Abstract
Over the past quarter century there has been rapid growth of percutaneous endovascular procedures. The estimated total amount of open and endovascular cardiac and vascular surgery procedures is close to 7 million per year [1]. According to the American Heart Association’s Heart Disease and Stroke Statistics, approximately 1,285,000 angioplasty procedures were performed in 2004 [1]. The number of stents placed annually is now well over 1 million per year with 615,000 coronary stents, 400,000 peripheral stents, and 40,000 stents for renal artery stenosis, in addition to stents at other sites [1, 2, 3]. Endovascular procedures are performed in venues ranging from operating rooms to catheterization laboratories and are performed by a wide array of specialists including interventional radiologists, neurosurgeons, cardiologists, cardiothoracic surgeons, and vascular surgeons. Furthermore, these procedures are commonly performed all over the body: cerebral, carotid, subclavian, coronary, mesenteric, renal, and peripheral arteries. The common gradient in all these procedures is the percutaneous puncture site.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rosamond W, Flegal K, Friday G et al.: Heart disease and stroke statistics—2007 update: a report from the American heart association statistics committee and stroke statistics subcommittee, Circulation 115(5):e69–e171, February 6, 2007.
Myles O, Thomas WJ, Daniels JT, Aronson N: Infected endovascular stents managed with medical therapy alone, Catheter Cardiovasc Interv 51(4):471–476, December 2000.
Dworkin LD, Jamerson KA: Case against angioplasty and stenting of atherosclerotic renal artery stenosis, Circulation 115(2):271–276, January 16, 2007.
Dauterman K, Casserly IP, Bajzer CJ, General A, Interventional P: In Casserly I, Sachar R, Yadav J, editors: Manual of peripheral vascular interventions, Philadelphia, 2005, Lippincott Williams and Wilkens, pp. 39–45.
Ledesma DF, Domer GS, Criado Frank J: Techniques of arterial access for endovascular intervention. In Heuser RR, Henry M, editors: Textbook of peripheral vascular interventions, New York, 2004, MD Martin Dunitz Taylor and Francis Group, pp. 79–85.
Andros G, Arterial A In Moore WS, Ahn SS, editors: Endovascular Surgery, ed. 3, Philadelphia, 2001, W.B. Saunders Company, pp. 37–47.
Gengler L, Rodde A: Transbrachial and transaxillary approach: indications, techniques, pitfalls, and complications. In Heuser RR, Henry M, editors: Textbook of peripheral vascular interventions, New York, 2004, MD Martin Dunitz Taylor and Francis Group, pp. 87–91.
Criado FJ, Wilson EP Abul-Khoudoud O, Barker C, Carpenter J, Fairman R: Brachial artery catheterization to facilitate endovascular grafting of abdominal aortic aneurysm: safety and rationale, J Vasc Surg 32(6):1137–1141, December 2000.
Armstrong PJ, Han DC, Baxter JA, Elmore JR, Franklin DP: Complication rates of percutaneous brachial artery access in peripheral vascular angiography, Ann Vasc Surg 17(1):107–110, January 2003.
Folmar J, Sachar R, Mann T: Transradial approach for carotid artery stenting: a feasibility study, Catheter Cardiovasc Interv 69(3):355–361, February 15, 2007.
Yamashita T, Imai S, Tamada T et al.: Transradial approach for noncoronary angiography and interventions, Catheter Cardiovasc Interv 70(2):303–308, August 1, 2007.
Henry I, Henry M, Transradial A In Heuser R, Henry M, editors: Textbook of Peripheral Vascular Interventions, New York, 2004, MD Martin Dunitz Taylor and Francis Group, pp. 93–5.
Agostoni P, Biondi-Zoccai GG, De Benedictis ML et al.: Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; systematic overview and meta-analysis of randomized trials, J Am Coll Cardiol 44(2):349–356, July 21, 2004.
Gilchrist IC, Moyer CD, Gascho JA: Transradial right and left heart catheterizations: a comparison to traditional femoral approach, Catheter Cardiovasc Interv 67(4):585–588, April 2006.
Inglese L, Lupattelli T, Carbone GL et al.: Axillary artery access for interventional procedures, J Endovasc Ther 11(4):414–418, August 2004.
Henry M: Popliteal access site. In Hauser RR, Henry M, editors: Textbook of peripheral vascular interventions, New York, 2004, MD Martin Dunitz Taylor and Francis Group, pp. 95–100.
Wholey MH, Solomon N, Jarmolowski CR: Antegrade popliteal puncture: technical note, Cardiovasc Intervent Radiol 15(2):123–125, March 1992.
