Percutaneous Common Carotid Artery Access for Pediatric Interventional Cardiac Catheterization

Abstract

Conclusions-PCA is safe even in small infants, and hemostasis can be achieved without surgical repair, with a carotid patency rate superior to published data after surgical cutdown. Surgical cutdown is not routinely required for pediatric cardiac catheterization via the carotid artery. (Circ Cardiovasc Interv. 2016;9:e003003.

Interventions in children with renovascular hypertension: A 27-year retrospective single-center experience

“…In this series, recanalization of atretic renal arteries was possible in two children, a 10‐week‐old weighing 3.4 kg, and a 2‐year‐old weighing 11.7 kg (Figure ). In the younger infant, femoral arterial approach provided limited access to the angulated renal arteries requiring conversion to a percutaneous carotid approach which provides a straight catheter course and has been shown to be a safe alternative . The recanalized renal artery has remained patent, although requiring interval repeat angioplasties with gradually larger balloons.…”

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal‐dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

“…Hence, CA and even axillary artery (AA) access have been employed to place the PDA stent in some infants with this PDA anatomy. There are limited studies describing outcomes following surgical‐assisted or percutaneous CA access for neonatal interventions . These studies suggest that percutaneous CA is a safe alternative to traditional FA access, with a higher arterial patency rate post‐procedure compared with contemporary results from the FA .…”

Stenting of the ductus arteriosus for ductal-dependent pulmonary blood flow-current techniques and procedural considerations

“…For PDAs that originate from the underside of the aortic arch (and some from the head/neck vessels), percutaneous axillary artery or common carotid artery access facilitates a direct and straight trajectory which allows for easier maneuverability of guidewires/stent systems. While previously axillary artery or common carotid artery access was performed via surgical cut down techniques, percutaneous axillary and percutaneous carotid artery access for PDA stenting has been shown to be safe and effective . We perform percutaneous axillary (Figure ) and percutaneous carotid artery (Figure ) access for these procedures with ultrasound guidance to ensure an isolated anterior wall puncture.…”