scholarly journals Brachial and axillary artery vascular access for endovascular interventions

2021 ◽  
Author(s):  
Charlotte M Lentz ◽  
Donika Zogaj ◽  
Hanna K Wessel ◽  
Clark J Zeebregts ◽  
Reinoud PH Bokkers ◽  
...  
Keyword(s):  
Vascular Access ◽  
Axillary Artery ◽  
Endovascular Interventions

scholarly journals Percutaneous axillary artery access for endovascular interventions

2018 ◽  
Vol 68 (2) ◽  
pp. 555-559 ◽  
Author(s):  
Emily Harris ◽  
Courtney J. Warner ◽  
Jeffrey C. Hnath ◽  
Yaron Sternbach ◽  
R. Clement Darling
Keyword(s):  
Axillary Artery ◽  
Endovascular Interventions

scholarly journals Axillary artery loop interposition graft (AALG) as unusual access for hemodialysis

2017 ◽  
Vol 4 (12) ◽  
pp. 3853
Author(s):  
Abdelmieniem Fareed ◽  
Nehad Zaid ◽  
Yahia M. Alkhateep
Keyword(s):  
Renal Disease ◽  
Vascular Access ◽  
End Stage Renal Disease ◽  
Axillary Artery ◽  
Severe Infection ◽  
Cardiac Insufficiency ◽  
Secondary Patency ◽  
Efficient Alternative ◽  
Stage Renal Disease ◽  
End Stage

Background: Life expectancy of end stage renal disease patients continues to lengthen and with the limited durability of vascular accesses, repeat fistula construction at different levels of the upper limb is often necessary and leads ultimately to exhaustion of autogenous vascular access sites. Our experience with alternative vascular access procedures namely the arterio-arterial loop graft in the first part of axillary artery was presented in this study.Methods: From June 2013 to Aug 2017, arterio-arterial interposition loop graft procedures (AALG) for vascular access were performed in 15 patients with end-stage renal disease. Inclusion criteria were patients with unsuitable large deep veins or with cardiac insufficiency intolerable to high-flow arterio-venous fistula.Results: The achieved primary and secondary patency was 73.3 % and 86.6% at 1 year and 53.3 % and 66.7 % at 3 years. Severe infection in whole graft occurred in two patients (13.3%) after 11, 27 months. One patient died six months after operation due to unrelated cause. two patients had pseudoaneurysms after 20 and 28 months at sites of repetitive needle puncture and were treated successfully by segmental replacement.Conclusions: In selected cases and with proper indication the AALG can offer efficient alternative for vascular hemodialysis access and can improve the survival rate of such patients.

scholarly journals Novel Therapeutic Paradigms to Treat Hemodialysis Access Dysfunction

2014 ◽  
Vol 7 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Lalathaksha Kumbar ◽  
Jian Li ◽  
Hafeez Alsmaan ◽  
Anatole Besarab
Keyword(s):  
Vascular Access ◽  
Neointimal Hyperplasia ◽  
Therapeutic Interventions ◽  
Therapeutic Modality ◽  
Treatment Modalities ◽  
Endovascular Interventions ◽  
Type Selection ◽  
Promising Treatment ◽  
Evidenced Based ◽  
Novel Therapeutic

Vascular access dysfunction continues to be a major factor contributor to the morbidity and mortality of hemodialysis patient. Percutaneous intervention has been the central therapeutic modality used to treat dialysis vascular access dysfunction with limited success. Vascular biology research has shed considerable light on the pathophysiologic processes that lead to the development of neointimal hyperplasia, the culprit lesion for vascular access dysfunction, suggesting possible newer novel therapeutic interventions. In this review we discuss; (1) recent advances in the utilization of image based predictive medicine in improving access type selection prior to access creation; (2) current and promising treatment modalities including brachytherapy, gene therapy and pharmacotherapy for prevention of neointimal hyperplasia; (3) alternate imaging modalities during percutaneous endovascular interventions. Though novel therapeutic interventions are evolving, robust clinical studies to identify optimal therapeutic method are needed. A combination of evidenced based interventions from pre access creation up until final abandonment of vascular access is worthy of exploration.

Axillary Artery to Right Atrium Bypass for Hemodialysis in a Patient with Difficult Vascular Access

2013 ◽  
Vol 15 (2) ◽  
pp. 138-138 ◽  
Author(s):  
Fereshte Salimi ◽  
Mehdi Nazari moghadam ◽  
Mohammad Mehdi Baradaran Mahdavi
Keyword(s):  
Vascular Access ◽  
Right Atrium ◽  
Axillary Artery

scholarly journals Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide

2020 ◽  
Vol 15 ◽  
Author(s):  
Kathryn Dawson ◽  
Tara L Jones ◽  
Kathleen E Kearney ◽  
James M McCabe
Keyword(s):  
Vascular Access ◽  
Mechanical Circulatory Support ◽  
Axillary Artery ◽  
Bed Rest ◽  
Arterial Disease ◽  
Circulatory Support ◽  
Femoral Access ◽  
Management Of Complications ◽  
Peripheral Arterial ◽  
Alternative Sites

Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications.

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