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Turk Kardiyoloji Dernegi Arsivi : Turk... Apr 2021Transcatheter aortic valve implantation (TAVI) has been increasingly used in patients with severe aortic stenosis. The femoral artery is the most commonly used entry...
Transcatheter aortic valve implantation (TAVI) has been increasingly used in patients with severe aortic stenosis. The femoral artery is the most commonly used entry site for TAVI; however, other entry sites were also reported as transapical, transaortic, transaxillary/subclavian, and transcarotid in patients with occlusive peripheral arterial disease. In this report, a case of TAVI procedure through the brachial artery is presented.
Topics: Aged; Aortic Valve Stenosis; Arterial Occlusive Diseases; Brachial Artery; Humans; Iliac Artery; Tomography, X-Ray Computed; Transcatheter Aortic Valve Replacement
PubMed: 33847273
DOI: 10.5543/tkda.2021.51892 -
BMJ Case Reports Apr 2023Brachial artery aneurysms in children are rare. Surgical treatment is generally recommended.We present the case of a female toddler with a pulsatile swelling on the...
Brachial artery aneurysms in children are rare. Surgical treatment is generally recommended.We present the case of a female toddler with a pulsatile swelling on the medial aspect of the right upper arm without history of recent trauma. Medical history revealed a traumatic birth with labour arrest. Postnatally diffuse trunk and arm haematomas as well as a temporary right arm discolouration were detected. Preoperative ultrasound revealed a true brachial artery aneurysm. A full-body MRI ruled out any accompanying lesions. Primary resection and end-to-end anastomosis were performed. Recovery was uneventful. 6-month and 12-month follow-up showed normal motor function and arterial patency; ultrasound also demonstrated harmonious growth of the anastomosed vessel segments.No other publication has associated birth trauma with brachial artery aneurysm yet. Correct diagnosis and prompt curative surgery are key to prevent severe complications. Further reports and data on long-term outcome are needed to optimise clinical management.
Topics: Humans; Female; Brachial Artery; Aneurysm; Anastomosis, Surgical; Treatment Outcome
PubMed: 37080635
DOI: 10.1136/bcr-2022-253814 -
JACC. Cardiovascular Interventions Mar 2014
Topics: Angina Pectoris; Angiography; Brachial Artery; Cardiac Catheterization; Diagnosis, Differential; Humans; Male; Middle Aged; Vascular Malformations
PubMed: 24650405
DOI: 10.1016/j.jcin.2013.06.021 -
General Thoracic and Cardiovascular... Nov 2012Brachial artery aneurysm (BAA) following long-standing arteriovenous fistula ligation after renal transplantation is uncommon. Herein, we describe the case of a... (Review)
Review
Brachial artery aneurysm (BAA) following long-standing arteriovenous fistula ligation after renal transplantation is uncommon. Herein, we describe the case of a 64-year-old man who developed a giant symptomatic BAA 21 years after ligation of the fistula. He was submitted to surgical excision of the aneurysm followed by interposition prosthetic graft.
Topics: Aneurysm; Arteriovenous Shunt, Surgical; Brachial Artery; Humans; Kidney Transplantation; Ligation; Male; Middle Aged; Renal Dialysis
PubMed: 22627962
DOI: 10.1007/s11748-012-0075-6 -
Clinical Physiology and Functional... Sep 2009Cardiovascular (CV) risk relates to the blood flow velocity pattern in the brachial artery during hyperemia, especially to the hyperaemic systolic to diastolic mean...
OBJECTIVE
Cardiovascular (CV) risk relates to the blood flow velocity pattern in the brachial artery during hyperemia, especially to the hyperaemic systolic to diastolic mean blood flow velocity (SDFV) ratio. Here, we investigated the relations between SDFV in the brachial artery and different characteristics of carotid atherosclerosis.
MATERIAL AND METHODS
Data were collected from 1016 70-year-olds participating in the Prospective Investigation of Uppsala Seniors study. Doppler recordings of blood flow velocity during hyperemia were analysed in the brachial artery. In the carotid artery, intima-media thickness (IMT) was recorded together with an assessment of echogenicity by the Grey scale median (GSM) method in both overt plaques and in the intima-media complex (IM-GSM).
RESULTS
The SDFV ratio was related to the number of carotid arteries affected by plaque (P = 0.018) and inversely to plaque echogenicity (P = 0.0003). The SDFV ratio was also related to IMT (P = 0.0022) and inversely to IM-GSM (P = 0.0001). These relations were statistically significant also after adjusting for major CV risk factors, individually as well as summarised as the Framingham risk score.
CONCLUSION
Our results indicate that the hyperemic systolic to diastolic blood flow velocity ratio in the brachial artery is related to atherosclerosis in the carotid artery.
Topics: Aged; Blood Flow Velocity; Brachial Artery; Carotid Artery Diseases; Female; Humans; Hyperemia; Male; Statistics as Topic; Ultrasonography
PubMed: 19508277
DOI: 10.1111/j.1475-097X.2009.00879.x -
Physiological Reports Feb 2020In the present study, we hypothesized that habitual cigarette smoking attenuates endothelial function in the cerebral circulation as well as that of the peripheral...
