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SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training
Arnold H Seto1, Jerry D Estep2, Rajiv Tayal3
1Long Beach VA Health Care System, Long Beach, California.
None:
Axillary artery access has become increasingly widespread as an alternative to the femoral route for large-bore transcatheter aortic valve replacement (TAVR), endovascular aortic repair (EVAR), and mechanical circulatory support (MCS) procedures. Advantages of percutaneous access include avoidance of a surgical incision, general anesthesia, and conduit graft infection. This statement aims to review the anatomic considerations and risks for percutaneous axillary artery access, suggest best practices for access techniques, hemostasis/closure strategies, and complication management, and recommend options for training and privileging.
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