Glasby MJ, Bolia A: Subintimal angioplasty of a crural vessel via an antegrade popliteal artery puncture, Eur J Vasc Endovasc Surg 34(3):347–349, September 2007.
Yilmaz S, Sindel T, Luleci E: Ultrasound-guided retrograde popliteal artery catheterization: experience in 174 consecutive patients, J Endovasc Ther 12(6):714–722, December 2005.
Monge M, Eskandari M: Hybrid procedure for Supra-aortic trunk lesions. In Pearce WH, Matsumura JS, Yao JS, editors: Vascular surgery in the endovascular era, Evanston, 2008, Greenwood Academic, pp. 353–61.
Feldtman RW, Buckley CJ, Bohannon WT: How I do it: cervical access for carotid artery stenting, Am J Surg 192(6):779–80, December 2006.
Criado FJ, Twena M, Halsted M, Abul-Khoudoud O. Percutaneous femoral puncture for endovascular treatment of occlusive arterial lesions, Am J Surg 176(2):119–121, August 1998.
Rupp SB, Vogelzang RL, Nemcek AA Jr, Yungbluth MM: Relationship of the inguinal ligament to pelvic radiographic landmarks: anatomic correlation and its role in femoral arteriography, J Vasc Interv Radiol 4(3):409–413, May 1993.
Criado FJ: Percutaneous arterial puncture and endoluminal access techniques for peripheral intervention, J Invasive Cardiol 11(7):450–456, July 1999.
Fitts J, Ver LP, Hofmaster P, Malenka D: Fluoroscopy-guided femoral artery puncture reduces the risk of PCI-related vascular complications, J Interv Cardiol 21(3):273–278, June 2008.
Chitwood RW, Shepard AD, Shetty PC et al.: Surgical complications of transaxillary arteriography: a case-control study, J Vasc Surg 23(5):844–849, May 1996.
Mulligan B, Espinosa GA, Mafee M: Prevention of brachial plexus injury during transaxillary artery catheterization, Mil Med 148(6):518–520, June 1983.
Trigaux JP, Van BB, De Wispelaere JF: Anatomic relationship between the popliteal artery and vein: a guide to accurate angiographic puncture, AJR Am J Roentgenol 157(6):1259–1262, December 1991.
Diethrich EB, Marx P, Wrasper R, Reid DB: Percutaneous techniques for endoluminal carotid interventions, J Endovasc Surg 3(2):182–202, May 1996.
Criado FJ, Twena M: Techniques for endovascular recanalization of supra-aortic trunks, J Endovasc Surg 3(4):405–413, November 1996.
Morasch MD, Kibbe MR, Evans ME et al.: Percutaneous repair of abdominal aortic aneurysm, J Vasc Surg 40(1):12–16, July 2004.
Morasch MD: Percutaneous thoracic and abdominal aortic aneurysm repair, Ann Vasc Surg 19(4):585–589, July 2005.
Criado FJ, Abul-Khoudoud O, Martin JA, Wilson EP. Current developments in percutaneous arterial closure devices, Ann Vasc Surg 14(6):683–687, November 2000.
Koreny M, Riedmuller E, Nikfardjam M, Siostrzonek P, Mullner M: Arterial puncture closing devices compared with standard manual compression after cardiac catheterization: systematic review and meta-analysis, JAMA 291(3):350–357, January 21, 2004.
Sanborn TA, Gibbs HH, Brinker JA, Knopf WD, Kosinksi EJ, Roubin GS: A multicenter randomized trial comparing a percutaneous collagen hemostasis device with conventional manual compression after diagnostic angiography and angioplasty, J Invasive Cardiol 11(suppl B):6B–13B, September 1999.
Gerckens U, Cattelaens N, Lampe EG, Grube E: Management of arterial puncture site after catheterization procedures: evaluating a suture-mediated closure device, Am J Cardiol 83(12):1658–1663, June 15, 1999.
Applegate RJ, Grabarczyk MA, Little WC et al.: Vascular closure devices in patients treated with anticoagulation and IIb/IIIa receptor inhibitors during percutaneous revascularization, J Am Coll Cardiol 40(1):78–83, July 3, 2002.
Kahn ZM, Kumar M, Hollander G, Frankel R: Safety and efficacy of the Perclose suture-mediated closure device after diagnostic and interventional catheterizations in a large consecutive population, Catheter Cardiovasc Interv 55(1):8–13, January, 2002.
Nikolsky E, Mehran R, Halkin A et al.: Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a meta-analysis, J Am Coll Cardiol 44(6):1200–1209, September 15, 2004.
Quinn SF, Kim J: Percutaneous femoral closure following stent-graft placement: use of the Perclose device, Cardiovasc Intervent Radiol 27(3):231–236, May 2004.
