Brachial Artery Access for Percutaneous Renal Artery Interventions |
| |
Authors: | Erkki T Kaukanen Hannu I Manninen Pekka J Matsi Heini K Söder |
| |
Institution: | (1) Department of Clinical Radiology, Kuopio University Hospital, SF-70211 Kuopio, Finland, FI |
| |
Abstract: | Purpose: To evaluate the suitability of transbrachial access for endovascular renal artery interventions.
Methods: During 37 consecutive endovascular renal artery interventions, the transbrachial approach was used on nine patients (mean
age 63 years; range 41–76 years) for 11 renal artery procedures on native kidneys and one percutaneous transluminal angioplasty
(PTA) on a transplanted kidney. The reason for using transbrachial access was a steep aorta-renal angle in five, and severe
aorta-iliac atherosclerosis in the remaining patients. In addition to the intervention catheter in the left brachial artery,
an additional nonselective catheter for controlling the procedure was inserted transfemorally (six patients) or via the contralateral
brachial artery.
Results: Eleven interventions (six PTAs, five stents) were successfully completed. The one failure resulted from impenetrable subclavian
artery stenosis. The only major complication was a brachial artery pseudoaneurysm requiring surgical treatment.
Conclusion: Transbrachial access is an effective and relatively safe technique for renal artery interventions when transfemoral access
is not possible.
Received: 0/00/00/Accepted: 0/00/00 |
| |
Keywords: | : Percutaneous transbrachial angiography— Renal angioplasty— Renovascular hypertension— Stents— Interventional procedures— Catheters and catheterization |
本文献已被 SpringerLink 等数据库收录! |