Percutaneous brachial approach for transluminal coronary angioplasty.
Transluminal coronary angioplasty from the arm is performed generally with cutdown and brachial arteriotomy. We describe a brachial percutaneous technique for coronary angioplasty, almost similar to the femoral one, with a special focus on the prevention of induced vasoconstriction. Our preliminary results are satisfactory and without complications: 13 procedures in 11 patients have been performed over a 30 month period, with the sheaths left in place for 4-6 h after the procedure. This method could be an easy alternative to the Sones technique for operators who are essentially familiar with the femoral percutaneous arterial approach.
Maouad
J
J
Division of Cardiology, American Hospital of Paris, France.
Hebert
J L
JL
Guermonprez
J L
JL
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D001916:Brachial Artery; D006801:Humans; D008297:Male; D008875:Middle Aged