Placeholder ImageModified Allen’s Test

 

The procedure for performing a modified Allen’s Test is as follows:

  1. Instruct the patient clench his/her fist, or if the patient is unable, you may close the hand tightly.
  2. Using your fingers, apply occlusive pressure to both the ulnar and radial arteries. This maneuver obstructs blood flow to the hand.
  3. While applying occlusive pressure to both the arteries, have the patient relax his/her hand. Blanching of the palm and fingers should occur. If it does not, you have not completely occluded the arteries with your fingers.
  4. Placeholder ImageRelease the occlusive pressure on the ulnar artery. You should notice a flushing of the hand within 5 to 15 seconds. This denotes that the ulnar artery if patent and has good blood flow. This normal flushing of the hand is considered to be a positive modified Allen’s test. A negative modified Allen’s test is one in which the hand does not flush within the specified time period. This indicates that ulnar circulation is inadequate or nonexistence. The radial artery supplying arterial blood to that hand should not be punctured.