SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training.

ABSTRACT: Axillary artery access has become increasingly widespread as an alternative to the femoral route for large-bore transcatheter aortic valve replacement (TAVR), endovascular aortic repair (EVAR), and mechanical circulatory support (MCS) procedures. Advantages of percutaneous access include avoidance of a surgical incision, general anesthesia, and conduit graft infection. This statement aims to review the anatomic considerations and risks for percutaneous axillary artery access, suggest best practices for access techniques, hemostasis/closure strategies, and complication management, and recommend options for training and privileging.

SUBMITTER: Seto AH 

PROVIDER: S-EPMC11307907 | biostudies-literature | 2022 May-Jun

REPOSITORIES: biostudies-literature