Page 21 - Virtual Vascular Vol 4
P. 21

• 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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