Outcomes of Brachial Artery Access for Endovascular Interventions

Madden, N.A.; Calligaro, Keith D.; Zheng, Hong; Troutman, Douglas A.; Dougherty, Matthew J.

doi:10.1016/j.avsg.2018.07.061

Cited by 46 publications

(28 citation statements)

References 16 publications

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“…This could be managed with thrombectomy to restore patency and to salvage the access. The morbidity of any graft or fistula site thrombosis should be less than that of thrombosis occurring in the native brachial and radial arteries as these sites could potentially place the extremity at risk from ischemia 10 . Thrombosis of a hemodialysis access site is not associated with ischemic sequelae in general if it occurs at a site beyond the arterial inflow, which is where our puncture site in this patient was.…”

Section: Discussionmentioning

confidence: 87%

The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia

Farooq

Greben

Frankini

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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We report the use of an upper extremity hemodialysis access site to facilitate endovascular treatment of the superior mesenteric artery in the setting of chronic mesenteric ischemia. A 64-year-old woman with end-stage renal disease on hemodialysis presented with worsening symptoms associated with chronic mesenteric ischemia. Her left upper extremity interposition graft within the fistula access site was selected to avoid a hostile aortoiliac system and in consideration of the potential benefits it provided over transfemoral, transbrachial, and transradial sites. The procedure was technically successful without complication. Hemodialysis access sites, such as the interposition graft within the fistula of this patient, are a potential route of upper extremity access for mesenteric interventions in patients with end-stage renal disease on hemodialysis.

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Section: Discussionmentioning

confidence: 87%

The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia

Farooq

Greben

Frankini

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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show abstract

“…Previous studies have demonstrated minor complication (pseudoaneurysm or hematoma) rates of 2% to 14% and major complication (distal embolization; brachial artery thrombosis, dissection, or fistula formation) rates of 1.9% to 10.0% associated with brachial access. 12 , 13 , 14 In addition to access site complications, upper extremity access is also associated with an increased risk of stroke from wire manipulation within the aortic arch. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have demonstrated minor complication (pseudoaneurysm or hematoma) rates of 2-14% and major complication (distal embolization; brachial artery thrombosis, dissection, or fistula formation) rates of 1.9-10% associated with brachial access. [12][13][14] In addition to access site complications, upper extremity access is also associated with increased risk of stroke from wire manipulation within the aortic arch. 15 The technique described here avoids the risks associated with upper extremity access or navigation of large sheaths over the "raised bifurcation" of a previously placed EVAR, allowing for the treatment of common iliac aneurysms through an entirely ipsilateral approach and J o u r n a l P r e -p r o o f preventing undue caudally directed forces on the graft bifurcation with subsequent potential migration.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

Bilateral internal iliac branch device with ipsilateral deployment

Hemingway

Ohlsson

Hurd

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…20 In the setting of brachial artery injuries or following brachial artery access, even more frequent neurovascular exams may be needed, as percutaneous brachial artery access is associated with higher complication rates, especially with sheath sizes greater than 5 Fr. 43 Trending hemoglobin is important to ensure hemostasis related to the primary injuries and given the known risks of femoral access of inguinal or retroperitoneal hemorrhage. 44 The most significant treatment-related complication of catheter-based therapies is unintended distal embolization, which is partially why neurovascular exams are of such great importance during the periprocedural period.…”

Section: Endovascular Intervention Versus Surgical Treatmentmentioning

confidence: 99%

Life and Limb: Current Concepts in Endovascular Treatment of Extremity Trauma

Weaver

Monroe

Johnson

2021

Semin intervent Radiol

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Traumatic injury is the leading cause of death worldwide in younger patient populations and extremity trauma with associated vascular injury accounts for many trauma-related deaths. Iatrogenic injury is also a common cause of extremity vascular trauma and the incidence of iatrogenic injury will likely increase as endovascular techniques continue to become more ubiquitous. For many vascular injuries involving the extremities, surgical repair is viewed as the standard of care. Historically, endovascular techniques did not play a role in the treatment of these vascular injuries, rather they were utilized only as part of the diagnostic assessment; however, there is an increasing trend toward endovascular management of extremity vascular trauma. No validated, widely implemented algorithm to select patients for endovascular intervention exists. Transcatheter techniques, however, play an important role in the management of these patients. For arterial injuries, embolization can be used to rapidly achieve hemostasis if the vessel can be sacrificed. More advanced endovascular techniques such as stent-graft placement may be best employed in the context of isolated, proximal extremity injuries, although there is increasing literature supporting the use of advanced techniques for more distal arterial injuries. The management of peripheral venous trauma remains controversial; however, there is growing data describing successful endovascular management of some peripheral venous injuries. The purpose of this article is to review extremity vascular trauma, concepts of injury triage, endovascular techniques, and intraprocedural considerations.

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Outcomes of Brachial Artery Access for Endovascular Interventions

Cited by 46 publications

References 16 publications

The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia

The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia

Bilateral internal iliac branch device with ipsilateral deployment

Life and Limb: Current Concepts in Endovascular Treatment of Extremity Trauma

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