Complications of transbrachial arterial access for peripheral endovascular interventions

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Karla Maria TreitlMarcus Treitl

Abstract

To prospectively assess current limitations and complication rates of the transbrachial access technique for endovascular treatment of peripheral vascular pathologies. In total, 150 patients (112 men; mean age 66.3 ± 10.0 years) with arterial occlusive disease underwent endovascular therapy via a transbrachial access. Periprocedure data (sheath size, dose area product, fluoroscopy time, and procedure duration) were analyzed. Postprocedure complications of the puncture sites were categorized as minor (local hematoma, pseudoaneurysm, embolization, dissection, minor bleeding) and major (thrombotic occlusion, hematoma requiring surgery, major bleeding, nerve injury). The minor and major complication rates were 14.0% (n = 21) and 2.7% (n = 4). The most frequent major complication was thrombotic occlusion of the brachial artery requiring surgical treatment (3/150, 2%). There was only one temporary palsy of the median nerve and no stroke. Local hematoma (15, 10%), pseudoaneurysm (3, 2%), or a combination of both (3, 2%) dominated the minor complications. The average dose area product and fluoroscopy time were 12,752.1 ± 9524.5 cGy*cm(2) and 24.3 ± 18.4 minutes, respectively, though procedure duration was acceptable (121.8 ± 48.9 minut...Continue Reading

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Citations

Mar 30, 2016·Journal of Vascular Surgery·Marcus R KretMatthew Mell
Apr 3, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos StavroulakisTheodosios Bisdas
Dec 1, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tilo KölbelKrister Liungman
Aug 30, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roberto Lorenzoni, Marco Roffi
Sep 13, 2018·Vascular·Jordan R SternSharif H Ellozy
Jun 25, 2019·Journal of Cardiac Surgery·Wei WangYong Tang
Dec 11, 2019·Journal of Neurointerventional Surgery·Robert M StarkeUNKNOWN Society of NeuroInterventional Surgery
Jun 18, 2020·SAGE Open Medical Case Reports·Mohan SatishJustin Ratcliffe
May 4, 2020·JACC. Cardiovascular Interventions·Fabian PreisnerDaniel Schwarz
Feb 25, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Luca BertoglioRoberto Chiesa
May 18, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Jake F HemingwayBenjamin W Starnes
Mar 1, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·C Y Maximilian PngRami O Tadros
Jul 25, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·S Keisin WangRaghu L Motaganahalli
Oct 30, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Mobeen FarooqEric Gandras

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