Caliber and fitness of the axillary artery as a conduit for large-bore cardiovascular procedures
| Autor: | Kathleen E. Kearney, James M. McCabe, Daniel M Arnett, Emily C. Anderson, Michael A. Harms, Rajiv Tayal, James Lee, Mario Ramos, Bryn M. Smith |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Cardiac Catheterization medicine.medical_specialty Percutaneous Computed Tomography Angiography medicine.medical_treatment Punctures 030204 cardiovascular system & hematology Article Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Axillary artery Valve replacement Risk Factors medicine.artery Internal medicine Catheterization Peripheral medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Vascular Calcification Vascular Patency Aged Retrospective Studies Aged 80 and over Vascular disease business.industry General Medicine Arterial catheter medicine.disease Surgery Femoral Artery Stenosis Catheter Cardiology Axillary Artery Female Cardiology and Cardiovascular Medicine business Calcification |
| Zdroj: | Catheterization and Cardiovascular Interventions. 91:150-156 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.27416 |
| Popis: | OBJECTIVES We sought to describe the caliber and vascular health of the subclavian and axillary arteries as related to their potential utilization in complex cardiovascular procedures. BACKGROUND Patients referred for advanced catheter-based therapies frequently have lower extremity peripheral vascular disease that may prohibit the use of large bore arterial catheters. Utilization of the upper extremity peripheral vasculature is rarely considered as an alternative access strategy. This may be due in part to a lack of familiarity with the thoracic vasculature. METHODS AND RESULTS 208 consecutive patients undergoing routine CTA prior to transcatheter aortic valve replacement were retrospectively evaluated in a systematic analysis of upper and lower extremity vasculature. Minimal luminal diameters (MLDs) for the axillary arteries and iliofemoral arteries were 6.0 ± 1.1 mm and 6.6 ± 1.8 mm respectively. Compared to the iliofemoral arteries, the axillary arteries demonstrated substantially lower rates of significant stenosis (2% vs. 12%, p |
| Databáze: | OpenAIRE |
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