Shawl FA, Quyyumi AA, Bajaj S, Hoff SB, Dougherty KG: Percutaneous cardiopulmonary bypass-supported coronary angioplasty in patients with unstable angina pectoris or myocardial infarction and a left ventricular ejection fraction < or = 25%, Am J Cardiol 77(1):14–19, January 1, 1996.
Eggebrecht H, Haude M, Woertgen U et al.: Systematic use of a collagen-based vascular closure device immediately after cardiac catheterization procedures in 1,317 consecutive patients, Catheter Cardiovasc Interv 57(4):486–495, December 2002.
Kussmaul WG III, Buchbinder M, Whitlow PL et al.: Rapid arterial hemostasis and decreased access site complications after cardiac catheterization and angioplasty: results of a randomized trial of a novel hemostatic device, J Am Coll Cardiol 25(7):1685–1692, June 1995.
Bos JJ, Hunink MG, Mali WP: Use of a collagen hemostatic closure device to achieve hemostasis after arterial puncture: a cost-effectiveness analysis, J Vasc Interv Radiol 7(4):479–486, July 1996.
Silber S, Tofte AJ, Kjellevand TO, Grube E, Gershony G: Final report of the European multi-center registry using the Duett vascular sealing device, Herz 24(8):620–623, December 1999.
Carere RG, Webb JG, Buller CE et al.: Suture closure of femoral arterial puncture sites after coronary angioplasty followed by same-day discharge, Am Heart J 139(1 Pt 1):52–58, January 2000.
Hogg ME, Kibbe MR: Percutaneous thoracic and abdominal aortic aneurysm repair: techniques and outcomes, Vascular 14(5):270–281, September 2006.
Haas PC, Krajcer Z, Diethrich EB: Closure of large percutaneous access sites using the prostar XL percutaneous vascular surgery DEVICE, J Endovasc Surg 6(2):168–170, May 1999.
Teh LG, Sieunarine K, Van SG et al.: Use of the percutaneous vascular surgery device for closure of femoral access sites during endovascular aneurysm repair: lessons from our experience, Eur J Vasc Endovasc Surg 22(5):418–423, November 2001.
Traul DK, Clair DG, Gray B, O’Hara PJ, Ouriel K: Percutaneous endovascular repair of infrarenal abdominal aortic aneurysms: a feasibility study, J Vasc Surg 32(4):770–776, October 2000.
Howell M, Doughtery K, Strickman N, Krajcer Z: Percutaneous repair of abdominal aortic aneurysms using the AneuRx stent graft and the percutaneous vascular surgery device, Catheter Cardiovasc Interv 55(3):281–287, March 2002.
Rachel ES, Bergamini TM, Kinney EV, Jung MT, Kaebnick HW, Mitchell RA: Percutaneous endovascular abdominal aortic aneurysm repair, Ann Vasc Surg 16(1):43–49, January 2002.
Peterson BG, Matsumura JS, Morasch MD, West MA, Eskandari MK: Percutaneous endovascular repair of blunt thoracic aortic transection, J Trauma 59(5):1062–1065, November 2005.
Starnes BW, Andersen CA, Ronsivalle JA, Stockmaster NR, Mullenix PS, Statler JD: Totally percutaneous aortic aneurysm repair: experience and prudence, J Vasc Surg 43(2):270–276, February 2006.
Torsello GB, Kasprzak B, Klenk E, Tessarek J, Osada N, Torsello GF: Endovascular suture versus cutdown for endovascular aneurysm repair: a prospective randomized pilot study, J Vasc Surg 38(1):78–82, July 2003.
Howell M, Villareal R, Krajcer Z: Percutaneous access and closure of femoral artery access sites associated with endoluminal repair of abdominal aortic aneurysms, J Endovasc Ther 8(1):68–74, February 2001.
Quinn SF, Duke DJ, Baldwin SS et al.: Percutaneous placement of a low-profile stent-graft device for aortic dissections, J Vasc Interv Radiol 13(8):791–798, August 2002.
Mackrell PJ, Kalbaugh CA, Langan EM III et al.: Can the Perclose suture-mediated closure system be used safely in patients undergoing diagnostic and therapeutic angiography to treat chronic lower extremity ischemia? J Vasc Surg 38(6):1305–1308, December 2003.
Eggebrecht H, Naber C, Woertgen U et al.: Percutaneous suture-mediated closure of femoral access sites deployed through the procedure sheath: initial clinical experience with a novel vascular closure device, Catheter Cardiovasc Interv 58(3):313–321, March 2003.
