AI Article Synopsis
- Endovascular therapy is increasingly used for various conditions, with common access methods including the femoral and radial arteries, but brachial artery access (pBAA) has been approached cautiously due to potential complications.
- A systematic review and meta-analysis of 31 studies found that complications associated with pBAA are relatively rare, with the highest incidence being post procedural hematoma at 4.76%.
- The findings suggest that pBAA is a safe option for endovascular procedures, providing clinicians with an alternative access point with a low risk of serious complications.
Article Abstract
Background: Endovascular therapy has become increasingly preferred in the diagnosis and treatment of various conditions. The choice of arterial access usually depends on the type of procedure being performed with most via the common femoral artery and increasingly via the radial artery. Percutaneous access via the brachial artery has however been approached with caution due to the perceived increased risk for development of complications. Percutaneous brachial artery access (pBAA) has insufficient evidence when compared to femoral and radial access, with no large-scale studies available. The objective of this study is to review the literature and report the clinical and radiological complications associated with pBAA.
Methods: EMBASE, EMCARE, CINAHL and Medline were searched for existing data on the complications associated with pBAA. Systematic review and meta-analysis were carried out on the data of 31 studies.
Results: The results of this systematic review and meta-analysis indicates that the probability of post procedural haematoma was 4.76%, haemorrhage 1.43%, perforation 1.11% pseudoaneurysm 1.06%, spasm 0.9%, thrombus 0.55%, neuropathy 0.53%, occlusion 0.51%, ischaemia 0.37% and infection 0.24 %. Non-target vessel puncture, stenosis and stroke had a 0% incidence among the assessed population.
Conclusion: This study provides evidence to support clinical decision making when it comes to the utility of pBAA in endovascular diagnosis or therapy. The results demonstrate that pBAA is relatively safe with a low incidence of serious complications and thereby provide the clinician with the option of an alternate access point when planning treatment.
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| http://dx.doi.org/10.1177/15385744241278048 | DOI Listing |
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