• Title/Summary/Keyword: radial artery

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Real-Time Pressure-Measuring System for Evaluating the Depth of Pulse (맥진 깊이 판단을 위한 실시간 압력 측정기)

  • Cho, Jong Ho;Kim, Dae Bok;Kim, Gi Wang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.3
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    • pp.313-317
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    • 2013
  • In order to standardize the pressure/depth against radial artery, the externally-applied-pressure measuring system was fabricated and evaluated. Based on the resistance-variable characteristic of the very thin($10{\mu}m$) film conductive tape along the pressure of a tip of a examiner's hand, this system was designed. The change of the pressure was processed through voltage regulator and Matlab S/W, then showed on computer monitor. The signal output through voltage regulator, and Matlab S/W was evaluated on various conditions. The evaluation was executed on these cases; an examiner slowly increases and decreases the pressure, rapidly increases and decreases the pressure, sequentially increases and decreases the pressure, sustains the pressure, micro-changes the pressure. As a pulse examiner varies the pressure on the radial artery of the examinee, the system's real-time output consistently varies according to the pressure. From the results, it is concluded that this system consistently shows the pressure of the tip of a examiner's hand in real time without interrupting the evaluation of the radial artery pulse. Therefore this system is expected to standardize the value of the pressure/depth externally applied by an examiner.

Measurement of a Blood Velocity by using Photoplethysmograph and Radial Artery Pulse Wave Equipped with Magnetic Hall Device (자성 홀소자 맥진기와 용적맥파계의 맥진파형을 이용한 혈류속도 측정 연구)

  • Jang, Deok-Hyeong;Kim, Dam-Bee;Choi, Suel-Gi;Lee, Sang-Suk
    • Journal of the Korean Magnetics Society
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    • v.22 no.4
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    • pp.130-135
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    • 2012
  • One prototype product of clip-type pulsimeter equipped with magnetic field sensing semiconductor Hall device after one permanent magnet attached "Chwan" position in center of a radial artery was developed. The clip-pulsimeter was composed of the hard ware system measuring to voltage signals. To measure the blood velocity, the radial artery pulsimeter is simultaneously connected the PPG (photoplethysmograph). Analysis and comparison of two pulse waves data has done obtained from a clinical test of forty subjects of 20 ages. The value of a blood velocity simultaneously measured from a radial artery puls wave and PPG is an average value of 0.8m/s. The usage of this research results is possible to store the biomedical signals for health care.

The Heart Rate Monitoring System using Inverted Photoplethysmography (반전 용적맥파 신호를 이용한 심박 모니터링 시스템)

  • Lee, Jun-Yeon
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.105-111
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    • 2012
  • Photoplethysmogram is widely used to measure heart rate and arterial blood oxygen saturation in human. This paper describes implementation a photoplethysmography monitoring system that uses 780nm and 940nm length infrared light in radial artery. That system used combinations of 8 LEDs and 2 photoelectricities. When recorded on the skin over radial artery, the radial pulse wave was inverted. The mechanism of inverted pulse wave skin, which was reduced during systolic period and increase during diastolic period of the cardiac cycle. Through this system, we discovered optimal environments and combinations of sensors in both penetration type and reflection type. These results suggest that radial arterial wall way reflect infrared ray.

Radial forearm free flap in a patient with an unusual radial artery variation: a case report

  • Menichini, Giulio;Calabrese, Sara;Alfonsi, Nicola;Innocenti, Marco
    • Archives of Plastic Surgery
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    • v.48 no.6
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    • pp.646-650
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    • 2021
  • Head and neck reconstruction poses unique challenges in rehabilitating surgical defects in terms of integrity, function, and form. The radial forearm free flap (RFFF) has been widely used for defect coverage, especially in the head and neck area, but its versatility allows it to be used for soft-tissue reconstruction in various parts of the body. The vascular features of the flap are quite constant and reliable. Nevertheless, abnormalities of the forearm vascular tree have been described over the decades. We report a case of intraoral reconstruction after verrucous carcinoma recurrence in a 74-year-old woman with an unusual forearm flap, which we called the median forearm free flap, based on a median branch of the radial artery that was preoperatively detected using handheld Doppler ultrasonography. The distally located skin paddle was predominantly supplied by the aberrant median vessel with its perforators. The flap was thus safely harvested with this atypical pedicle. Successful reconstruction of the intraoral defect was achieved, with an uneventful postoperative course.

