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Percutaneous brachial catheterization using a modified sheath and new catheter system.
Catheterization and Cardiovascular Diagnosis
|January 1, 1984
Summary
A new percutaneous brachial catheterization technique offers a safe and effective alternative for left heart catheterization, reducing patient discomfort and facilitating outpatient procedures.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- Traditional left heart catheterization often requires surgical cutdown, increasing patient discomfort and recovery time.
- Alternative access routes are sought to improve patient experience and procedural efficiency.
Purpose of the Study:
- To describe and evaluate a novel percutaneous brachial artery approach for left heart catheterization.
- To assess the safety and efficacy of this technique in a patient cohort.
Main Methods:
- A modified 7F side-arm sheath with a check valve was utilized for percutaneous brachial access.
- A modified 7F high-flow catheter, combining features of multipurpose and Sones catheters, was developed.
- The technique was applied in 100 patients for left heart catheterization, left ventricular angiography, and coronary angiography.
Main Results:
- The percutaneous brachial catheterization technique demonstrated no failures or serious complications in 100 patients.
- Hemostasis was achieved in all patients with simple compression, except one with severe atherosclerosis.
- The procedure facilitated outpatient and repeat catheterizations, with reduced patient discomfort.
Conclusions:
- Percutaneous brachial catheterization is a safe and effective alternative to traditional methods.
- This technique enhances patient comfort and procedural flexibility, particularly for outpatient settings.