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Related Experiment Videos

Selective coronary arteriography by percutaneous transaxillary approach.

B Valeix, P Labrunie, F Jahjah

    Catheterization and Cardiovascular Diagnosis
    |January 1, 1984
    PubMed
    Summary

    Percutaneous axillary artery cannulation offers a safe and effective alternative for coronary angiography, especially in patients with severe lower limb arterial disease. This technique demonstrates comparable investigation times and procedural success rates to the femoral approach.

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    Area of Science:

    • Cardiovascular Interventions
    • Vascular Access Techniques
    • Interventional Cardiology

    Background:

    • Percutaneous femoral access for coronary angiography is standard but challenging in patients with advanced lower limb arterial disease.
    • The brachial approach is an alternative, but percutaneous axillary artery cannulation presents a viable option.

    Purpose of the Study:

    • To evaluate the multicenter experience and safety of percutaneous axillary artery cannulation for coronary angiography.
    • To compare the axillary approach with traditional femoral and brachial methods in specific patient populations.

    Main Methods:

    • A multicenter study involving 120 patients undergoing coronary angiography via percutaneous axillary artery cannulation.
    • Utilized standard coronary catheters and sheaths, preferentially accessing the left axillary artery (78% of cases).

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    Main Results:

    • Successful axillary artery cannulation in all patients with no observed complications during or after the procedure.
    • The left axillary approach facilitated easier catheterization of coronary ostia and bypass grafts.
    • Axillary approach offers advantages including equivalent investigation time to femoral access, potential for simultaneous bi-plane imaging, and preference for arterial puncture over arteriotomy.

    Conclusions:

    • Percutaneous axillary artery cannulation is a safe and effective alternative for coronary angiography in patients unsuitable for femoral access.
    • The technique is associated with high success rates and minimal complications, offering distinct advantages over brachial arteriotomy.
    • Axillary approach may also be suitable for percutaneous transluminal coronary angioplasty procedures.