Document Detail

Complications of direct brachial artery puncture for arteriography: a comparison of techniques.
MedLine Citation:
PMID:  1914397     Owner:  NLM     Status:  MEDLINE    
Direct brachial artery puncture is used increasingly for day-case arteriography and patients with severe aorto-iliac disease. In expert hands low complication rates are reported, but the risks of brachial artery puncture may be higher when it is performed by less experienced operators. Over a 2 year period 49 direct brachial artery punctures were performed for arteriography. In 27 cases catheters were inserted directly over a guide-wire via a variable puncture site. In 22 cases catheters were inserted through an introducer sheath via a high brachial puncture. Significant complications requiring active treatment or surgical intervention occurred in three (11%) cases where direct catheter insertion was used. There were no complications when an introducer sheath was used. Percutaneous high brachial aortography using an introducer sheath is a safer technique when brachial artery puncture is performed infrequently.
A F Watkinson; G G Hartnell
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical radiology     Volume:  44     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-06     Completed Date:  1991-11-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  189-91     Citation Subset:  IM    
Department of Radiodiagnosis, Bristol Royal Infirmary.
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MeSH Terms
Angiography / methods*
Brachial Artery*
Catheterization, Peripheral / methods*
Hematoma / etiology
Punctures / adverse effects*
Thrombosis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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