Evaluation of Percutaneous Cannulations of the Dorsalis Pedis Artery

Youngberg, John A.; Miller, Edward D.

doi:10.1097/00000542-197601000-00022

Cited by 28 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bedford and Wollman (1973) noted a definite relationship between the duration of cannulation and arterial occlusion. Youngberg and Miller (1976), using 20-gauge Teflon cannulae, reported a 6.7% incidence of thrombosis following dorsalis pedis artery cannulation for less than 24 h; one of the patients, however, had evidence of ischaemia in his foot.…”

Section: Resultsmentioning

confidence: 96%

Cannulation of the Radial and Dorsalis Pedis Arteries

Naguib

Hassan

Farag

et al. 1987

British Journal of Anaesthesia

View full text Add to dashboard Cite

The complications inherent in cannulation of the radial (group I) and dorsalis pedis (group II) arteries were studied in 46 patients. All the local and systemic variables which might be considered to contribute to damage of the artery were studied, from which it appeared that only the duration of cannulation, prothrombin time and partial thromboplastin time were significant in determining post-cannulation blood flow. A 20-gauge Teflon cannula was used in all patients and velocity of flow measured with a Doppler velocimeter probe. A majority of arteries showed a reduction of flow velocity for 24-72 h after the removal of the cannula, with evidence of improvement at 120 h. In six arteries--three in each group--flow ceased altogether after 24-72 h. No disability of either hand or foot resulted.

show abstract

Section: Resultsmentioning

confidence: 96%

Cannulation of the Radial and Dorsalis Pedis Arteries

Naguib

Hassan

Farag

et al. 1987

British Journal of Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Previous studies have not reported the number of patients in whom cannulation of d.p.a. was not performed because of inadequate collateral supply (Johnstone and Greenhow, 1973;Spoerel, Deimling and Aitken, 1975;Youngberg and Miller, 1976). A recent study of 100 young healthy subjects (Palm and Husum, 1978) demonstrated a 2% frequency of inadequate collateral supply as judged by a decrease in arterial pressure in the great toe to less than 40 mm Hg after manual compression of d.p.a.…”

Section: Discussionmentioning

confidence: 99%

PERCUTANEOUS CANNULATION OF THE DORSALIS PEDIS ARTERY: A prospective study

Husum

Palm

Eriksen

1979

British Journal of Anaesthesia

View full text Add to dashboard Cite

Strain-gauge plethysmography was used to determine the systolic arterial pressure in the great toe of 38 patients (aged 23-70 yr) undergoing lung surgery. In eight patients (21%) manual compression of the dorsalis pedis artery reduced the arterial pressure in the great toe to less than 40 mm Hg, and cannulation of the artery was not attempted. In 24 of 30 patients with adequate collateral arterial supply, a Teflon cannula (Venflon 1.20) was inserted percutaneously to the dorsalis pedis artery. Median cannulation time was 160 min. Six patients (25%, 95% confidence limits 10-47%) developed thrombosis of the artery and, in one, unsuccessful cannulation caused thrombosis. In two patients, recanalization of the artery occurred between the 2nd and the 8th day after operation. In four patients, examination 3-5 months after cannulation revealed a persisting decrease in the function of the dorsalis pedis artery. This suggests that the dorsalis pedis artery should not normally be selected for cannulation.

show abstract

“…The amplification in the femoral artery is about the same as that seen in the brachial artery [14], but a further ampli fication is observed in the pedal arteries in children [12], an average of 20 mm Hg as opposed to 13 mm Hg reported in an adult population with degenerative ar terial diseases [13]. In premature and full-term newborn infants, no difference was reported between the direct umbilical artery pressure and the direct radial or poste rior tibial artery pressure [15].…”

mentioning

confidence: 84%

“…Values for ages 10-13 years have been extrapolated from these two studies using age-related increments from other studies. important for the following reasons: (1) indirect BP measured with a cuff selected by the thickness criterion agrees well with direct intra-arterial pressure in new borns, infants, children, and adults [11,13,[28][29][30]; (2) continuity of method from childhood to the adult is an important consideration for long-term follow-up of the natural history of BP and in the 'tracking' of an indi vidual patient, and (3) even if BP readings obtained by this method are not different from those obtained by the use of the length criterion, the use of length criterion does not conform with the physical principles of indirect BP measurement [8,17], Normal BP values published by the 1987 NIH Task Force [5] are probably lower than true BP values, as they were obtained with too large a cuff, 75 % of the length of the upper arm. We are in need of a more reliable set of normative BP values in children.…”

Section: Recommendations For Indirect Bp Measurementmentioning

confidence: 99%

“…The amplification is greatest in the arteries with high vascular tone and less in arteries with degenerative diseases or those in a dilated state [11][12][13]. Therefore, systolic amplification is more marked in chil dren and young adults and in those patients with in creased vascular tone such as seen in congestive heart failure, circulatory shock, or during the administration of catecholamines or other vasoconstrictor agents.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Accurate Blood Pressure Measurement in Children

Park¹,

Guntheroth²

1989

Am J Noninvas Cardiol

View full text Add to dashboard Cite

Accurate blood pressure determination is crucial in the management of critically ill infants and children, in detecting secondary hypertension amenable to surgical correction, and in the early detection of essential hypertension. However, the pediatric literature consists of contradictory methodology and extreme variations in the ‘limits of normal’. An indirect blood pressure measuring device requires validation against a direct arterial pressure. Although intra-arterial pressure is accepted as the reference standard, careful attention to technique is required: relatively short, stiff tubing, without compliant elements, and the elimination of blood clots and even microscopic air bubbles. An arterial line in an extremity, particularly the foot, will register a higher pressure than is present in the aorta due to systolic amplification, especially in patients who are vasoconstricted. Indirect blood pressure measurements by any of several methods is affected by multiple variables. This is reflected in conflicting recommendations for the upper limit of normal for systolic blood pressure that vary as much as 30 mm Hg. Selection of blood pressure cuff size is the major source of this variance. The laws of physics, supported by careful intra-arterial measurements, indicate that the correct cuff size is based on the diameter (or circumference) of the limb, not the length. Using the length may produce adequate readings if the subject is of normal weight/height relationship, but will result in hypertensive readings in obese subjects who are actually normotensive and in mildly low readings for thin subjects. The correct cuff width is 125-155 % of the diameter of the limb, whether arm or leg, or 40-50% of the circumference. We offer a working guide to normal blood pressure values derived from data collected with appropriate-sized cuffs with minor extrapolations.

show abstract

Evaluation of Percutaneous Cannulations of the Dorsalis Pedis Artery

Cited by 28 publications

References 0 publications

Cannulation of the Radial and Dorsalis Pedis Arteries

Cannulation of the Radial and Dorsalis Pedis Arteries

PERCUTANEOUS CANNULATION OF THE DORSALIS PEDIS ARTERY: A prospective study

Accurate Blood Pressure Measurement in Children

Contact Info

Product

Resources

About