Effects of brachial artery catheterization on arterial pulse and blood pressure in 203 patients |
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| Authors: | R M Jeresaty J P Liss |
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| Affiliation: | 1. R. Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD;2. Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD;3. Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN;4. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD;1. Division of Vascular Surgery, Stanford University School of Medicine, Stanford, Calif;2. Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston, Mass;1. Division of Vascular Surgery, University of Washington, Seattle, WA;2. School of Medicine, University of Washington, Seattle, WA |
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| Abstract: | ![]()
We have reviewed a series of 203 patients who underwent retrograde cardiac catheterization by means of brachial arteriotomy. Occlusion or stenosis of the brachial artery (BA) associated with unobtainable auscultatory blood pressure (BP) occurred in 57 patients (28 per cent). Of these 57 patients, 8 (3.9 per cent of the total series) had no radial pulse. Brachial arteriotomy has become a major cause of absence and inequality of BP and radial pulses. Failure to appreciate this fact may lead to dangerous errors in diagnosis and therapy, particularly in shock. |
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