Key result
Percutaneous axillary access offers a feasible alternative for large-bore interventions when transfemoral access is unsuitable.
Why the study?
Large-bore transcatheter cardiovascular interventions require alternative access routes for patients unsuitable for transfemoral access due to vascular disease or small vessel caliber.
Provides a step-by-step procedural guide for percutaneous axillary access in patients requiring large-bore transcatheter interventions who are unsuitable for transfemoral access.
May support axillary access when femoral routes are unsuitable; leaves open prospective trials for safety and outcomes.
The last decade has witnessed a tremendous growth in the type and complexity of transcatheter cardiovascular interventions that require large-bore access. While the common femoral artery has become the main route for these interventions, sizable cohorts of patients are unsuitable for transfemoral access due to vascular disease or small vessel caliber. Percutaneous axillary access has emerged as a feasible alternative in these patients. We provide a step-by-step guide for transaxillary large-bore access and closure for patients requiring transcatheter interventions.
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Hallak et al. (2018) conducted a review in Patients requiring transcatheter cardiovascular interventions with large-bore access unsuitable for transfemoral access. Percutaneous axillary access was evaluated. Percutaneous axillary access provides a feasible alternative for large-bore transcatheter cardiovascular interventions in patients unsuitable for transfemoral access.
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