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Related Experiment Videos

Axillary artery access for interventional procedures.

Luigi Inglese1, Tommaso Lupattelli, Giannignazio Luigi Carbone

  • 1Department of Cardiovascular Radiology, Policlinico San Donato, Milan, Italy. luigi.inglese@tin.it

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|August 10, 2004
PubMed
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The axillary artery approach offers a safe alternative for complex interventional procedures requiring large catheters. This method effectively treats challenging carotid and splanchnic artery anatomies with immediate hemostasis.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Interventions

Background:

  • Complex arterial anatomy often necessitates specialized access routes.
  • Larger catheters (up to 9 F) are frequently required for treating angulated takeoffs or aneurysms.
  • The axillary artery approach is an alternative to traditional femoral access.

Purpose of the Study:

  • To evaluate the safety and efficacy of axillary artery access for interventional treatment.
  • To assess its utility in cases requiring large-bore catheters for complex carotid or splanchnic artery interventions.
  • To determine if axillary access is a viable option for challenging anatomies.

Main Methods:

  • Retrospective review of patients undergoing interventional procedures via axillary artery access.

Related Experiment Videos

  • Utilized large introducer sheaths (8-F and 9-F) for carotid artery and celiac axis interventions.
  • Employed cerebral protection, stenting, stent-graft implantation, and vascular closure devices.

    • Main Results:

    • Successful treatment of left internal carotid artery (ICA) in 3 patients with angulated takeoffs or bovine arch.
    • Successful exclusion of a celiac axis aneurysm using an 8x40-mm stent-graft.
    • Immediate hemostasis achieved with an 8-F vascular closure device, with no reported complications.

    Conclusions:

    • The axillary artery approach is a feasible and safe alternative access route for complex interventional procedures.
    • It is particularly useful when large sheaths or catheters are needed for difficult arterial anatomies.
    • Combined with vascular closure devices, it provides a reliable option for challenging cases.