Martin JL, Pratsos A, Magargee E et al.: A randomized trial comparing compression, Perclose Proglide and Angio-Seal VIP for arterial closure following percutaneous coronary intervention: the CAP trial, Catheter Cardiovasc Interv 71(1):1–5, January 1, 2008.
Lee WA, Brown MP, Nelson PR, Huber TS: Total percutaneous access for endovascular aortic aneurysm repair (“Preclose” technique), J Vasc Surg 45(6):1095–1101, June 2007.
Lee WA, Brown MP, Nelson PR, Huber TS, Seeger JM: Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the preclose technique, J Vasc Surg 47(5):919–923, May 2008.
Dosluoglu HH, Cherr GS, Harris LM, Dryjski ML: Total percutaneous endovascular repair of abdominal aortic aneurysms using Perclose ProGlide closure devices, J Endovasc Ther 14(2):184–188, April 2007.
Imam A, Carter RM, Phillips-Hughes J, Boardman P, Uberoi R: StarClose vascular closure device: prospective study on 222 deployments in an interventional radiology practice, Cardiovasc Intervent Radiol 30(4):738–742, July 2007.
Tay EL, Co M, Tai BC et al.: Clinical experience of StarClose vascular closure device in patients with first and recurrent femoral punctures, J Interv Cardiol 21(1):67–73, February 2008.
Hermiller JB, Simonton C, Hinohara T et al.: The StarClose vascular closure system: interventional results from the CLIP study, Catheter Cardiovasc Interv 68(5):677–683, November 2006.
Ratnam LA, Raja J, Munneke GJ, Morgan RA, Belli AM: Prospective nonrandomized trial of manual compression and Angio-Seal and Starclose arterial closure devices in common femoral punctures, Cardiovasc Intervent Radiol 30(2):182–188, March 2007.
Fantoni C, Medda M, Mollichelli N et al.: Clip-based arterial haemostasis after antegrade common femoral artery puncture. Int J Cardiol April 5, 2008.
Stock U, Flach P, Gross M, Meyhofer J, Albes J, Butter C: Intravascular misplacement of an extravascular closure system: StarClose, J Interv Cardiol 19(2):170–172, April 2006.
Applegate RJ, Sacrinty MT, Kutcher MA et al.: Vascular complications in women after catheterization and percutaneous coronary intervention 1998–2005, J Invasive Cardiol 19(9):369–374, September 2007.
Sherev DA, Shaw RE, Brent BN: Angiographic predictors of femoral access site complications: implication for planned percutaneous coronary intervention, Catheter Cardiovasc Interv 65(2):196–202, June 2005.
Wagner SC, Gonsalves CF, Eschelman DJ, Sullivan KL, Bonn J: Complications of a percutaneous suture-mediated closure device versus manual compression for arteriotomy closure: a case-controlled study, J Vasc Interv Radiol 14(6):735–741, June 2003.
Smith TP, Cruz CP, Moursi MM, Eidt JF: Infectious complications resulting from use of hemostatic puncture closure devices, Am J Surg 182(6):658–662, December 2001.
Boston US, Panneton JM, Hofer JM et al.: Infectious and ischemic complications from percutaneous closure devices used after vascular access, Ann Vasc Surg 17(1):66–71, January 2003.
Brown DB, Crawford ST, Norton PL, Hovsepian DM: Angiographic follow-up after suture-mediated femoral artery closure, J Vasc Interv Radiol 13(7):677–680, July 2002.
Applegate RJ, Sacrinty MT, Kutcher MA et al.: Propensity score analysis of vascular complications after diagnostic cardiac catheterization and percutaneous coronary intervention 1998–2003, Catheter Cardiovasc Interv 67(4):556–562, April 2006.
Grollman JH Jr, Marcus R: Transbrachial arteriography: techniques and complications, Cardiovasc Intervent Radiol 11(1):32–35, 1988.
Watkinson AF, Hartnell GG: Complications of direct brachial artery puncture for arteriography: a comparison of techniques, Clin Radiol 44(3):189–191, September 1991.
Heenan SD, Grubnic S, Buckenham TM, Belli AM: Transbrachial arteriography: indications and complications, Clin Radiol 51(3):205–209, March 1996.
Gritter KJ, Laidlaw WW, Peterson NT: Complications of outpatient transbrachial intraarterial digital subtraction angiography. Work in progress, Radiology 162(1 Pt 1):125–127, January 1987.
Uchino A: Selective catheterization of the brachiocephalic arteries via the right brachial artery, Neuroradiology 30(6):524–527, 1988.
