Acute Forearm Muscle Swelling Post Transradial Catheterization and Compartment Syndrome: Prevention is Better than Treatment!

Interventional Cardiology Laboratories, Quebec Heart and Lung Institute, Quebec, Quebec, Canada.
Catheterization and Cardiovascular Interventions (Impact Factor: 2.11). 02/2010; 75(3):366-8. DOI: 10.1002/ccd.22448
Source: PubMed
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    ABSTRACT: Summary form only given. In the past, we have endeavored to develop a better understanding of the nature of fuzzy-logic approaches on the basis of their relation to other fundamental scientific notions. While many of these efforts evolved in the context of specific applications, their ultimate motivation was the enhancement of basic understanding-particularly in the area of the relations between various approximate-reasoning methodologies. In this presentation we review applied methods stemming from these foundations-relating fuzzy-logic concepts to notions of utility, cost, and similarity-emphasizing the need for the understanding of basic conceptual structures in the development of effective approaches to treat a wide variety of problems. We will review recent applications of approaches based on this view of fuzzy logic to three major Intelligent-system development problems: distributed robotics, qualitative description of complex objects, and knowledge discovery and retrieval in very large databases. We will present major technical issues arising in the consideration of these problems while addressing also fundamental questions of essential importance to the development and understanding of applicable approaches. In particular, we will consider matters related to the notions of team and individual goals, negotiation, and agent-based preferences in the context of distributed robotics; the concepts of cluster and clustering in the context of data analysis and understanding; and the relations between knowledge-based structures, such as ontologies and know ledge-bases, and similarity measures in the context of information-retrieval problems.
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    ABSTRACT: In response to growing U.S. interest, the Society for Coronary Angiography and Interventions recently formed a Transradial Committee whose purpose is to examine the utility, utilization, and training considerations related to transradial access for percutaneous coronary and peripheral procedures. With international partnership, the committee has composed a comprehensive overview of this subject presented here-with.
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    ABSTRACT: Cardiac catheterization via the transradial approach has increased in the United States over the past few years; however, wide-scale adoption still lags in comparison to many international health care systems. Transradial catheterization has a unique set of complications and risks that each operator must appreciate. Radial artery spasm and radial artery occlusion are the most common complications, while bleeding complications such as hematomas and perforations are much less frequent. Each of these issues can be managed successfully with minor changes to one's practice. In this review of the current state of the art, the reader will develop an appreciation for the prevalence of each of the common complications as well as the less common, but potentially highly morbid, events. Throughout this evidence-based review, practical prevention strategies and specific treatment pathways are described for each issue that is covered.
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