Safety and Effectiveness of Percutaneous Axillary Artery Access for Complex Aortic Interventions

2019 ◽  
Vol 61 ◽  
pp. 326-333 ◽  
Author(s):  
Christopher J. Agrusa ◽  
Peter H. Connolly ◽  
Sharif H. Ellozy ◽  
Darren B. Schneider
Keyword(s):  
Axillary Artery ◽  
Aortic Interventions

scholarly journals Safety and Effectiveness of Percutaneous Axillary Artery Access for Complex Aortic Interventions

2018 ◽  
Vol 68 (2) ◽  
pp. e25
Author(s):  
Christopher J. Agrusa ◽  
Sharif H. Ellozy ◽  
Darren B. Schneider
Keyword(s):  
Axillary Artery ◽  
Aortic Interventions

Histological verification of non-specific aorta-arteritis (Takayasu's arteritis) using percutaneous transluminal atherectomy

VASA ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 247-251 ◽  
Author(s):  
Zeller ◽  
Koch ◽  
Frank ◽  
Bürgelin ◽  
Schwarzwälder ◽  
...  
Keyword(s):  
Clinical Diagnosis ◽  
Axillary Artery ◽  
Takayasu’S Arteritis ◽  
Giant Cells ◽  
Interventional Therapy ◽  
Takayasu's Arteritis ◽  
New Device ◽  
First Case ◽  
Anti Inflammatory ◽  
Percutaneous Transluminal

Diagnosis of non-specific aorto-arteritis (NSAA, Takaysu's arteritis) is typically based on clinical and investigational parameters. We report here about two patients with clinically suspected diagnosis of a Takayasu's arteritis already under anti-inflammatory therapy in whom percutaneous transluminal atherectomy of subclavian and axillary artery stenoses was performed to relief the patients from symptoms – intermittent dyspraxia of the arms – and to verify the clinical diagnosis by histology. In the first case aorto-arteritis could be histologically confirmed through the analysis of plaque material including media structures excised from the subclavian and axillary arteries using a new device for atherectomy. The biopsy showed diffuse inflammation and granulomatous lesions with giant cells typically for Takayasu's disease. In the second patient, biopsy showed no acute or chronic inflammatory signs but only atherosclerotic lesions. Percutaneous transluminal atherectomy is therefore not only an interventional but also a diagnostic tool and should be used in every case of interventional therapy of suspected aorto-arteritis to make the clinical diagnosis and as a major consequence the initiation of an aggressive anti-inflammatory medical therapy more reliable.

Axillary artery cannulation provides balanced cerebral oxygenation

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
J Hillebrand ◽  
A Ploss ◽  
O Elenberger ◽  
A Moritz ◽  
S Martens
Keyword(s):  
Cerebral Oxygenation ◽  
Axillary Artery ◽  
Artery Cannulation

Aneurysm of the axillary artery in a child with tuberous sclerosis

2005 ◽  
Vol 36 (02) ◽  
Author(s):  
N Gratzki ◽  
A Koch ◽  
H Greeß ◽  
W Lang ◽  
R Trollmann
Keyword(s):  
Tuberous Sclerosis ◽  
Axillary Artery

Study of Branching Pattern of Axillary Artery – A Cadaveric Study

2012 ◽  
Vol 2 (11) ◽  
pp. 396-397
Author(s):  
Dr. Maulik D Patel ◽  
◽  
Dr. Astha A Jain ◽  
Dr. C. A Pensi
Keyword(s):  
Axillary Artery ◽  
Cadaveric Study ◽  
Branching Pattern

scholarly journals Duplication in the formation of median nerve - a case report

2015 ◽  
Vol 04 (01) ◽  
pp. 043-045
Author(s):  
Gyata Mehta ◽  
Varsha Mokhasi
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Lateral Root ◽  
Axillary Artery ◽  
Anatomical Variations ◽  
Upper Arm ◽  
Present Case Report ◽  
Lateral Cord ◽  
Two Stages ◽  
Different Levels

