Description and analysis of the dynamic and morphological flow pattern of the main arteries of the wrist and hand in a healthy Spanish population

Carretero, Jaime Coderech; Montoya, Fernando; Barez, Miguel Grande; Montoya, Miguel Ángel Corella; Hernández, Montserrat Ocampos; Larraínzar-Garijo, Ricardo

doi:10.1016/j.recote.2020.03.006

Cited by 4 publications

(10 citation statements)

References 11 publications

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“…Recently, a study by Coderech Carretero et al 4 on the caliber and flow dominance of the arteries of the hand and fingers using Doppler ultrasound has shown results similar to those previously discussed. Thus, in the first three fingers of the hand, the proper palmar digital artery on the ulnar side had a larger caliber.…”

Section: Introductionsupporting

confidence: 70%

“…Similarly, Leslie et al 2 consider that the difference in caliber of these arteries is not statistically significant, although they describe a predominance of the ulnar side in the middle finger, and of the radial side in the ring finger. On the other hand, Strauch and De Moura 3 and Coderech Carretero et al 4 locate the vascular axis of the hand in the third commissure, with an ulnar predominance in the thumb, index finger, and middle finger, and a radial predominance in the ring and little fingers. The results of the present study are in accordance with those obtained by these authors 3,4 in the middle finger, with a larger-caliber proper palmar digital artery on the ulnar side in all the specimens examined.…”

Section: Anatomical Studymentioning

confidence: 99%

“…On the other hand, Strauch and De Moura 3 and Coderech Carretero et al 4 locate the vascular axis of the hand in the third commissure, with an ulnar predominance in the thumb, index finger, and middle finger, and a radial predominance in the ring and little fingers. The results of the present study are in accordance with those obtained by these authors 3,4 in the middle finger, with a larger-caliber proper palmar digital artery on the ulnar side in all the specimens examined. On the other hand, the results in the ring finger are disparate, although a certain predominance of the radial side could be intuited: in three specimens, the artery on the radial side is larger; in one case, the predominance is located on the ulnar side; and, in the remaining two cases, no differences were observed between the two arteries.…”

Section: Anatomical Studymentioning

confidence: 99%

“…In contrast, the predominant artery in the ring and little fingers was located on the radial side. 4 Other authors have focused their studies on the vascularization of the thumb, such as Earley, 5 who in 1986 showed that in 90% of the cases the proper palmar digital artery on the ulnar side of the thumb (mean diameter: 1.8 mm) has a larger caliber than that of the artery on the radial side (mean diameter: 1.1mm), thus being between 25% and 30% larger.…”

Section: Introductionmentioning

confidence: 99%

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Vascularización arterial de los dedos de la mano: Anatomía y aplicaciones clínicas en cirugía reconstructiva

Flores

Martí

García

et al. 2022

Revista Iberoamericana de Cirugía de la Mano

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ResumenVarios autores han descrito variaciones en el calibre de las arterias palmares y dorsales propias de cada dedo, que podrían condicionar el éxito de la cirugía reconstructiva de los dedos, especialmente en lo que respecta al uso de colgajos. El objetivo de este estudio es comparar cualitativamente el tamaño de dichas arterias en cada dedo de la mano. Para ello, se han inyectado con látex seis manos procedentes de cadáveres frescos criopreservados. Los dedos han sido preparados mediante la técnica de transparentación de Spalteholz y una variante de ésta con glicerina.Los resultados obtenidos muestran una predominancia de la arteria digital palmar propia del lado cubital en los dedos índice y medio, y en el lado radial en el dedo meñique. Las únicas arterias digitales dorsales propias visibles han sido las del pulgar y la del lado radial del índice. Pese a la regularidad del patrón vascular descrito, se pueden producir variaciones anatómicas en cualquier dedo, lo que obliga al cirujano a explorar al paciente mediante el test de Allen modificado y la ecografía Doppler previamente a cualquier intervención quirúrgica.

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Section: Introductionsupporting

confidence: 70%

Section: Anatomical Studymentioning

confidence: 99%

Section: Anatomical Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Vascularización arterial de los dedos de la mano: Anatomía y aplicaciones clínicas en cirugía reconstructiva

Flores

Martí

García

et al. 2022

Revista Iberoamericana de Cirugía de la Mano

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“…Studies have attributed this increased risk to females having higher fibrin production and reduced markers of fibrinolysis, thereby increasing their overall coagulation potential [53]. Further, females typically have a smaller vessel diameter, in this case arterial, which can contribute to stenosis and occlusion if the catheter to vein ratio is consistently reduced [54,55]. Females' predisposition towards higher fibrin generation highlights the need to ensure correct technique for blood draws on arterial catheters.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for arterial catheter failure and complications during critical care hospitalisation: a secondary analysis of a multisite, randomised trial

