Transbrachial approach for aortic and selective supraaortic vessel catheterization using a safe and easy technique to reform the Simmons II catheter tip

Tussenbroek, F.M. van; Demey, Johan; Kemp, K. Von; Discart, R.; Brande, P. Van den; Osteaux, M

doi:10.1016/0720-048x(92)90206-o

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…The complication rates of the transbrachial and transfemoral approaches are comparable. In transbrachial angiography the rate of major complications (arterial thrombosis, cerebral stroke, arterial damage requiring surgical treatment) has been about 0.5% [3,4,9]. When using bigger, 7 Fr and 8 Fr sheaths and catheters, the complication rate is slightly higher, at about 1%-2% [13].…”

Section: Discussionmentioning

confidence: 98%

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Brachial Artery Access for Percutaneous Renal Artery Interventions

Kaukanen

Manninen

Matsi

et al. 1997

Cardiovasc Intervent Radiol

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Section: Discussionmentioning

confidence: 98%

“…In these situations brachial artery access is an alternative. Brachial artery access has been used for angiography of pelvic and lower limb arteries [1,2] as well as aortic arch, cerebral, and coronary arteries [3,4]. The rate of major complications (thrombosis of the axillary artery and cerebral stroke) has been about 0.5% in diagnostic angiographies.…”

mentioning

confidence: 99%

Brachial Artery Access for Percutaneous Renal Artery Interventions

Kaukanen

Manninen

Matsi

et al. 1997

Cardiovasc Intervent Radiol

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Transbrachial Thrombolysis, PTA and Stenting in the Lower Extremities

Ernst

Fischbach

Brochhagen

et al. 2003

CVIR

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We present an analysis of 37 interventions in the arteries of the lower limbs via a transbrachial arterial approach. Twenty-six patients (42-79 years) underwent 37 interventional procedures in the lower extremities (iliac n = 6, iliac + femoro-popliteal n = 1, femoro-popliteal n = 30) with a vascular approach via the brachial artery (33 left sided, 4 right sided, introducer sheath 4-7 F). The transbrachial approach was chosen to avoid puncture of femoral bypass graft material. Technical success could be achieved in 11/13 thrombolyses, 8/9 PTAs, 7/10 combinations of thrombolysis and percutaneous transluminar angioplasty (PTA) and in the placement of two stents. One patient suffered from periprocedural severe re-thrombosis due to insufficient anticoagulation during fibrinolysis, and twice thrombolysis was incomplete. One puncture-related false aneurysm of the brachial artery had to be corrected surgically. One transient ischemic attack (TIA) and four minor complications occurred. Transbrachial vascular approach for arterial interventions in iliac and femoro-popliteal pathologies is a reasonable alternative to the transaxillary access if transfemoral puncture has to be avoided. The technical success rate is comparable with the results of the transaxillary and transfemoral approach. To minimize, at least theoretically, the risk of cerebral complications, the left-sided approach should be preferred and intravenous heparin should be administered routinely.

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