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  • Radial Fundamentals Patient Selection FINAL

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    Kushan
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    The document outlines criteria for selecting patients for radial artery access, including demographic factors, risk factors, clinical status, and radial pulse. It excludes patients with non-palpable or weak radial pulses, non-patent hand collateral arteries, Raynaud's syndrome, cardiogenic shock, or chronic renal failure with an AV fistula. The selection process progresses from simpler to more complex patients based on factors like age, stature, gender, hypertension, clinical status, and radial pulse.

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    Radial_Fundamentals_Patient_selection_FINAL

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    The document outlines criteria for selecting patients for radial artery access, including demographic factors, risk factors, clinical status, and radial pulse. It excludes patients with non-palpable or weak radial pulses, non-patent hand collateral arteries, Raynaud's syndrome, cardiogenic shock, or chronic renal failure with an AV fistula. The selection process progresses from simpler to more complex patients based on factors like age, stature, gender, hypertension, clinical status, and radial pulse.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    0 views4 pages

    Radial Fundamentals Patient Selection FINAL

    Uploaded by

    Kushan
    The document outlines criteria for selecting patients for radial artery access, including demographic factors, risk factors, clinical status, and radial pulse. It excludes patients with non-palpable or weak radial pulses, non-patent hand collateral arteries, Raynaud's syndrome, cardiogenic shock, or chronic renal failure with an AV fistula. The selection process progresses from simpler to more complex patients based on factors like age, stature, gender, hypertension, clinical status, and radial pulse.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 4

    Patient selection criteria

    Demographic criteria:
    Age
    Weight and height
    Gender

    Risk factor: hypertension

    Clinical status

    Radial pulse
    ©2014-2017 PCR and Europa Group
    Exclusion criteria

    Non-palpable or weak radial pulse

    Non-patent collaterals of palmar arch

    Chronic renal failure with AV fistula

    Raynaud’s syndrome

    Cardiogenic shock

    ©2014-2017 PCR and Europa Group


    Learning steps and
    competency levels
    STEMI patients 3
    NSTE-ACS patients

    PCI for all-comers stable patients 2


    Diagnostic for all stable patients (elderly,
    bypass graft, short stature)

    Planned PCI in stable patients with type A or B lesions


    1
    Diagnostic procedures in <70 y.o patients with good radial pulse

    50 100 200 300 400


    ©2014-2017 PCR and Europa Group Number of cases
    Patient selection - summary

    From simple to complex patients according to:


    age, stature, gender, HTA, clinical status, radial pulse

    Exclusion criteria Relative exclusion

    Poor weak radial pulse Women with short stature


    Non-patent hand collateral Acute coronary syndrome or cardiogenic
    arteries shock
    Raynaud’s syndrome Old patient with HTA

    Known severe innominate Chronic renal failure patients with fistula


    subclavian artery disease
    Complex PCI

    ©2014-2017 PCR and Europa Group

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