Schults,

Young,

Marsh

et al. 2024

j intensive care

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Objectives Arterial catheters (ACs) are critical for haemodynamic monitoring and blood sampling but are prone to complications. We investigated the incidence and risk factors of AC failure. Methods Secondary analysis of a multi-centre randomised controlled trial (ACTRN 12610000505000). Analysis included a subset of adult intensive care unit patients with an AC. The primary outcome was all-cause device failure. Secondary outcomes were catheter associated bloodstream infection (CABSI), suspected CABSI, occlusion, thrombosis, accidental removal, pain, and line fracture. Risk factors associated with AC failure were investigated using Cox proportional hazards and competing-risk models. Results Of 664 patients, 173 (26%) experienced AC failure (incidence rate [IR] 37/1000 catheter days). Suspected CABSI was the most common failure type (11%; IR 15.3/1000 catheter days), followed by occlusion (8%; IR 11.9/1,000 catheter days), and accidental removal (4%; IR 5.5/1000 catheter days). CABSI occurred in 16 (2%) patients. All-cause failure and occlusion were reduced with ultrasound-assisted insertion (failure: adjusted hazard ratio [HR] 0.43, 95% CI 0.25, 0.76; occlusion: sub-HR 0.11, 95% CI 0.03, 0.43). Increased age was associated with less AC failure (60–74 years HR 0.63, 95% CI 0.44 to 0.89; 75 + years HR 0.36, 95% CI 0.20, 0.64; referent 15–59 years). Females experienced more occlusion (adjusted sub-HR 2.53, 95% CI 1.49, 4.29), while patients with diabetes had less (SHR 0.15, 95% CI 0.04, 0.63). Suspected CABSI was associated with an abnormal insertion site appearance (SHR 2.71, 95% CI 1.48, 4.99). Conclusions AC failure is common with ultrasound-guided insertion associated with lower failure rates. Trial registration Australian New Zealand Clinical Trial Registry (ACTRN 12610000505000); date registered: 18 June 2010.

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Combining Local PWV and Quantified Arterial Changes for Calibration-Free Cuffless Blood Pressure Estimation: A Clinical Validation

Guo¹,

Huang

Chang³

et al. 2023

IEEE Sensors J.

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This study proposes a novel calibration-free cuffless blood pressure monitor (BPM). Unlike the cuffless BPM that requires timing correction with the traditional BPM, the calibration-free cuffless BPM can directly estimate the arterial blood pressure based on the hemodynamics mathematical model. Method: Our proposed device integrates a pair of piezoelectric ceramics as pressure sensors to sense the pressure wave in the radial artery. It calculates the local pulse wave velocity (PWV) with our waveform detection algorithm of our proposed. A photoplethysmogram (PPG) probe is set between the pair of pressure wave sensors. This PPG probe is used to monitor the radial artery's PPG intensity ratio (PIR). We design PPG signal processing algorithms to quantitative the PIR. Results: We recruited 129 participants for the blood pressure monitoring experiment. Compared with the reference sphygmomanometer, the error mean ± standard deviations (SD) systolic blood pressure (SBP) was 2.1±3.4, and correlation r-value was 0.97. diastolic blood pressure (DBP) was 0.8±4.2, and correlation r-value was 0.90, p < 0.05 is taken as statistically significant. Conclusions: A new type of wearable continuous calibration-free BPM can replace the situation that requires the use of traditional ambulatory BPM and reduce patient discomfort. Our proposed for blood pressure measurement passed all ANSI/AAMI/ISO 81060-2:20181_5.2.4.1.2 Data analysis Criterion 1 & 2 standard requirements. Index Terms-blood pressure monitor, separated by commas. photople-thysmogram, pulse wave velocity, systolic blood pressure, photoplethysmogram intensity ratio. I. INTRODUCTIONcuffless BPM is a BPM without an occluding cuff [1]. The difference between cuffless BPM and traditional BPM is that it does not need to pressurize the patient's arteries, reducing

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Description and analysis of the dynamic and morphological flow pattern of the main arteries of the wrist and hand in a healthy Spanish population

Cited by 4 publications

References 11 publications

Vascularización arterial de los dedos de la mano: Anatomía y aplicaciones clínicas en cirugía reconstructiva

Vascularización arterial de los dedos de la mano: Anatomía y aplicaciones clínicas en cirugía reconstructiva

Risk factors for arterial catheter failure and complications during critical care hospitalisation: a secondary analysis of a multisite, randomised trial

Combining Local PWV and Quantified Arterial Changes for Calibration-Free Cuffless Blood Pressure Estimation: A Clinical Validation

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