TY - JOUR
T1 - Emerging role of large-bore percutaneous axillary vascular access
T2 - A Step-by-step guide
AU - Dawson, Kathryn
AU - Jones, Tara L.
AU - Kearney, Kathleen E.
AU - McCabe, James M.
N1 - Publisher Copyright:
© 2020 All rights reserved.
PY - 2020
Y1 - 2020
N2 - Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications.
AB - Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications.
KW - Alternative access
KW - Axillary artery access
KW - Haemodynamic support
KW - Large-bore access
KW - Structural heart intervention
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U2 - 10.15420/icr.2019.22
DO - 10.15420/icr.2019.22
M3 - Article
AN - SCOPUS:85086930192
SN - 1756-1477
VL - 15
JO - Interventional Cardiology: Reviews, Research, Resources
JF - Interventional Cardiology: Reviews, Research, Resources
IS - 1
M1 - e07
ER -