Skip to main content

Transaxillary Access

  • Chapter
  • First Online:
  • 442 Accesses

Abstract

Transaxillary access is an infrequent alternative for procedures that require large device sizes when the femoral pathway is not possible. Few data are available in the recent literature. The majority of the current literature has been related to successful transcatheter aortic valve implantation procedures via the transaxillary approach. However, this access is limited by the adjacent brachial plexus and upper arm nerves. Due to the limited external compression, vascular closure devices are obligatory to achieve hemostasis, since even a small axillary hematoma can induce brachial plexus injury.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Tsetis DK. Arterial access. In: Morgan RA, Walser E, editors. Handbook of angioplasty and stenting procedures (Internet). London: Springer; 2010.p. S. 27–39. (21 August 2015). Verfügbar unter: http://link.springer.com/chapter/10.1007/978-1-84800-399-6_4.

    Google Scholar 

  2. Schofer N, Deuschl F, Conradi L, Lubos E, Schirmer J, Reichenspurner H, et al. Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation. J Thorac Dis. 2015;7:1543–7.

    PubMed  PubMed Central  Google Scholar 

  3. Bell JK, Chalmers N. Sites of arterial access and the role of closure devices in percutaneous arterial intervention. In: Cowling M, editor. Vascular interventional radiology (Internet). Berlin/Heidelberg: Springer; 2011 (zitiert 26. August 2015). Verfügbar unter: http://linkspringer.helios-zentralbibliothek.de/chapter/10.1007/174_2011_514.

  4. Schäfer U, Ho Y, Frerker C, Schewel D, Sanchez-Quintana D, Schofer J, et al. Direct percutaneous access technique for transaxillary transcatheter aortic valve implantation: the Hamburg Sankt Georg approach. JACC Cardiovasc Interv. 2012;5:477–86.

    Article  PubMed  Google Scholar 

  5. Inglese L, Lupattelli T, Carbone GL, Palmisano D, Musto C, Mollichelli N, et al. Axillary artery access for interventional procedures. J Endovasc Ther Off J Int Soc Endovasc Spec. 2004;11:414–8.

    Google Scholar 

  6. Modine T, Obadia JF, Choukroun E, Rioufoul G, Sudre A, Laborde JC, et al. Transcutaneous aortic valve implantation using the axillary/subclavian access: feasibility and early clinical outcomes. J Thorac Cardiovasc Surg. 2011;141:487–91, 491.e1.

    Article  PubMed  Google Scholar 

  7. Ohrlander T, Sonesson B, Ivancev K, Resch T, Dias N, Malina M. The chimney graft: a technique for preserving or rescuing aortic branch vessels in stent-graft sealing zones. J Endovasc Ther Off J Int Soc Endovasc Spec. 2008;15:427–32.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lars Kamper .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kamper, L., Haage, P. (2018). Transaxillary Access. In: Lanzer, P. (eds) Textbook of Catheter-Based Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-55994-0_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-55994-0_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55993-3

  • Online ISBN: 978-3-319-55994-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics