Abstract:Background. The prevalence of peripheral vascular disease has led to the re-emergence of percutaneous axillary vascular access as a suitable alternative access site to femoral artery. We sought to investigate the efficacy and safety of manual hemostasis in the axillary artery. Methods. Data were collected from a prospective internal registry of patients who had a Maquet® (Rastatt, Germany) Mega 50 cc intra-aortic balloon pumps (IABP) placed in the axillary artery position. They were anticoagulated with weight-… Show more
“…Manual compression of the axillary artery has been demonstrated to be a viable alternative to VCDs, particularly for sheath sizes <9F in patients who are not on anticoagulation (Figure 5). 11 Compression over or near the second rib may be the most effective location for hemostasis and avoidance of pseudoaneurysm formation. However, a developing hematoma in this location may be hard to appreciate given the anatomy and therefore upstream balloon tamponade during manual compression should be considered as a precaution.…”
“…Manual compression of the axillary artery has been demonstrated to be a viable alternative to VCDs, particularly for sheath sizes <9F in patients who are not on anticoagulation (Figure 5). 11 Compression over or near the second rib may be the most effective location for hemostasis and avoidance of pseudoaneurysm formation. However, a developing hematoma in this location may be hard to appreciate given the anatomy and therefore upstream balloon tamponade during manual compression should be considered as a precaution.…”
“…VCD applications can be used in IABP removal from different regions where hemostasis control can be difficult [5]. However, there are also studies indicating that manual compression is effective in IABP removal applications from the axillary artery [6].…”
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