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Related Experiment Videos

Long-term brachial artery catheterization: ischemic complications.

K T Moran1, D P Halpin, R S Zide

  • 1Section of Peripheral Vascular Surgery, Lahey Clinic Medical Center, Burlington, MA 01805.

Journal of Vascular Surgery
|July 1, 1988
PubMed
Summary

Long-term brachial artery catheterization for chemotherapy infusion is feasible, with a low rate of permanent ischemic complications. This approach may be a viable option for select patients requiring extended treatment.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Oncology

Background:

  • Brachial artery catheterization is typically avoided for long-term use due to anticipated ischemic complications.
  • Percutaneous transbrachial hepatic artery catheterization is utilized for chemotherapy infusion.

Purpose of the Study:

  • To evaluate the safety and incidence of ischemic complications associated with long-term percutaneous transbrachial hepatic artery catheterization for chemotherapy.
  • To assess the feasibility of using the brachial artery for extended catheterization procedures.

Main Methods:

  • Retrospective review of 157 patients undergoing 225 percutaneous transbrachial hepatic artery catheterizations.
  • Analysis of catheter dwell times, reasons for removal, and types of complications encountered.

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Main Results:

  • Catheters remained in situ for 1 day to 14 months (median 68 days).
  • 77% of catheters were removed electively; 23% were removed due to complications.
  • Significant ischemic complications like amputation or major sequelae did not occur, though temporary pulse loss and minor complications were observed.

Conclusions:

  • Long-term brachial artery catheterization for chemotherapy infusion is associated with a low incidence of permanent ischemic complications.
  • The procedure appears safe for extended use, with careful patient selection and monitoring.