Analysis of Digital Pulse-Volume Recordings with Radial and Ulnar Artery Compression

Analysis of Digital Pulse-Volume Recordings with Radial and Ulnar Artery Compression

The vascular noninvasive studies of 289 consecutive cardiac surgery patients were reviewed to better understand hand blood-flow physiology in an older population with vascular disease. The radial artery was found to be more important to pulsatile digital blood flow than the ulnar artery. In more tha...

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Bibliographic Details
Published in:Plastic and reconstructive surgery (1963) Vol. 102; no. 6; pp. 1993 - 1998
Main Authors: Dumanian, Gregory A, Segalman, Keith, Buehner, Jane W, Koontz, Cherry L, Hendrickson, Mark F, Wilgis, Shaw E. F
Format: Journal Article
Language:English
Published: Hagerstown, MD American Society of Plastic Surgeons 01-11-1998
Lippincott Williams & Wilkins
Subjects:
Biological and medical sciences
Cardiovascular system
Female
Fingers - blood supply
Hand - blood supply
Humans
Investigative techniques of hemodynamics
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Pulsatile Flow - physiology
Radial Artery - physiology
Ulnar Artery - physiology
Human
Compression
Ulnar artery
Coronary artery
Finger
Pulse
Cardiovascular disease
Exploration
Retrospective
Blood flow
Arterial disease
Vascular disease
Volume
Surgery
Physiology
Radial artery
Monitoring
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Summary:The vascular noninvasive studies of 289 consecutive cardiac surgery patients were reviewed to better understand hand blood-flow physiology in an older population with vascular disease. The radial artery was found to be more important to pulsatile digital blood flow than the ulnar artery. In more than 20 percent of hands, the thumb and the index and fifth fingers lost pulsatile blood flow with radial artery compression at the wrist compared with only 5 percent with ulnar artery compression. The maintenance of pulsatile digital blood flow did not follow anatomic patterns of blood vessels previously presumed to be of paramount importance. The hand acts more like a single vascular bed than it does like two separate systems with a connecting arch. (Plast. Reconsir. Surg. 1021993, 1998.)
Bibliography:ObjectType-Article-1
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ISSN:0032-1052
1529-4242
DOI:10.1097/00006534-199811000-00028