Chatziioannou A, Ladopoulos C, Mourikis D, Katsenis K, Spanomihos G, Vlachos L: Complications of lower-extremity outpatient arteriography via low brachial artery, Cardiovasc Intervent Radiol 27(1):31–34, January 2004.
Bilecen D, Bongartz G, Ostheim-Dzerowycz W: Off-label use of Angio-Seal vascular closure device for brachial artery puncture closure-deployment modification and initial results after transbrachial PTA, Eur J Vasc Endovasc Surg 31(4):431–433, April 2006.
Cohen M, Rentrop KP, Cohen BM: Safety and efficacy of percutaneous entry of the brachial artery versus cutdown and arteriotomy for left-sided cardiac catheterization, Am J Cardiol 57(8):682–684, March 1, 1986.
Rath J, Ganschow US, Kelm M et al.: [Duplex ultrasound risk stratification of percutaneous puncture of the brachial artery for diagnostic and interventional coronary angiography], Z Kardiol 87(4):249–257, April 1998.
Ernst S, Fischbach R, Brochhagen HG, Heindel W, Landwehr P: Transbrachial thrombolysis, PTA and stenting in the lower extremities, Cardiovasc Intervent Radiol 26(6):516–521, November 2003.
Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T: van der WR: A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study, J Am Coll Cardiol 29(6):1269–1275, May 1997.
Kresowik TF, Khoury MD, Miller BV et al.: A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty, J Vasc Surg 13(2):328–333, February 1991.
Kang SS, Labropoulos N, Mansour MA et al.: Expanded indications for ultrasound-guided thrombin injection of pseudoaneurysms, J Vasc Surg 31(2):289–298, February 2000.
Goldberg SL, Renslo R, Sinow R, French WJ: Learning curve in the use of the radial artery as vascular access in the performance of percutaneous transluminal coronary angioplasty, Cathet Cardiovasc Diagn 44(2):147–152, June 1998.
Aburahma AF, Robinson PA, Boland JP et al.: Complications of arteriography in a recent series of 707 cases: factors affecting outcome, Ann Vasc Surg 7(2):122–129, March 1993.
Molnar W, Paul DJ: Complications of axillary arteriotomies. An analysis of 1,762 consecutive studies, Radiology 104(2):269–276, August 1972.
Westcott JL, Taylor PT: Transaxillary selective four-vessel arteriography, Radiology 104(2):277–281, August 1972.
Smith DC, Mitchell DA, Peterson GW, Will AD, Mera SS, Smith LL: Medial brachial fascial compartment syndrome: anatomic basis of neuropathy after transaxillary arteriography, Radiology 173(1):149–154, October 1989.
Tsao BE, Wilbourn AJ: The medial brachial fascial compartment syndrome following axillary arteriography, Neurology 61(8):1037–1041, October 28, 2003.
Kluge A, Rauber K, Breithecker A, Rau WS, Bachmann G: Puncture of the popliteal artery using a Doppler-equipped (SMART) needle in transpopliteal interventions, Eur Radiol 13(8):1972–1978, August 2003.
Saha S, Gibson M, Magee TR, Galland RB, Torrie EP: Early results of retrograde transpopliteal angioplasty of iliofemoral lesions, Cardiovasc Intervent Radiol 24(6):378–382, November 2001.
Tonnesen KH, Sager P, Karle A, Henriksen L, Jorgensen B: Percutaneous transluminal angioplasty of the superficial femoral artery by retrograde catheterization via the popliteal artery, Cardiovasc Intervent Radiol 11(3):127–131, June 1988.
Henry M, Amicabile C, Amor M, Beron R, Henry I, Mentre B: [Peripheral arterial angioplasty: value of the popliteal approach. Apropos of 30 cases], Arch Mal Coeur Vaiss 86(4):463–469, April 1993.
McCullough KM: Retrograde transpopliteal salvage of the failed antegrade transfemoral angioplasty, Australas Radiol 37(4):329–331, November 1993.
MacIntyre PA, Samra G, Hatch DJ: Preliminary experience with the Doppler ultrasound guided vascular access needle in paediatric patients, Paediatr Anaesth 10(4):361–365, 2000.
Moore KL, Agur AMR: Essential clinical anatomy, ed. 3, Baltimore, 2007, Lippincott Williams & Williams, p. 354.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Hogg, M.E., Vavra, A.K., Kibbe, M.R. (2010). Management of the Percutaneous Puncture Site. In: Fogarty, T., White, R. (eds) Peripheral Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1387-6_31
Download citation
DOI: https://doi.org/10.1007/978-1-4419-1387-6_31
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-1386-9
Online ISBN: 978-1-4419-1387-6
eBook Packages: MedicineMedicine (R0)