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Related Experiment Video

Updated: Jan 24, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Percutaneous transaxillary approach for peripheral endovascular interventions.

Mohammad Thawabi1, Rajiv Tayal1, Amer Hawatmeh1

  • 1Department of Cardiology, Newark Beth Israel Medical Center, Newark, New Jersey.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|May 28, 2019
PubMed
Summary
This summary is machine-generated.

Percutaneous transaxillary (TAx) access is a safe and feasible alternative for peripheral endovascular interventions when common femoral artery access is not possible. This approach demonstrated low complication rates and successful outcomes in patients needing lower extremity interventions.

Keywords:
complicationslimb ischemiaperipheral interventionvascular access

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Interventions

Background:

  • Common femoral artery (CFA) is the standard access site for peripheral endovascular interventions but may not always be suitable.
  • The axillary artery offers a comparable size to the CFA and is less prone to atherosclerosis.
  • Limited data exist on the percutaneous use of the axillary artery for these procedures.

Purpose of the Study:

  • To evaluate the safety and feasibility of percutaneous transaxillary (TAx) access for peripheral endovascular interventions.
  • To assess access-related complications and major adverse events (MAEs).

Main Methods:

  • Retrospective analysis of consecutive patients undergoing percutaneous TAx peripheral endovascular interventions.
  • Data collection included demographics, procedural details, and outcomes.
  • Access was achieved percutaneously with the arm abducted, followed by sheath placement and intervention.
  • Vascular closure devices were used for hemostasis.

Main Results:

  • Successfully performed 41 procedures in 29 patients lacking suitable conventional access.
  • Target vessels were predominantly infrainguinal (75%), with many complex lesions (61% TASC C or D).
  • Low access-related complication rate (5%) and no major adverse events (MAEs) were observed.
  • Median procedure time was 135 minutes, with a 1-day length of stay.

Conclusions:

  • Percutaneous TAx access is a feasible and safe alternative for lower extremity endovascular interventions when conventional access is unavailable.
  • Proficiency in the TAx approach is a valuable skill for interventionalists.