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Transbrachial Artery as Single or Combined Approach for Complex Interventions in Patients with Peripheral Artery

Jiawen Wu1, Jinyan Xu2, Qingyuan Yu2

  • 1Department of Vascular Surgery, Changhai Hospital, Navy Military Medical University, Shanghai City, China; Department of Vascular Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical Univsersity, Quzhou People's Hospital, Quzhou City, Zhejiang Province, China.

Annals of Vascular Surgery
|November 3, 2023
PubMed

Insights

The transbrachial approach is a safe method for complex peripheral artery disease interventions. Improved blood pressure control significantly reduces brachial access complications.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Peripheral artery disease (PAD) management often requires complex endovascular interventions.
  • The transbrachial approach offers an alternative access route for these procedures.

Purpose of the Study:

  • To evaluate the safety and efficacy of the transbrachial approach for PAD interventions.
  • To identify predictors of adverse events associated with brachial artery access.

Main Methods:

  • Retrospective analysis of 169 patients with PAD undergoing transbrachial endovascular therapy (March 2011-April 2021).
  • Procedures were performed as single or combined approaches.
  • Univariate and multivariate analyses assessed predictors of brachial puncture site adverse events.

Main Results:

  • Hypertension was identified as an independent predictor of brachial puncture site adverse events (OR, 4.76; P=.016).
  • Overall complication rate was 15.4% (26/169), with 6 major and 20 minor events.
  • Vascular closure device (VCD) use was associated with no major entry-site complications.

Conclusions:

  • The transbrachial approach is a safe and effective option for complex PAD interventions.
  • Effective blood pressure management is crucial for minimizing brachial access complications.
Abstract

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