{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:17Z","timestamp":1777943897452,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Limited knowledge exists regarding access site complication rates between trans-axillary and trans-brachial approaches with sheath sizes \u22656Fr. We retrospectively reviewed our institution experience with access site complications for percutaneous trans-axillary and trans-brachial arterial interventions using sheath sizes ranging from 6Fr to 10Fr.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We examined 67 endovascular interventions performed over 18 months, restricted to sheath sizes of 6Fr to 10Fr. Procedures utilizing trans-brachial (41 cases) and trans-axillary (26 cases) approaches under sonographic guidance were included. Cases involving hemodialysis accesses and those requiring surgical cut-down were excluded. The primary outcome measure was the occurrence of major access site complications (SIR grade-II\/III) within 30 days, with data collected on hemostasis method, sheath size, and complications. Statistical analysis involved ANCOVA and Fisher\u2019s exact tests, with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Successful percutaneous arterial access was achieved in all cases using either approach (trans-axillary or trans-brachial). Closure devices were employed in all axillary punctures and in 71% of brachial punctures. Major access site complications occurred in 7 out of 41 cases (17%) in the trans-brachial group and in 4 out of 26 cases (15%) in the trans-axillary group. However, there was no statistically significant difference in complication rates between the two groups, regardless of access site or sheath size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Trans-axillary access serves as a safe and effective upper limb access method for percutaneous endovascular procedures requiring sheath size of 7Fr or larger when compared to trans-brachial approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241279142","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T18:55:51Z","timestamp":1725044151000},"page":"1089-1096","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Axillary compared to brachial access for endovascular procedures"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6924-5071","authenticated-orcid":false,"given":"Mustafa A","family":"Altaha","sequence":"first","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto, ON, Canada"},{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn","family":"Bailey","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto, ON, Canada"},{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Mafeld","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto, ON, Canada"},{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arash","family":"Jaberi","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto, ON, Canada"},{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kong Teng","family":"Tan","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto, ON, Canada"},{"name":"Department of Medical Imaging, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,30]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.138.2.7455105"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27416"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.173.1.2675180"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000089488.35632.08"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-003-0042-9"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.11.050"},{"key":"e_1_3_4_8_2","article-title":"Brachial and axillary arterial access - endovascular today","author":"Sos TA","year":"2010","unstructured":"Sos TA. 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