A fully upper extremity bailout of direct transaxillary large bore arterial access: A refinement within arm's reach?

Contemporary direct (fully percutaneous) transaxillary (TAx) large-bore arterial access technique advocates for a 0.018 wire to be passed from femoral arterial access to axillary artery to serve percutaneous bailout options. However, in certain patients, avoiding femoral arterial access entirely may be desired. We describe the merits of a fully upper extremity (FUE) bailout approach, as a refinement to previously described direct TAx technique.

Automated summary

The text discusses the contemporary direct transaxillary large-bore arterial access technique and introduces a fully upper extremity bailout approach as an improvement to the previous technique. For certain patients, completely avoiding femoral arterial access may be a preferred option.