Document Detail

Complications of lower-extremity outpatient arteriography via low brachial artery.
MedLine Citation:
PMID:  15109225     Owner:  NLM     Status:  MEDLINE    
We retrospectively evaluated low brachial artery puncture for arteriography and its complications as an alternative approach route for bilateral lower extremity run-off. Using the Seldinger technique and catheterization with a sheathless 4-F multiple side-hole pigtail catheter, we performed 2250 low brachial artery punctures in outpatients. The right brachial artery (RBA) was successfully punctured in 2039 patients; the left brachial artery (LBA) in 200. The transfemoral approach was used in 11 patients when catheterizing either of brachial arteries failed. Ten major or moderate complications (2 pseudoaneurysms, 2 thrombosis, 1 dissection and 5 hematomas) were encountered. Surgical intervention was necessary in three cases. There were no transient ischemic attacks. Twenty-one patients suffered temporary loss of radial pulse which returned spontaneously in less than 1 hour. One patient demonstrated prolonged loss of pulse which required heparin. Low brachial artery puncture and catheterization at the antecubital fossa is a very safe and cost-effective alternative to the femoral artery approach for lower extremity intra-arterial arteriography in the hands of experienced operators. The success rate in catheterizing one of the brachial arteries was 99.52% with a low significant complications rate of 0.44%. The transbrachial approach should be used as a standard method for lower extremity IA-DSA in an outpatient setting.
A Chatziioannou; C Ladopoulos; D Mourikis; K Katsenis; G Spanomihos; L Vlachos
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  27     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-04-27     Completed Date:  2004-11-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Department of Radiology, Areteion Hospital, University of Athens, Athens, Greece.
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MeSH Terms
Aged, 80 and over
Ambulatory Care*
Aneurysm, False / etiology,  radiography
Brachial Artery / pathology,  radiography
Catheterization, Peripheral / adverse effects,  instrumentation
Femoral Artery / pathology,  radiography
Lower Extremity / blood supply*,  radiography*
Middle Aged
Peripheral Vascular Diseases / etiology,  radiography
Punctures / adverse effects
Retrospective Studies
Thrombosis / etiology,  radiography
Treatment Failure

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

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