Efficacy of Transradial Cerebral Angiography in the Elderly

  • Park, Jung-Hyun;Kim, Dae-Yong;Kim, Jin-Wook;Park, Yong-Seok;Seung, Won-Bae
    • Journal of Korean Neurosurgical Society
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    • v.53 no.4
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    • pp.213-217
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    • 2013
  • Objective : Transradial angiography has become popular among many cardiologists as a diagnostic and therapeutic tool. However, transradial cerebral angiography is not utilized to the same extent. The purpose of this study is to present our experience regarding the usefulness of transradial cerebral angiography, especially in elderly patients. Methods : Between May 2011 and February 2012, a total of 126 cerebral angiographies were performed via a transradial approach in a single center. Of them, only 47 patients were over 60 years old. In our institution, we shifted the initial access from the right femoral artery to the right radial artery in all patients requiring cerebral angiography in 2011. We did not attempt radial access in 40 cases for variable reasons. Results : The procedural success rate was 92.2%. We have four failures of transradial angiography; two because of loop formations of the radial and brachial artery and two due to multiple puncture failures. All supra-aortic vessels were successfully catheterized. However, the selective catheterization rates of the left side distal vessels were lower, as success rates were 89.7% for the right internal carotid artery and 75% for the left internal carotid artery. Procedure-related vascular complications, such as puncture site hematoma, hand ischemia, pseudoaneurysm, arteriovenous fistula and arterial dissection were not observed in our series. However, intraprocedural thrombosis developed in one patient, which was resolved completely by intraarterial thrombolytic agents. Conclusion : With advancing patient's age, we believe that transradial cerebral angiography is a useful tool to decrease patient's discomfort and more effectively manage the vessel tortuosity.

Hemodynamic Effects on Artery-Graft Anastomotic Intimal Hyperplasia (혈류의 유동이 혈관-인조혈관 접속부 혈관 내막 세포증식에 미치는 영향)

  • 이계한
    • Journal of Biomedical Engineering Research
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    • v.15 no.2
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    • pp.143-150
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    • 1994
  • Wall shear rate or stress is believed to be a major hemodynamic variable influencing atherosclerosis and artery-graft anastomic intimal hyperplasia. The purpose of this study is to verify the effects of radial wall motion, artery-graft compliance and diameter mismatch, and impedance phase angle on the wall shear rate distribution near an end-to-end artery-graft anastomosis model. The results show that radial wall motion of the elastic artery model lowers the mean wall shear rates under pulsatile flow condition by 15 to 20 % comparing to those under steady flow condition at the same mean flow rate. Impedance phase angle seems to have small effects on the mean and amplitude of the wall shear rate distribution. In order to study the effects of compliance and diameter mismatch on the wall shear rates, two models are studied-Model I has 6% and Model I has 6% and Model II has 11% smaller graft diameter. Divergent geometry caused by diameter mismatch near the distal sites reduces the mean wall shear rates significantly, and this low shear region is believed to be prone to intimal hyperplasia.

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Clinical study of blood flow and vascular reaction in Taeumin CVA patients using Transcranial Doppler (Transcranial Doppler를 이용(利用)한 태음인 중풍환자의 혈류속도(血流速度)와 혈관(血管) 반응성(反應性)에 대한 임상적(臨床的) 고찰(考察))

  • Lim, Jong-Pil;Bae, Na-Young;Han, Kyung-Soo;Ahn, Taek-Won
    • Journal of Haehwa Medicine
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    • v.15 no.2
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    • pp.263-272
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    • 2006
  • Purpose Brain vessles have autoregulation function, so even when perfusion pressure drops, cerebral blood flow remain stable by vasodilation. Latest research on this reserve of cerebral vessels is being done using TCD, which measures the reserve of the vessels. We did a research comparing cerebral vessel and peripheral vessel reserve between Taeumin, who are more likely to suffer CVA, and the normal. We observed blood flow of Internal carotid artery siphon and radial indicis artery of the two group with TCD. Method We picked 20 people out of patients diagnosed as cerebral infarction at Cheon-An Oriental hospital of Daejeon University. They were diagnosed as Taeumin with QSCCII questionnaire and constitutional differentiation. Using TCD, we measured highest blood flow rate, mean blood flow and asymmetric counting blood flow of Internal carotid artery siphon and radial indicis artery at rest. And then we measured again after stimulating cerebral vessels, by triggering hypercapnia by self apnea and peripheral vessels by palm heating. Result At rest, mean blood flow rate of Internal carotid artery siphon showed significant decrease compared to control group. Blood flow rate of Internal carotid artery siphon after hypercapnia showed significant decline in highest blood flow rate and mean blood flow compared to control group. Cerebral vessel reaction after the hypercapnia induction showed great change in experiment group than the control group. Peripheral vessel reaction after palm heating showed significant decline in experiment group compared to control group. Conclusion In conclusion, measuring the alteration of blood flow used in diagnosing cerebral infarction, is more sensitive when vessel stimulation is done. Non-invasive TCD is effective especially in case of Taeumin who are more likely to suffer vascular disorder than others.

