Simple Method How to Avoid Stenting in Complicated Percutaneous Transaxillary Access

Percutaneous transaxillary approach through the first segment of the axillary artery for the Impella-supported PCI Versus TAVR

“…This is a relatively low number compared to other reports where, for example, covered stents were used in up to 44% of cases, and indeed, they constituted an essential aspect of PTAX 5 . However, our data shows that covered stenting should only remain a bailout procedure, to be employed when balloon and manual compression, or compression with a hemostatic sponge and Proglide pusher, cannot effectively address the bleeding issue 10 .…”

“…In case of vascular closure device failure, bleeding was resolved with Angioseal deployment or manual compression along with the balloon tamponade. Alternatively, instead of manual compression, a piece of hemostatic sponge was delivered directly to the bleeding site with the help of Proglide pusher 10 . This double compression, i.e., from inside with the balloon and from outside manually (or with the pusher), for at least 10 min, usually resolved bleeding issues.…”

Percutaneous transaxillary approach for balloon aortic valvuloplasty and complex percutaneous coronary intervention with Impella support

“…The axillary access was closed with Proglides, although AngioSeal was used in 3 cases to stop oozing. In 1 case, a peripheral 7.0 mm balloon was used to tamponade the axillary artery, and compression was applied using a Proglide’s pusher and hemostatic sponge to address residual bleeding, following the method described elsewhere [ 6 ]. None of the patients required vascular surgery, stent grafts, or any other intervention.…”