0:01

So what are some alternative

0:02

arterial access sites?

0:04

We have the brachial artery, which is

0:07

known to have some complication propensity.

0:10

Also, there’s usually an increased

0:12

radiation dose compared to radial artery access.

0:15

When we’re thinking about the axillary artery,

0:17

I would say I don’t really know of anybody that

0:19

has used that because it can cause risks

0:22

associated with brachial plexus injury.

0:25

You may ask, well, what

0:26

about the popliteal artery?

0:27

When do we access that?

0:28

Or when do we access the tibial artery?

0:31

Okay, well, if you’re doing a SAFARI, a

0:32

subinterval recanalization, a

0:35

through-and-through technique, you know,

0:36

tibial artery access is imperative to get

0:38

that distal access, to pair that with your

0:40

proximal access to get through-and-through

0:42

for lower extremity revascularization.

0:44

When we’re talking about pedal

0:46

arteries, it’s the exact same thing.

0:48

If you have issues with the pedal

0:50

arteries, you may go to a tibial artery

0:51

for those SAFARI techniques in patients

0:54

that are heavily atherosclerotic.

0:55

Thank you very much.

0:57

Translumbar access is often something that, by

1:00

my understanding, is not a typical method

1:02

when we’re dealing with getting access

1:04

to the aorta. However, in the case of

1:08

an endoleak repair of a patient with

1:11

a large abdominal aortic aneurysm, translumbar

1:14

access is particularly key and is described

1:18

as being a very effective means of accessing

1:21

the aneurysm sac.

1:25

And performing what?

1:27

Embolization of any confounding or leaking areas.