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Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
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
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.
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.
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.
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