From January, 1973, to December, 1987, 63 arterial revascularization procedures were performed in 50 pa tients suffering from brachial artery injuries following cardiac catheteriza tion. There were 15 occlusive compli cations (30%) after the primary attempt to revascularize the damaged brachial artery. Thrombectomy asso ciated with a simple repair of the arte rial cutdown (Type IA) led to 8 compli cations of 9 procedures performed. Technical details of repair of the dam aged artery—debridement, venous patch graft, resection, end-to-end anastomosis, and venous bypass inter position—were found to be important and led to long-term patency.
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References
1.
Zimmerman HA , Scott RW, Becker NO: Catheterization of the left side of the heart in man. Circulation5: 357-359, 1950.
2.
Sones MF Jr, Shirey EK: Cine coronary arteriography. Mod Concepts Cadiovasc Dis31:735-736, 1962.
Seldinger SI : Catheter replacement of the needle in percutaneous arteriography: A new technique. Acta Radiol39:368-376, 1953.
5.
Davis K., Kennedy JW, Kemp HG, et al: Complications of coronary arteriography from the collaborative study of coronary artery surgery (CASS). Circulation59:1105-1112, 1979.
6.
Rich NM, Hobson RW, Fedde WC: Vascular trauma secondary to diagnostic and therapeutic procedures . Am J Surg128:715-721, 1974.
7.
Bolasny BL, Killen DA: Surgical management of arterial injuries secondary to angiography . Ann Surg174:962-964,1971.
8.
Yourkey JR, Clagett PG, Rich NM, wt al: Vascular trauma secondary to diagnostic and therapeutic procedures: 1974 through 1982. A comparative review. Am J Surg146:788-791, 1983.
9.
Armstrong PW , Parker JO: The complications of brachial artiotomy. J Thorac Cardiovasc Surg61:424-429, 1971.
10.
Mortensen JD : Clinical sequelae from arterial needle puncture, cannulation and incision. Circulation35:1118-1123, 1967.
11.
Pietri P., Pancrazio F., Adovasio R., et al: Aterial traumas from diagnostic maneuvres. In: A. Arterial Trauma, Serono Symposia Review, No. 9, ed by Stipa S, Vollmar JF, Cavallaro A, Rome, 1986, pp 201-208.
12.
Kennedy JW, and the RegistryCommitte of the Society of Cardiac Angiography: Complications associated with cardiac catheterization and angiography. Cathet Cardiovasc Diagn8:5-11. 1982.
Murray NH, Rothman MT: Planned day case Sones technique cardiac catheterization (abstract) . Br Heart J55:515, 1986
25.
Kahn KL: The efficiency of ambulatory cardiac catheterization in the hospital and free-standing setting. Am Heart J111:152-157, 1986.
26.
Oldroyd KG, Phadke KV, Phillips R., et al: Cardiac catheterization by Judkins technique as an outpatient procedure. Br Med J298:875-876, 1989.
27.
Kizmiller JW , Hertzer NR: Routine surgical management of brachial artery occlusion after cardiac catheterization. Arch Surg117:1066-1071, 1982.
28.
Bell JW: Treatment of post-cathetization injuries: Use of a survey plethysmography . Ann Surg155:591-598, 1962.
29.
Machleder HI , Sweeney JP, Barker WF: Pulseless arm after brachial artery catheterization . Lancet1:407-409, 1972.
30.
Menzolan JO, Corson JD, Bush HL, et al: Management of the upper extremity with absent pulses after cardiac catheterization. Am J Surg135:484-487, 1978.
31.
Karmody AM, Zaman SN, Mirza RA, et al: The surgical management of catheter injuries of the brachial artery. J Thorac Cardiovasc Surg73:149-154, 1977.
32.
Woodham JW, Brigham RA: Hospital-incurred vascular trauma: Management of brachial artery thrombosis following cardiac catheterization. Vasc Surg22:221-225, 1988.
Fogarty TJ, Cranley JJ, Krause RJ, et al: A method for extraction of arterial emboli and thrombi. Surg Gynecol Obstet241-244, 1963.
36.
Baker LD, Leshin SJ, Mathur VS, et al: Routine Fogarty thrombectomy in arterial catheterization. N Engl J Med279:1203-1205, 1968 .
37.
Lambert M., Ball C., Hancock B.: Management of acute brachial artery occlusion due to trauma or emboil . Br J Surg70:639-640, 1983.
38.
Thomas RC: Saphenous vein bypass for iatrogenic brachial artery occlusion. Ann Thorac Surg7:362-365, 1969.
39.
Brener BJ, Couch NP: Peripheral arterial complications of left heart catheterization and their management. Am J Surg125:521-526, 1973.
40.
Tuzzeo S., Saad A., Hastings OM, et al: Management of brachial artery injury. Surg Gynecol Obstet146:21-24, 1978.
41.
Karmody Am, Lempert N, Jarmolych J.: The pathology of post-catheterization brachial artery occlusion. J Surg Res20:601-606, 1976.
42.
Mansfield P.B.Gazzaniga AB, Litwin SB: Management of arterial injuries related to cardiac catheterization in children and young adults. Circulation42:501-507, 1970.
43.
Vlad P., Hohn A., Lambert EC: Retrograde catheterization of the left heart. Experience with 500 infants and children. Circulation29:787-793, 1964.
44.
Dorros G., Lewin RF: Percutaneous transluminal angioplasty of brachial artery occlusion after cardiac catheterization. Am J Cardiol59:1633, 1987.
45.
Stipa S.: The cephalic and basilic veins as peripheral vascular graft. Ann Surg175:581-587, 1972.
46.
Kakkar V.: The cephalic vein as a peripheral vascular graft. Surg Gynecol obstet128:551-556, 1969.
47.
Dale WA, Lewis MR: Management of ischemia of the hand and finers. Surgery67:62-70, 1970.
48.
Collins GM, Loodbrook J.: Behaviour of vascular beds in the lower human upper limb at low perfusion pressure. Circ Res21:319-325, 1967.
Esahaghy B. , Scanlon PJ, Amirpavix F., et al: Mycotic aneurysm of brachial artery. A complication of retrograde catheterization. JAMA228:1574-1575, 1974.
51.
Cabellon S. , Monsivais JJ, Gaines TG, et al: Brachial artery mycotic aneurysms: Complication of cardiac complication. Milit Med151:54-56, 1986.
