Page 20 - Virtual Vascular Vol 4
P. 20

• Dual blood supply of the hand
                              Modified Allen’s Test                                                                                                                                           by Radial and Ulnar arteries



                        - A simple clinical test for the patency of ulnar artery

                                                                                                                                                                                           • Congenital absence of Ulnar

            • Pressure applied to radial and ulnar arteries to occlude inflow                                                                                                                 artery is rare: ~0.015%


            • Make a fist to empty blood in hand

            • Release ulnar side spontaneous reperfusion                                                                                                                                   • Useful test before
                                                                                                                                                                                              contemplating procedure
            • Repeat over radial side                                                                                                                                                         involving the Radial artery,


                                                                                                                                                                                           • e.g.

                                                                                                                                                                                                 • Radial artery harvest for
                                                                                                                                                                                                    CABG

                                                                                                                                                                                                 • Radiocephalic AVF
                                                                                                                                                                                                    creation

                                                                                                                                                                                                 • Radial artery puncture



















































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