Cargando…
Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature
The transfemoral approach (TFA) or transradial approach (TRA) serves as the primary technique for most endovascular cases; however, the transbrachial (TBA) route is an alternative access site used when TFA and TRA are contraindicated. Although TBA has advantages over TRA, such as the ability to acco...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9278800/ https://www.ncbi.nlm.nih.gov/pubmed/35844321 http://dx.doi.org/10.7759/cureus.25894 |
_version_ | 1784746264603131904 |
---|---|
author | Mantripragada, Koushik Abadi, Kevin Echeverry, Nikolas Shah, Sumedh Snelling, Brian |
author_facet | Mantripragada, Koushik Abadi, Kevin Echeverry, Nikolas Shah, Sumedh Snelling, Brian |
author_sort | Mantripragada, Koushik |
collection | PubMed |
description | The transfemoral approach (TFA) or transradial approach (TRA) serves as the primary technique for most endovascular cases; however, the transbrachial (TBA) route is an alternative access site used when TFA and TRA are contraindicated. Although TBA has advantages over TRA, such as the ability to accommodate large guide catheters and devices, there is some apprehension in implementing TBA due to perceived access site complication rates. This article aims to glean the rate of access site complication from current literature. Relevant studies were identified using the following search terms: ((access site complications) AND ((endovascular AND brachial) OR (percutaneous brachial access) OR (brachial))) OR (endovascular AND (percutaneous brachial access)); endovascular + brachial artery; endovascular + brachial artery + access site; and endovascular + brachial artery + access site complications. Articles published after 2008 addressing major complication rates from percutaneous TBA interventions were included. Fifteen studies out of 992 total articles met the inclusion criteria. The major access site complication rate was 75/1,424 (5.27%). Patients who underwent hemostasis with a vascular closure device (VCD) had a major complication rate of 13/309 (4.21%) compared to a major complication rate of 65/1122 (5.79%) for patients who underwent hemostasis with manual compression (MC). The major access site complication rate associated with TBA was 5.27%, which is relatively high compared to the complication rate in TFA or TRA. More prospective trials are needed to fully understand the access site complication rate in TBA interventions. |
format | Online Article Text |
id | pubmed-9278800 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-92788002022-07-14 Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature Mantripragada, Koushik Abadi, Kevin Echeverry, Nikolas Shah, Sumedh Snelling, Brian Cureus Cardiac/Thoracic/Vascular Surgery The transfemoral approach (TFA) or transradial approach (TRA) serves as the primary technique for most endovascular cases; however, the transbrachial (TBA) route is an alternative access site used when TFA and TRA are contraindicated. Although TBA has advantages over TRA, such as the ability to accommodate large guide catheters and devices, there is some apprehension in implementing TBA due to perceived access site complication rates. This article aims to glean the rate of access site complication from current literature. Relevant studies were identified using the following search terms: ((access site complications) AND ((endovascular AND brachial) OR (percutaneous brachial access) OR (brachial))) OR (endovascular AND (percutaneous brachial access)); endovascular + brachial artery; endovascular + brachial artery + access site; and endovascular + brachial artery + access site complications. Articles published after 2008 addressing major complication rates from percutaneous TBA interventions were included. Fifteen studies out of 992 total articles met the inclusion criteria. The major access site complication rate was 75/1,424 (5.27%). Patients who underwent hemostasis with a vascular closure device (VCD) had a major complication rate of 13/309 (4.21%) compared to a major complication rate of 65/1122 (5.79%) for patients who underwent hemostasis with manual compression (MC). The major access site complication rate associated with TBA was 5.27%, which is relatively high compared to the complication rate in TFA or TRA. More prospective trials are needed to fully understand the access site complication rate in TBA interventions. Cureus 2022-06-13 /pmc/articles/PMC9278800/ /pubmed/35844321 http://dx.doi.org/10.7759/cureus.25894 Text en Copyright © 2022, Mantripragada et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Mantripragada, Koushik Abadi, Kevin Echeverry, Nikolas Shah, Sumedh Snelling, Brian Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature |
title | Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature |
title_full | Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature |
title_fullStr | Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature |
title_full_unstemmed | Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature |
title_short | Transbrachial Access Site Complications in Endovascular Interventions: A Systematic Review of the Literature |
title_sort | transbrachial access site complications in endovascular interventions: a systematic review of the literature |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9278800/ https://www.ncbi.nlm.nih.gov/pubmed/35844321 http://dx.doi.org/10.7759/cureus.25894 |
work_keys_str_mv | AT mantripragadakoushik transbrachialaccesssitecomplicationsinendovascularinterventionsasystematicreviewoftheliterature AT abadikevin transbrachialaccesssitecomplicationsinendovascularinterventionsasystematicreviewoftheliterature AT echeverrynikolas transbrachialaccesssitecomplicationsinendovascularinterventionsasystematicreviewoftheliterature AT shahsumedh transbrachialaccesssitecomplicationsinendovascularinterventionsasystematicreviewoftheliterature AT snellingbrian transbrachialaccesssitecomplicationsinendovascularinterventionsasystematicreviewoftheliterature |