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Preserved hand perfusion as rationale for distal radial artery access: a laser doppler study

Title: Preserved hand perfusion as rationale for distal radial artery access: a laser doppler study
Authors: Castiello, D S; Basile, N; Sorrentino, S; Panuccio, G; Passafaro, F; Volpe, L; Migliarino, S; Curcio, A; Indolfi, C; Polimeni, A
Source: European Heart Journal Supplements ; volume 28, issue Supplement_3 ; ISSN 1520-765X 1554-2815
Publisher Information: Oxford University Press (OUP)
Publication Year: 2026
Description: Background The distal radial artery access has been proposed as an alternative route to overcome some limitations of conventional radial access, of which radial artery occlusion is one of the most frequent complications. Purpose This study aimed to evaluate the impact of distal versus proximal radial artery occlusion on hand perfusion by simulating both conditions and comparing their effects. Methods A prospective, observational study was conducted on 50 healthy volunteers. Laser Doppler perfusion imaging with PeriScan PIM III device (Perimed AB, Järfälla, Sweden) was employed to quantify palmar perfusion under three conditions: baseline, simultaneous occlusion of the distal radial and ulnar arteries, and simultaneous occlusion of the proximal radial and ulnar arteries. The hand perfusion was quantified in terms of perfusion units (PU). Results Simultaneous proximal radial and ulnar occlusion reduced perfusion by ~90% (58.18 ± 23.18 PU vs. 5.91 ± 4.48 PU, p
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/eurheartjsupp/suag056.121
Availability: https://doi.org/10.1093/eurheartjsupp/suag056.121; https://academic.oup.com/eurheartjsupp/article-pdf/28/Supplement_3/suag056.121/67654214/suag056.121.pdf
Rights: https://academic.oup.com/pages/standard-publication-reuse-rights
Accession Number: edsbas.24775431
Database: BASE