Abdominal aorta catheterization via the left axillary artery

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Cardiovascular Procedures

Background:

• Catheterization of the abdominal aorta is crucial for various diagnostic and interventional procedures.
• Accessing the abdominal aorta can be challenging, particularly in patients with anatomical variations.

Purpose of the Study:

• To describe a simple and effective technique for abdominal aorta catheterization.
• To evaluate the utility of the left axillary artery as an access site for aortic catheterization.

Main Methods:

• Utilizing a commercially available pigtail catheter for guidewire manipulation.
• Directing the guidewire toward the descending aorta via the left axillary artery.
• Performing contrast material injection through the pigtail catheter.

Main Results:

• The technique provides successful catheterization of the abdominal aorta.
• The method is shown to be effective even in elderly patients with tortuous aortas.
• The left axillary artery serves as a viable access route.

Conclusions:

• A straightforward technique for abdominal aorta catheterization via the left axillary artery is presented.
• This approach offers a reliable option for aortic access, accommodating complex patient anatomies.