaining retrograde femoral access is a novel approach to treat difficult chronic total occlusions of the femoral arteries. The technique involves direct ultrasound-guided puncture of the mid to proximal superficial femoral artery. Using this access, a guidewire is advanced in a retrograde manner into the patent femoral or iliac artery above. This wire is then snared and brought out the contralateral sheath to allow safe access into the occluded vessel. The recanalization procedure can then be completed in a standard fashion. This technique is extremely useful in flush occlusions of the superficial femoral artery origin or in occluded stents, both of which often have very difficult proximal caps. This chapter outlines the details of this unusual technique.
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Fassoulaki, Argyro. Local anaesthetic creams. Edited by Paul Farquhar-Smith, Pierre Beaulieu, and Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0013.

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Using topical anaesthesia before puncturing veins and arteries or inserting needles in the epidural space is a prerequisite for ameliorating pain elicited by the insertion of needles or catheters. In the eighties, Hanks and White published an article in which they described a number of local anaesthetic creams which were beginning to be used to prevent pain due to needle punctures; in particular, they described an anaesthetic cream called EMLA, which contained a eutectic mixture of lidocaine and prilocaine. The use of this cream was particularly welcome in children. Although, eventually, newer formulations based on new technology were prepared, EMLA remains the gold standard to which the new formulations are compared. EMLA has also been used for relief of neuropathic pain. The article by Hanks and White stands the test of time in describing the EMLA formulation early in its appearance.
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Book chapters on the topic "Arterial puncture"

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Qinming, Zhang. "Accidental Arterial Puncture." In Totally Implantable Venous Access Devices. Springer Milan, 2012. http://dx.doi.org/10.1007/978-88-470-2373-4_14.

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Mazzaferro, Elisa M., and Cindy Hauser. "Arterial Puncture and Catheterization." In Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care. John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118997246.ch5.

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Shine, Timothy, and Michael Nugent. "Doppler guiding of venous and arterial puncture." In Developments in Cardiovascular Medicine. Springer Netherlands, 1989. http://dx.doi.org/10.1007/978-94-009-0907-6_38.

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Bergentz, Sven-Erik, and David Bergqvist. "Injuries Caused by Diagnostic Arterial Catheterization or Puncture." In Iatrogenic Vascular Injuries. Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-642-74086-2_3.

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Mocan, Bogdan, Mircea Fulea, Mircea Murar, Mihai Steopan, and Mihaela Mocan. "Automatic Arterial Puncture Sensorial Device for Fast Arterial Blood Gas Sampling from Radial Artery During Covid-19 Pandemic." In New Advances in Mechanisms, Mechanical Transmissions and Robotics. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-60076-1_48.

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Babcock O'Connell, Claire. "Arterial Puncture." In Essential Clinical Procedures. Elsevier, 2007. http://dx.doi.org/10.1016/b978-1-4160-3001-0.50012-5.

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Cadogan, Mike D., Anthony F. T. Brown, and Tony Celenza. "Arterial puncture." In Marshall & Ruedy's On Call: Principles & Protocols. Elsevier, 2011. http://dx.doi.org/10.1016/b978-0-7295-3961-6.00052-1.

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Clement, I. "Assisting in Arterial Puncture." In Basic Concepts on Nursing Procedures. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10074_58.

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Milzman, Dave, and Tim Janchar. "Arterial Puncture and Cannulation." In Clinical Procedures in Emergency Medicine. Elsevier, 2010. http://dx.doi.org/10.1016/b978-1-4160-3623-4.00020-1.

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Fowler, Grant C., and Donna A. Landen. "Arterial Puncture and Percutaneous Arterial Line Placement." In Pfenninger and Fowler's Procedures for Primary Care. Elsevier, 2011. http://dx.doi.org/10.1016/b978-0-323-05267-2.00208-9.

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Conference papers on the topic "Arterial puncture"

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Cuper, Natascha J., Jurgen C. de Graaff, Cor J. Kalkman, and Rudolf M. Verdaasdonk. "The VascuLuminator: effectiveness of a near-infrared vessel imaging system as a support in arterial puncture in children." In BiOS, edited by Tuan Vo-Dinh, Warren S. Grundfest, and Anita Mahadevan-Jansen. SPIE, 2010. http://dx.doi.org/10.1117/12.841786.

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Jadhav, A., R. Gupta, E. Levy, O. Zaidat, D. Yavagal, and J. Saver. "P-021 Tiger study: shorter arterial puncture to revascularization times and first pass effect improves angiographic and clinical outcomes." In SNIS 18TH ANNUAL MEETING. BMJ Publishing Group Ltd., 2021. http://dx.doi.org/10.1136/neurintsurg-2021-snis.57.