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Early Result of Proximal Anastomosis Methods of Radial Artery in Coronary Artery Bypass Surgery (관상동맥우회술 시 요골동맥의 근위부 문합방법에 따른 조기결과)

  • Park Jong Un;Shin Yoon Cheol;Kim Eung-Jung;Chee Hyun Keun
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.91-98
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    • 2006
  • Background: There are many different opinions regarding the proximal anastomotic sites of radial artery in coronary artery bypass surgery. Therefore, we compared the clinical and angiographic findings according to anastomosis of radial artery to develop a guideline. Material and Method: From January 2003 to December 2004, 48 patients who underwent coronary artery bypass surgery using radial artery in Kangdong Sacred Heart Hospital were studied for clinical and coronary angiographic findings and were divided into group I for radial artery that anastomsed to aorta independently and group II that anastomosed to left internal mammary artery. Result: Patients in group I were 33 (men 26, women 7; mean age 61.93$\pm$6.56) and group II were 15 (men 13, women 2; mean age 59.53$\pm$6.02) and there was no difference in preoperative characteristics. Patients in group I had longer cardiopulmonary bypass time (169.36$\pm$40.28 versus 139.40$\pm$20.45, p=0.026) and patients in group II had more sequential grafts with RA per patients (5/33 versus 11/15, p < 0.05). Patients in group I used more vein graft for distal anatstomosis (47/117 ($40\%$) versus 9/48 ($18\%$), p=0.011) and there was no difference in perioperative outcome and overall survival. Mean follow-up time was 15.87$\pm$7.33 (1 to 28) months in patients of the group I and 21.40$\pm$2.85 (17 to 25) months in group II. Postoperative coronary angiography was performed 17/33 ($51.5\%$) in group I and 14/15 ($93.3\%$) in group II. Early perfect patency rate was not statistically different in left anterior descending artery (15/17 ($88.2\%$) versus 2/14 ($85.7\%$), p=1.00) and radial artery (17/20 ($85\%$) versus 30/30 ($100\%$), p=0.058). Late mortality was 1/33 ($3.0\%$) in group I and 1/15 ($6.7\%$) in group II. Conclusion: There was no difference in terms of clinical and postoperative angiographic findings except in cardiopulmonary bypass time, the number of sequential grafts with the RA per patients and the number of the used vein graft.

Detection of Radial Pulse Wave by Photoplethysmogram (광전용적맥파를 이용한 요골동맥 맥파 검출)

  • 정동근;김광년;연규선;최병철;서덕준
    • Journal of Life Science
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    • v.13 no.1
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    • pp.42-46
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    • 2003
  • Photoplethysmogram is widely used to measure heart rate and arterial blood oxygen saturation in human. This paper describes radial pulse waves recorded by photoplethysmogram with 940 nm wavelength infra red light. Radial pulse waves were varied according to the recording site. When recorded on the skin over radial artery, the radial pulse wave was inverted, comparing to the photoplethysmogram at fingertip. The mechanism of inverted pulse wave seemed to be caused by the change of the blood volume in the subcutaneous tissue between radial artery and the skin, which was reduced during systolic period and increased during diastolic period of the cardiac cycle. These results suggest that radial arterial wall may reflect infra red ray.

The Oblique Extended Reverse First Dorsal Metacarpal Artery Perforator Flap for Coverage of the Radial-Volar Defect of the Proximal Interphalangeal Joint in the Index Finger: A Case Report

  • Jeeyoon Kim;Bommie Florence Seo;Junho Lee;Sung No Jung
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.760-763
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    • 2022
  • The dorsal metacarpal artery perforator flap is a flap that rises from the hand dorsum. Owing to its reliability and versatility, this flap is used as a workhorse for finger defect. However, to cover the radial-volar defect of the proximal interphalangeal joint (PIPJ) of the index finger, a longer flap is required than before. Here, we introduce the oblique extended reverse first dorsal metacarpal artery (FDMA) perforator flap to cover the radial-volar aspect defect of the index finger. A 45-year-old man got injured to the radial-volar defect of PIPJ of the left index finger caused by thermal press machine. The wound was 2 × 1 cm in size, and the joint and bone were exposed. We used FDMA perforator from anastomosis with palmar metacarpal artery at metacarpal neck. Since the defect was extended to the volar side, the flap was elevated by oblique extension to the fourth metacarpal base level. The fascia was included to the flap, and the flap was rotated counterclockwise. Finally, PIPJ was fully covered by the flap. Donor site was primarily closed. After 12 months of operation, the flap was stable without complication and limitation of range of motion. The oblique extended reverse FDMA perforator flap is a reliable method for covering the radial-volar defect of the PIPJ of the index finger. This flap, which also has an aesthetic advantage, will be a good choice for hand surgeons who want to cover the PIPJ defect of the index finger using a nonmicrosurgical option.