PCI via Left Distal Radial Artery (LDRA) access in ACS setting. скачать в хорошем качестве

PCI via Left Distal Radial Artery (LDRA) access in ACS setting.

Another successful PCI via Left Distal Radial Artery (LRDA) access in ACS setting. 60 male with ACS. BMI 40. Right elbow deformity so he was not able to keep his arm flat on the table. Took Left Distal Radial Artery (LDRA) access in anatomical snuffbox. Haemostasis with Trans-radial compression band as shown in this video. The LDRA access helps overcome the limitations associated with left RA catheterization, as the arm can be comfortably brought toward the right side of the patient, thus allowing a natural working position for the operator. To obtain the dLRA access, the left hand of the patient is placed over the patient’s right groin, and the patient is asked to grasp his thumb under the other fingers, with the hand slightly dorsally and medially abducted. This maneuver brings the artery to the surface of the fossa. After subcutaneous local anesthetic, the artery is punctured using a 19- to 21-gauge needle at 30- to 45-degree angle directed to the point of the strongest pulse, and then 30- to 50-cm floppy tip guidewire is advanced into the forearm. After the procedure, the sheath is pulled out, and hemostasis is achieved with air inflatable transradial compression band placed over the puncture site as shown in this video. Reference: https://www.ahajournals.org/doi/full/...