Percutaneous left brachial catheterization using 5-French preformed (Judkins) catheters

A method is described combining percutaneous brachial catheterization techniques with the use of 5-French (F) preformed (Judkins) catheters. This method was used in 50 patients with one unsuccessful attempt to cannulate the brachial artery. There was one lost pulse requiring surgical thrombectomy but no other cardiac, vascular, or neurologic complications. Two moderately large hematomas occurred, which resolved without sequelae. Manipulation of 5-F Judkins catheters from the left arm was found to be quite acceptable with adequate visualization of the coronary arteries in all cases. We believe this technique to be an excellent alternative to brachial cutdown or transaxillary methods in patients with severe occlusive ileofemoral disease as well as an improved technique for out-patient catheterization.