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Rao MD, A. K. "RELATIONSHIP BETWEEN BLEEDING EVENTS AND CHANGES IN PLASMA IN PATIENTS TREATED WITH RECOMBINANT TISSUE PLASMINOGEN ACTIVATOR AND STREPTOKINASE IN TIMI STUDY-PHASE I." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643743.

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In Thrombolysis in Myocardial Infarction (TIMI) trial (Phase I) patients were randomized to receive intravenously either 80 mg of predominantly double~chain (G11021) recombinanttissue plasminogen activator(rt-PA) over 3 hrsor 1.5 million units of streptokinase (SK) over 60 min. All patients received an intravenous heparin bolus (5000 units) prior to angiography and a continuous infusion (1000 units/hr) starting 3 hr later.Bleeding occurred in 33% (rt-PA) and 31% (SK)of patients; over 70% of episodes were at vascular puncture sites. We report here the relationship between bleeding events and changes in plasma fibrinogen (FBG), plasminogen (PMG),and fibrin(ogen) degradation products (FDP) at 5 hr after initiation of drug infusion.Shown are number of patients with hemorrhage, total number of patients,and correlation coefficients (r) for occurrence of bleeding versus the changes in plasm proteins in each group.The data indicate a relationship between bleeding events and changes in plasma proteins,with higher frequency of bleeding in patients with greater changes. FDP levels in both groups show a correlation with bleeding unlikely due to chance alone. While the hemorrhage may be due to multiple factors such as vigorous anticoagulation, arterial punctures, and platelet inhibition, the above findings suggestthat the plasma changes contribute to the hemorrhagic events.
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Augustyniak, W., C. S. Cierniewski, V. Slawincki, J. H. GOCH, and R. Polanowaka. "CHANGES IN PLATELET ACTIVITY, FIBRONECTIN AND TISSUE PLASMINOGEN ACTIVATOR DURING ARTERIOGRAPHY IN PATIENTS WITH ISCHAEMIA EXTREMITIES INFERIES." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643479.

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Platelets and endothelial cells may be activated to release their contents during arteriography, which is one of the most frequently used examinations of patients with peripheral vascular diseases. This technique involves lumbar aortic puncture and catheterization with administration of contrast medium in arteriosclerosis obliterans (AO) extremities inferies. In this report we have studied 26 patients aged 37 to 73 years with AO who were subjected to arteriography performed according to the Seldinger method. Concentrations of β-thromboglobulin (β-TG), platelet factor 4 (PF4) and plasma fibronectin (Fn) were determined by radioimmunoassay and tissue plasminogen activator (t-PA) activity was measured by a solid-phase fibrinolytic assay using polystyrene test tubes coated with 125I-fibrin. The levels of these parameters were analysed in samples of both the arterial and vein blood which had been taken before and after the injection of contrast medium and obtained results are given in the Table.Our results suggest that after the injection of contrast medium there is a significant increase in the t-PA activity in the arterial blood and the β-TG concentration in the vein blood.
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McGarry, Matthew, Darren Hitt, and Timothy Harris. "Numerical Simulations of Arterial and Venous Bleeding for Small Diameter Punctures." In 35th AIAA Fluid Dynamics Conference and Exhibit. American Institute of Aeronautics and Astronautics, 2005. http://dx.doi.org/10.2514/6.2005-5002.

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Wang, Jinfeng, Leren Tao, Yonghong Wang, et al. "The Experimental Study on Cryofreeze-Drying of Porcine Aortic." In ASME 2009 Second International Conference on Micro/Nanoscale Heat and Mass Transfer. ASMEDC, 2009. http://dx.doi.org/10.1115/mnhmt2009-18296.

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At present, the vascular tissue disease has become the major cause to against people’s health, vascular graft is an effective means for the treatment of vascular tissue disease, but the preservation of blood vessels has always been a big challenge. This paper based on the conduct of porcining aortic cryofreeze-drying, with using micro-CT to track the whole drying process, expect to reveal what vascular morphology changes have taken place during the process of cryofreeze-drying, and take a comparative analysis of porcine aortic mechanical properties between freeze-dried after the restoration of water and fresh porcine aortic by the Texture analyzer, so that uncover the effect the process of freeze-dried making on pig arteries mechanical properties. Test results showed that the pig aorta vascular occur stratification in the process of cryofreeze-drying, blood vessels freeze-dried following the resumption of water comparing the mechanical properties with the fresh blood vessels, its maximum axial tensile stress reduced by about 40%, and the largest peripheral tensile stress increase by about 45%, and the biggest puncture stress is about 75 percent of fresh blood vessels.
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