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

Arnold H. Seto; Jerry D. Estep; Rajiv Tayal; Shirling Tsai; John C. Messenger; M. Chadi Alraies; Darren B. Schneider; Andrew J. Klein; Yazan Duwayri; James M. McCabe; Suzanne J. Baron; Venu Vadlamudi; Timothy D. Smith; David A. Baran

doi:10.1016/j.jscai.2022.100041

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

Arnold H. Seto, Jerry D. Estep, Rajiv Tayal, Shirling Tsai, John C. Messenger, M. Chadi Alraies, Darren B. Schneider, Andrew J. Klein, Yazan Duwayri, James M. McCabe, Suzanne J. Baron, Venu Vadlamudi, Timothy D. Smith, David A. Baran

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

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.

Original language	English (US)
Article number	100041
Journal	Journal of the Society for Cardiovascular Angiography and Interventions
Volume	1
Issue number	3
DOIs	https://doi.org/10.1016/j.jscai.2022.100041
State	Published - May 1 2022

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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Seto, A. H., Estep, J. D., Tayal, R., Tsai, S., Messenger, J. C., Alraies, M. C., Schneider, D. B., Klein, A. J., Duwayri, Y., McCabe, J. M., Baron, S. J., Vadlamudi, V., Smith, T. D., & Baran, D. A. (2022). SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training. Journal of the Society for Cardiovascular Angiography and Interventions, 1(3), Article 100041. https://doi.org/10.1016/j.jscai.2022.100041

Seto, AH, Estep, JD, Tayal, R, Tsai, S, Messenger, JC, Alraies, MC, Schneider, DB, Klein, AJ, Duwayri, Y, McCabe, JM, Baron, SJ, Vadlamudi, V, Smith, TD & Baran, DA 2022, 'SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training', Journal of the Society for Cardiovascular Angiography and Interventions, vol. 1, no. 3, 100041. https://doi.org/10.1016/j.jscai.2022.100041

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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.",

author = "Seto, {Arnold H.} and Estep, {Jerry D.} and Rajiv Tayal and Shirling Tsai and Messenger, {John C.} and Alraies, {M. Chadi} and Schneider, {Darren B.} and Klein, {Andrew J.} and Yazan Duwayri and McCabe, {James M.} and Baron, {Suzanne J.} and Venu Vadlamudi and Smith, {Timothy D.} and Baran, {David A.}",

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doi = "10.1016/j.jscai.2022.100041",

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AU - Seto, Arnold H.

AU - Estep, Jerry D.

AU - Tayal, Rajiv

AU - Tsai, Shirling

AU - Messenger, John C.

AU - Alraies, M. Chadi

AU - Schneider, Darren B.

AU - Klein, Andrew J.

AU - Duwayri, Yazan

AU - McCabe, James M.

AU - Baron, Suzanne J.

AU - Vadlamudi, Venu

AU - Smith, Timothy D.

AU - Baran, David A.

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Y1 - 2022/5/1

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AB - 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.

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

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