In the present study, we hypothesized that habitual cigarette smoking attenuates endothelial function in the cerebral circulation as well as that of the peripheral circulation in young adults. To test this hypothesis, we measured cerebrovascular and peripheral flow-mediated dilation (FMD) in young smokers and nonsmokers in the present study. Ten healthy nonsmokers and 10 smokers participated in the study. We measured blood velocity and diameter in the brachial artery and internal carotid artery (ICA) using Doppler ultrasound. We identified shear-mediated dilation in the brachial artery and ICA by the percentage change in peak diameter during hyperemia stimulation (reactive hyperemia and hypercapnia). We measured the baseline diameter and the shear rate area under the curve from the onset of hyperemia to peak dilation in the brachial artery and ICA, finding the measurements of the smokers and those of the nonsmokers did not differ (p > .05). In contrast to brachial FMD (5.07 ± 1.79% vs. 7.92 ± 3.01%; smokers vs. nonsmokers, p = .019), FMD in the ICA was not attenuated in the smokers compared with that of the nonsmokers (5.46 ± 2.32% vs. 4.57 ± 2.70%; p = .442). These findings indicate that in young healthy smokers, cerebral endothelial function was preserved, and the response of cerebral endothelial function to smoking was different from that of peripheral vasculature.
Topics: Blood Flow Velocity; Brachial Artery; Carotid Artery, Internal; Female; Humans; Male; Tobacco Smoking; Vasodilation; Young Adult
PubMed: 32061192
DOI: 10.14814/phy2.14369 -
Orthopedics Nov 1993
Topics: Basketball; Brachial Artery; Humans; Rupture
PubMed: 8290391
DOI: 10.3928/0147-7447-19931101-05 -
Scientific Reports Mar 2020The functional quality of the inflow artery is one of the most important determinants of arteriovenous fistula (AVF) success. We evaluated the association of early...
The functional quality of the inflow artery is one of the most important determinants of arteriovenous fistula (AVF) success. We evaluated the association of early optimal brachial arterial dilatation with a successful AVF maturation and assessed the role of peribrachial adipose tissue in determining brachial arterial distensibility. All patients underwent a preoperative vascular mapping with Doppler ultrasound (US), and only patients who had suitable vessels for AVF creation were enrolled (n = 162). Peribrachial fat thickness was measured using US. To evaluate the degree of brachial dilatation, follow-up US was performed at 1 month after surgery, and early brachial artery dilation was defined as the change in postoperative arterial diameter compared to the preoperative value. The primary outcome was failure to achieve a clinically functional AVF within 8 weeks. Nonfunctional AVF occurred in 21 (13.0%) patients, and they had a significantly lower brachial dilatation than patients with successful AVF during early period after surgery (0.85 vs. 0.43 mm, p = 0.003). Patients with a brachial dilatation greater than median level showed a 1.8-times higher rate of achieving a successful AVF than those without. Interestingly, the early brachial dilatation showed significant correlations with diabetes (r = -0.260, p = 0.001), peribrachial fat thickness (r = -0.301, p = 0.008), and the presence of brachial artery calcification (r = -0.178, p = 0.036). Even after adjustments for demographic factors, comorbidities, and baseline brachial flow volume, peribrachial fat thickness was an independent determinant for early brachial dilatation (β = -0.286, p = 0.013). A close interplay between the peri-brachial fat and brachial dilatation can be translated into novel clinical tools to predict successful AVF maturation.
Topics: Adipose Tissue; Aged; Arteriovenous Shunt, Surgical; Brachial Artery; Female; Humans; Male; Middle Aged; Renal Dialysis; Treatment Outcome; Vasodilation
PubMed: 32123226
DOI: 10.1038/s41598-020-60734-8 -
Saudi Medical Journal Sep 2013To observe the topographic localization of the brachial artery termination.
OBJECTIVE
To observe the topographic localization of the brachial artery termination.
METHODS
This study was conducted at the Department of Anatomy, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia from December 2011 to February 2013. The bifurcation level of the brachial artery was determined in relation to the neck of the radius. Normal and abnormal terminations of the brachial artery were recorded.
RESULTS
In 13 cases (21.7%), the bifurcation of brachial artery was normal. In 33 cases (6%), the bifurcation level was a few centimeters below the neck of the radius. In 7 cases (11.7%), the bifurcation level was above the radial neck in the area of cubital fossa. In 6 cases (10%), the termination of the brachial artery was found to be above the middle of the front of the arm. In one of the previous cases, the radial artery arose from the brachial artery on the medial side of the ulnar artery. In one case (1.7%), the radial and the ulnar arteries originated directly from the axillary artery, the brachial artery was absent.
CONCLUSION
Morphological variations of the brachial artery are common findings and should be considered by surgeons when performing procedures in the brachial artery area.
Topics: Brachial Artery; Humans
PubMed: 24043001
DOI: No ID Found -
Joint Diseases and Related Surgery 2022Management of pediatric pulseless supracondylar humerus fractures is a point of continuous debate. In this article, we present three cases admitted to the emergency...
Management of pediatric pulseless supracondylar humerus fractures is a point of continuous debate. In this article, we present three cases admitted to the emergency department with pulseless, but well-perfused hands. The fractures were reduced and fixed using the antecubital approach. Prior to reduction, the brachial arteries of all three patients were entrapped in the cancellous bone of the proximal fragment segment. The arteries could only be released after freeing the adventitia by carefully scraping the adjacent bone with the tip of a hemostat. One case required thrombectomy through an arteriotomy using No. 3 Fogarty catheter. In two cases, the pulse returned after a brief period of waiting with no need for vascular intervention. Proceeding with closed reduction, as proposed by the recent guidelines, would result in further damage to the entrapped vasculature, which may go unnoticed due to collateral circulation.
Topics: Child; Humans; Brachial Artery; Cancellous Bone; Pulse; Humeral Fractures; Humerus
PubMed: 36345198
DOI: 10.52312/jdrs.2022.591