A "fully upper extremity" bailout of direct transaxillary large bore arterial access: A refinement within arm's reach?. Issue 6 (1st July 2021)

• Record Type: Journal Article
• Authors: Mathur, Moses; Zack, Chad J.; Heatley, Ashley; Rhodes, Denise; Yamane, Kentaro; Gilchrist, Ian C.; Kozak, Mark
• Is Part Of: Catheterization and cardiovascular interventions. Volume 98:Issue 6(2021)
• Page Start: E918
• Page End: E921
• Publication Date: 2021-07-01
• Subjects: direct transaxillary access -- large bore access -- percutaneous bailout -- TAVR; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29832
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Contemporary direct ("fully percutaneous") transaxillary (TAx) large‐bore arterial access technique advocates for a 0.018" wire to be passed from femoral arterial access to axillary artery to serve percutaneous bailout options. However, in certain patients, avoiding femoral arterial access entirely may be desired. We describe the merits of a "fully upper extremity" (FUE) bailout approach, as a refinement to previously described direct TAx technique.