The brachial artery: A critical access for endovascular procedures

Alvarez-Tostado, Javier A.; Moise, Mireille A.; Bena, James; Pavkov, Mircea L.; Greenberg, Roy K.; Clair, Daniel G.; Kashyap, Vikram S.

doi:10.1016/j.jvs.2008.09.017

Cited by 143 publications

(123 citation statements)

References 24 publications

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“…Alternative access sites, including radial, brachial and axillary arteries, have been employed in clinical scenarios, where groin access is contraindicated or the bleeding risk is to high. At first, brachial and axillary access were introduced, but these approaches have been associated with a relatively high risk of vascular and nerve complications [9,10]. Furthermore, cannulation of these arteries involves a potential thrombotic occlusion, which may put the entire distal artery at risk.…”

Section: Discussionmentioning

confidence: 99%

Allen’s test in patients with peripheral artery disease

Ruzsa¹,

Tóth

Berta

et al. 2014

Open Medicine

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Section: Discussionmentioning

confidence: 99%

Allen’s test in patients with peripheral artery disease

Ruzsa¹,

Tóth

Berta

et al. 2014

Open Medicine

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show abstract

“…In a single center study, 6.5% of patients with brachial artery access for any procedure experienced complications, of which 62% require additional operative correction for definitive treatment (16). Unfortunately, hematomas can easily spread within the medial brachial fascia leading to median nerve compression, which can occur without diminished distal peripheral pulses (17).…”

Section: Brachial Accessmentioning

confidence: 99%

“…Radial access site complications include hematoma, pseudoaneurysm, bleeding, access artery occlusion (4%), distal embolization. While stroke is a major theoretical concern for radial access, no significant differences in stroke rates were seen between radial and femoral access for coronary intervention (15,16).…”

Section: Transradial Accessmentioning

confidence: 99%

Percutaneous access planning, techniques and considerations for endovascular aortic repair (EVAR)

Vatakencherry¹,

Molloy²,

Sheth³

et al. 2018

Cardiovasc. Diagn. Ther.

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Percutaneous endovascular aortic repair (EVAR) has transformed the field of aortic repair. As techniques and devices improve, interventionalists continue to expand the boundaries of what is possible, enabling these life-saving procedures to be performed on a wider range of more technically challenging cases. This article discusses endovascular access considerations for EVAR including; ultrasound guidance, preclose technique, access vessel options, innovative devices, and bailout strategies that interventionalists should be familiar with to optimize patient outcomes.

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“…If multiple access sites are used (especially brachial access), then risk of access site complications increases [35]. Kissing stents at the aortic bifurcation have also been used to prevent plaque shifting (the contralateral displacement of atheromatous material into the non-diseased iliac artery).…”

Section: Complicationsmentioning

confidence: 99%

SCAI expert consensus statement for aorto‐iliac arterial intervention appropriate use

Klein

Feldman

Aronow

et al. 2014

Cathet Cardio Intervent

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Aorto‐iliac arterial occlusive disease is common and may cause a spectrum of chronic symptoms from intermittent claudication to critical limb ischemia. Treatment is indicated for symptoms that have failed lifestyle and medical therapies or occasionally to facilitate other interventional procedures such as TAVR and/or placement of hemodynamic assist devices. It is widely accepted that TASC A, B, and C lesions are best managed with endovascular intervention. In experienced hands, most TASC D lesions may be treated by endovascular methods, and with the development of chronic total occlusion devices, many aorto‐iliac occlusions may be recanalized safely by endovascular means. Interventional cardiologists should be well versed in the anatomy, as well as the treatment of aorto‐iliac disease, given their need to traverse these vessels during transfemoral procedures. Overall, aorto‐iliac occlusive disease is more commonly being treated with an endovascular‐first approach, using open surgery as a secondary option. This document was developed to guide physicians in the clinical decision‐making related to the contemporary application of endovascular intervention among patients with aorto‐iliac arterial disease. © 2014 Wiley Periodicals, Inc.

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The brachial artery: A critical access for endovascular procedures

Abstract: Brachial artery access is necessary for complex endovascular procedures and can be achieved in most patients safely. Postprocedural vigilance is warranted because most patients with complications will require operative correction.

Cited by 143 publications

References 24 publications

Allen’s test in patients with peripheral artery disease

Allen’s test in patients with peripheral artery disease

Percutaneous access planning, techniques and considerations for endovascular aortic repair (EVAR)

SCAI expert consensus statement for aorto‐iliac arterial intervention appropriate use

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