Related Experiment Video
Updated: Aug 11, 2025
08:27
A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine
Published on: December 6, 2024
361
Percutaneous Axillary Artery Puncture: An Efficient Approach for Upper Extremity Access.
Philippe Tresson1, Adama Faveur2, Thibaut Mennecart2
1Hospices Civils de Lyon, Hôpital Louis Pradel, Service de chirurgie vasculaire et endovasculaire, Bron, France; Intestinal Stroke Center, Centre rHodANien d'isChemie intEStinale (CHANCES Network, Lyon), Lyon, France.
Annals of Vascular Surgery
|February 4, 2023
Summary
Percutaneous axillary artery access (PAXA) is a safe and effective technique for endovascular aneurysm repair. This study found a low complication rate for PAXA during Fenestrated or Branched Endovascular Aneurysm Repair (F/BEVAR) procedures.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Anatomy
Background:
- Fenestrated or Branched Endovascular Aneurysm Repair (F/BEVAR) requires reliable arterial access.
- The percutaneous axillary artery access (PAXA) is an alternative to traditional surgical approaches.
- Anatomical feasibility and complication rates of PAXA in F/BEVAR are not fully established.
Purpose of the Study:
- To evaluate the anatomical feasibility of PAXA using cadaver models.
- To assess the complications associated with PAXA during F/BEVAR procedures.
Main Methods:
- Cadaver dissections were performed to analyze the axillary pedicle and potential needle injuries.
- An observational study included 53 patients undergoing F/BEVAR with PAXA between July 2019 and July 2021.
- PAXA-related events and complications were monitored throughout the procedures and follow-up.
Main Results:
- Cadaver analysis revealed a 18.2% injury rate to the axillary vein.
- In patients, 9.4% experienced PAXA-related events, including blush (3.8%) and axillary artery dissection (3.8%).
- Postoperative hematoma occurred in 9.4% of patients, with no PAXA-related complications noted at long-term follow-up.
Conclusions:
- Percutaneous axillary artery access (PAXA) is an effective method for upper extremity access in F/BEVAR.
- PAXA is associated with a low rate of procedure-related complications and adverse events.
Related Concept Videos
01:12Arteries of the Upper Limbs
774
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
774
01:21Sites for measruring blood pressure
2.0K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
2.0K
01:14Assessing Body Temperature - Axilla
629
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
629
01:11Assessment of radial pulse
910
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
910
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
505
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
505
01:17Veins of Upper Limbs
1.5K
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
1.5K