AbstractThe median nerve is formed in the axilla by fusion of the two roots from the lateral and medial cords. The present case report describes an anomalous presentation of double formation of median nerve and its relation with axillary and brachial arteries. The median nerve was formed in two stages at different levels, first in the axilla and then in the upper arm by receiving double contribution from the lateral root of the lateral cord, which fuse with the medial root of the medial cord to form the median nerve. The formation took place medial to the axillary artery in the axilla and antero-medial to the brachial artery in the arm. Such anatomical variations and their relation with the arteries are important for the surgeons and anesthesiologists and of great academic interest to the anatomists.

scholarly journals Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Haruka Yoshida ◽  
Shinichiro Ikemoto ◽  
Yasuyuki Tokinaga ◽  
Kanako Ejiri ◽  
Tomoyuki Kawamata
Keyword(s):  
Central Venous Catheter ◽  
Subclavian Artery ◽  
Axillary Artery ◽  
Insertion Site ◽  
Venous Catheter ◽  
Central Venous ◽  
Thrombotic Complications ◽  
Successful Removal ◽  
Intravascular Stent ◽  
The Right

Abstract Background Cannulation of a central venous catheter is sometimes associated with serious complications. When arterial cannulation occurs, attention must be given to removal of a catheter. Case presentation A 62-year-old man was planned for emergency thoracic endovascular aortic repair. After the induction of anesthesia, a central venous catheter was unintentionally inserted into the right subclavian artery. We planned to remove the catheter. Since we considered that surgical repair would be highly invasive for the patient, we decided to remove it using a percutaneous intravascular stent. A stent was inserted through the right axillary artery. The stent was expanded immediately after the catheter was removed. Post-procedural angiography revealed no leakage from the catheter insertion site and no occlusion of the right subclavian and vertebral arteries. There were no obvious hematoma or thrombotic complications. Conclusions A catheter that has been misplaced into the right subclavian artery was safely removed using an intravascular stent.

scholarly journals Impact of standardized computed tomographic angiography for minimally invasive mitral and tricuspid valve surgery

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Moritz B. Immohr ◽  
Yukiharu Sugimura ◽  
Patric Kröpil ◽  
Hug Aubin ◽  
Jan-Philipp Minol ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Femoral Artery ◽  
Axillary Artery ◽  
Standard Procedure ◽  
Computed Tomographic Angiography ◽  
Hospital Death ◽  
Imaging Protocol ◽  
Operative Strategy ◽  
Computed Tomographic ◽  
Standardized Imaging Protocol

Abstract Background Femoral cannulation for extracorporeal circulation (ECC) is a standard procedure for minimally invasive cardiac surgery (MICS) of the atrio-ventricular valves. Vascular pathologies may cause serious complications. Preoperative computed tomography-angiography (CT-A) of the aorta, axillary and iliac arteries was implemented at our department. Methods Between July 2017 and December 2018 all MICS were retrospectively reviewed (n = 143), and divided into 3 groups. Results In patients without CT (n = 45, 31.5%) ECC was applied via femoral arteries (91.1% right, 8.9% left). Vascular related complications (dissection, stroke, coronary and visceral ischemia, related in-hospital death) occurred in 3 patients (6.7%). In patients with non-contrast CT (n = 35, 24.5%) only femoral cannulation was applied (94.3% right) with complications in 4 patients (11.4%). CT-angiography (n = 63, 44.1%) identified 12 patients (19.0%) with vulnerable plaques, 7 patients (11.1%) with kinking of iliac vessels, 41 patients (65.1%) with multiple calcified plaques and 5 patients (7.9%) with small femoral artery diameter (d ≤ 6 mm). In 7 patients (11.1%) pathologic findings led to alternative cannulation via right axillary artery, additional 4 patients (6.3%) were cannulated via left femoral artery. Only 2 patients (3.2%) suffered from complications. Conclusions CT-A identifies vascular pathologies otherwise undetectable in routine preoperative preparation. A standardized imaging protocol may help to customize the operative strategy.

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