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master's thesis
Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama
2024. urn:nbn:hr:184:638310
Posavec, Karla
University of Rijeka
Faculty of Medicine
Department of Internal Medicine

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Posavec, K. (2024). Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:638310

Posavec, Karla. "Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama." Master's thesis, University of Rijeka, Faculty of Medicine, 2024. https://urn.nsk.hr/urn:nbn:hr:184:638310

Posavec, Karla. "Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama." Master's thesis, University of Rijeka, Faculty of Medicine, 2024. https://urn.nsk.hr/urn:nbn:hr:184:638310

Posavec, K. (2024). 'Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 24 December 2024, https://urn.nsk.hr/urn:nbn:hr:184:638310

Posavec K. Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2024 [cited 2024 December 24] Available at: https://urn.nsk.hr/urn:nbn:hr:184:638310

K. Posavec, "Radijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2024. Available at: https://urn.nsk.hr/urn:nbn:hr:184:638310

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Metadata
TitleRadijalna arterija – vaskularni pristup u dijagnostičkim koronarografijama i perkutanim koronarnim intervencijama
Title (english)Radial artery – vascular approach in diagnostic coronarography and percutaneous coronary interventions
AuthorKarla Posavec
MentorTomislav Jakljević (mentor)
Committee memberTomislav Krčmar (predsjednik povjerenstva)
Committee memberVjekoslav Tomulić (član povjerenstva)
Committee memberIgor Barković (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Rijeka
Defense date and country2024-07-12, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Popularnost radijalnog vaskularnog pristupa počela je rasti nakon što ga je 1989. u svom radu opisao L. Campeau. Prije punkcije radijalne arterije potrebno je izvesti testove kolateralne cirkulacije kroz šaku. To su modificirani Allenov test i Barbeau test. Postoje dva načina pristupa radijalnoj arteriji: mikropunkcijska tehnika te Seldingerova tehnika. Radijalna arterija kao vaskularni pristup može se koristiti u dijagnostičkim koronarografijama, prekutanim koronarnim inetrvencijama, neurointervencijama, za formaciju arteriovenske fistule i kao premosnica koronarnih krvnih žila. Zbog površnog toka radijalne arterije moguća je relativno laka hemostaza te su zbog toga komplikacije, kao što je veliko krvarenje, rjeđe nego kada se pristupa femoralno. Komplikacije radijalnog pristupa dijele se na intra-proceduralne i postproceduralne. Intra-proceduralne komplikacije su spazam radijalne arterije, perforacija i kompartment sindrom te disekcija. Post-proceduralne komplikacije su okluzija radijalne arterije, hematom i pseudoaneurizma. Novije mjesto pristupa kroz radijalnu arteriju nalazi se distalno, na tzv. anatomskom snuffboxu. Ukoliko se ne može pristupiti radijalnoj arteriji, moguća je konverzija na ulnarni ili femoralni vaskularni pristup. Radijalni pristup je 2022. godine postao zlatni standard za PCI.
Abstract (english)
The popularity of the radial vascular approach began to grow after L. Campeau described it in his article in 1989. Before the puncture of the radial artery, it is necessary to perform collateral circulation tests through the hand. Those thests are modified Allen test and the Barbeau test. There are two ways of accessing the radial artery. The micropuncture technique and the Seldinger technique. The radial artery as a vascular access can be used in diagnostic coronary angiography, percutaneous coronary interventions (PCI), neurointerventions, for the formation of arteriovenous fistula and as a bypass of coronary arteries. Due to the superficial course of the radial artery, relatively easy haemostasis is possible, and as a result, complications such as major bleeding are less common than when the femoral approach is performed. Radial access complications are divided into intra-procedural and post-procedural. Intra-procedural complications are spasm of the radial artery, perforation and compartment syndrome and dissection. Post-procedural complications are radial artery occlusion, hematoma and pseudoaneurysm. The newer point of access through the radial artery is located distally, at the so-called anatomical snuffbox If the radial artery cannot be accessed, conversion to ulnar or femoral vascular access is possible. In 2022, the radial approach became the gold standard for PCI.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:638310
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-06-21 07:02:58