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Background: This study aimed to explore the effect of radial artery flow hyperperfusion on the successful collection of radial artery blood gas specimens in patients with acute heart failure.
Methods: From February 2023 to December 2024, 548 patients with acute heart failure in the database of the emergency rescue room of our hospital were divided into two groups: non-hyperperfusion group and hyperperfusion group. In the hyperperfusion group, arterial blood gas was collected using the radial artery hyperinfusion method (improving radial artery perfusion by blocking arteries other than the radial artery in the forearm using a customized sphygmomanometer with a double-airbag hollow cuff). The primary endpoint was the success rate of one-time puncture and the success rate of total puncture. Secondary endpoints included puncture frequency of > 3 times, puncture time, pain, puncture site hematoma, puncture site bruise, and patients' satisfaction.
Results: In total, 548 patients were included, including 325 in the non-hyperperfusion group and 223 in the hyperperfusion group. The hyperperfusion group exhibited a significantly higher success rate of one-time puncture (63.4% vs. 83.4%, P< 0.001) and success rate of total puncture (82.5% vs. 94.6%, P < 0.001) compared to the non-hyperperfusion group. Additionally, the hyperperfusion group experienced a significantly reduced number of patients with puncture frequency > 3 times (26.2% vs. 9.9%, P < 0.001) and puncture time (48.59 ± 7.83 s vs. 26.43 ± 6.44 s, P < 0.001). This approach also effectively decreased the risk of puncture site hematoma (2.2% vs. 0.0%, P = 0.045), arm puncture place bruise (5.5% vs. 0.4%, P<0.001), and pain (3.0 (3.0, 4.0) vs. 2.0 (1.0, 2.0), P <0.001) and improved patients' satisfaction after adopting the radial artery hyperinfusion method.
Conclusions: Radial artery hyperperfusion improved the success rate of puncture for radial artery blood specimen collection in patients with acute heart failure, reduced puncture complications, and improved patients' satisfaction.
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http://dx.doi.org/10.14740/cr2076 | DOI Listing |
Eur J Anaesthesiol
September 2025
From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea (J-HL, J-BP, S-HJ, Y-EJ, E-HK, J-TK, H-SK).
Background: Arterial catheterisation is a critical procedure in paediatric patients undergoing surgery; however, it poses certain risks. Complications such as thrombus formation, arterial stenosis and haematoma may occur, yet their true incidence and contributing factors remain incompletely understood.
Objective: To assess the incidence of complications and identify associated risk factors following radial arterial catheterisation in paediatric patients.
Rev Esc Enferm USP
September 2025
Universidade Estadual Paulista, Faculdade de Medicina, Botucatu, SP, Brazil.
Objective: To evaluate the effectiveness of intravenous laser irradiation of blood in reducing viral load and increasing LT-CD4+ and LT-CD8+ in people living with HIV/AIDS.
Method: Randomized, controlled, parallel, single-blind clinical trial. Twenty-eight participants were allocated to the intervention (ILIB n = 15) and control (CTRL n = 13) groups.
J Neuroendovasc Ther
August 2025
Department of Neurological Surgery, Kishiwada Tokushukai Hospital, Kishiwada, Osaka, Japan.
Objective: The distal transradial approach has been one of the options for endovascular neurointervention because of the low risk of puncture site complications. However, the conventional and distal transradial artery approaches frequently cause cannulation-induced vasospasms, which can usually be prevented by vasodilators. The aim was to evaluate the effects of local infiltration using a puncture site cocktail of lidocaine mixed with nitroglycerin on puncture success and vasospasm for distal transradial cerebral angiography.
View Article and Find Full Text PDFOpen Med (Wars)
August 2025
Department of Traditional Chinese Medicine, Shanghai Chongming District Hospital of Traditional Chinese and Western Medicine, Shanghai, 202153, China.
Background: Emerging evidence suggests that hemorrhoids are associated with cardiovascular disease (CVD). However, the causal associations between hemorrhoids and CVD remain elusive. This study aimed to investigate potential causal links between hemorrhoids and various heart conditions, including arrhythmia, heart failure, myocardial infarction, atrial fibrillation, and coronary artery disease.
View Article and Find Full Text PDFJ Physiol
September 2025
Institue for Exercise and Environmental Medicine, Texas Presbyterian Hospital, Dallas, TX, USA.
Some patients with heart failure with preserved ejection fraction (HFpEF) have demonstrated evidence of exercise-induced arterial hypoxaemia (EIAH). However, EIAH was not quantified using , , and measurements as previously conducted in healthy adults nor was EIAH quantified alongside simultaneous measurements of pulmonary vascular pressures, cardiorespiratory responses, or dyspnoea on exertion (DOE) in these patients. Given the effects of hypoxaemia on pulmonary vasoconstriction, cardiorespiratory responses, and DOE, we tested the hypothesis that patients with HFpEF and EIAH (EIAH) would demonstrate higher pulmonary vascular pressures, worse oxygen uptake, and greater DOE compared with patients without EIAH (EIAH).
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