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Related Experiment Videos

Transbrachial arteriography: techniques and complications.

J H Grollman1, R Marcus

  • 1Department of Radiology, Little Company of Mary Hospital, Torrance, CA 90503.

Cardiovascular and Interventional Radiology
|January 1, 1988
PubMed
Summary

The percutaneous transbrachial technique for angiography in 72 patients resulted in a high complication rate (7%), including surgery for brachial thrombosis. This method is not recommended for selective studies when the transfemoral approach is an option.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Imaging

Background:

  • The percutaneous transbrachial technique is an angiographic method using catheters inserted through the brachial artery.
  • Patient preselection aimed to minimize risks associated with this vascular access route.

Purpose of the Study:

  • To report the outcomes of the percutaneous transbrachial technique in a cohort of 72 patients.
  • To evaluate the safety and efficacy of this approach for angiographic examinations.

Main Methods:

  • Seventy-two patients underwent angiographic examination.
  • The percutaneous transbrachial technique was employed using 4-5F catheters.
  • Patients were preselected to mitigate procedural risks.

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Main Results:

  • A high incidence of major complications (7%) was observed.
  • Three patients (4.2%) required surgical intervention due to brachial thrombosis.
  • The complication rate was deemed unacceptably high despite patient preselection.

Conclusions:

  • The percutaneous transbrachial technique, particularly for selective studies, carries significant risks.
  • The transfemoral approach is a safer and preferred alternative when available.
  • This technique is unwarranted given the availability of the transfemoral route for planned selective angiographic studies.