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Brachial artery catheterization via cutdown and a direct needle puncture
R Vaghei1, E B Terrell, U Kunyosying
1Department of Thoracic-Vascular Surgery and Radiology, Veterans Administration Medical Center, Martinsburg, West Virginia.
Angiology
|March 1, 1989
Summary
Direct needle puncture for brachial artery catheterization is a safe and effective method for arteriography when femoral access fails. This study evaluated 369 patients, finding good results with minimal complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiovascular Procedures
Background:
- Brachial artery catheterization is an alternative access route for arteriography.
- Indications include femoral pulse absence, failed femoral access, prior aortic bypass, and abdominal aortic aneurysms.
Purpose of the Study:
- To evaluate the safety and efficacy of brachial artery catheterization using direct needle puncture.
- To compare outcomes with the cutdown technique.
Main Methods:
- Retrospective analysis of 369 patients undergoing arteriography from 1970 to 1988.
- Catheterization performed via direct needle puncture or cutdown of the brachial artery.
Main Results:
- Two patients (0.5%) experienced radial pulse loss.
- One patient required thrombectomy and later developed a pseudoaneurysm at the puncture site.
- The direct needle puncture technique demonstrated good procedural success.
Conclusions:
- Direct needle puncture brachial artery catheterization is a safe and effective procedure.
- It offers a viable alternative for arteriography when femoral access is not feasible.