Percutaneous brachial approach for transluminal coronary angioplasty

Abstract

Transluminal coronary angioplasty from the arm is performed generally with cutdown and brachial arteriotomy. We describe a brachial percutaneous technique for coronary angioplasty, almost similar to the femoral one, with a special focus on the prevention of induced vasoconstriction. Our preliminary results are satisfactory and without complications: 13 procedures in 11 patients have been performed over a 30 month period, with the sheaths left in place for 4-6 h after the procedure. This method could be an easy alternative to the Sones technique for operators who are essentially familiar with the femoral percutaneous arterial approach.

Blind Surgical Coronary Revascularization: A Case Report

“…Percutaneous femoral puncture is the most frequently used vascular access site 1–3 . Peripheral vascular disease (PVD) 4,5 can preclude femoral cannulation, and alternate vascular access (radial, axillary, or brachial) approach is commonly used. Rare patients with widespread PVD have no conventional vascular access, and published reports describe successful transseptal and translumbar coronary catheterization 6–8 .…”