Puncture: radial and ulnar

1. Pu n c t u r e
R a d i a l A r t e r y
Takashi Matsukage : Tokai University Hachioji Hospital

2. Saito et al. Catheter Cardiovasc Interv. 1999 Feb;46(2):173-8.

3. Radial
Femoral

4. Tips and Tricks
appropriate position

5. The ideal puncture point was found to be
at least 10 mm proximal to the Radial-Ulnar line
Fujii T, et al. J Invasive Cardiol. 2010 Aug;22(8):372-6.

6. Tips and Tricks
appropriate position
cannulation

8. local anesthesia

9. skin incision

10. puncture

11. puncture

12. puncture

13. puncture

14. puncture

15. puncture

16. puncture

17. removal inner needle

18. guide wire insertion

19. guide wire insertion

20. additional local anesthesia

21. removal outer needle

22. sheath insertion

23. removal guidewire

24. Tips and Tricks
appropriate position
cannulation
difficult to puncture

25. puncture

26. Tips and Tricks

27. radial puncture ultrasound guidance
Shiloh AL et al. Chest. Mar;139(3):524-9.

28. Radial Artery
Radial Vein
radial puncture ultrasound guidance
Shiloh AL et al. Chest. Mar;139(3):524-9.

29. radial puncture ultrasound guidance
Shiloh AL et al. Chest. Mar;139(3):524-9.

30. radial or the other side? ulnar? femoral?