Table 1.
Equipment and supplies recommended for axillary artery access
| Key attributes | Example | |
|---|---|---|
| Ultrasound | Small profile probe Vascular linear array transducer Minimum 6-cm depth |
L25x 6-13 MHz Transducer for Edge (Sonosite) |
| Micropuncture kit | 21-gauge, echogenic needle 0.018ʺ guidewire |
Micropuncture Access Kit (Cook) |
| Sheath for secondary access (femoral) | 7F-8F 90-110 cm length preferred for dry closure Side port for angiography Braided construction Hydrophilic coating |
Flexor Shuttle Sheath (Cook) Pinnacle Destination Sheath (Terumo) |
| Vascular closure device | Suture-mediated closure Pre-close capability, maintain access |
Perclose Proglide (Abbott) |
| Dry closure balloon | Compliant balloon 6-12 mm diameter sized 1.0-1.1:1 to vessel 20-40 mm length Long shaft 120 cm 0.018ʺ or 0.035ʺ wire compatible 7F sheath compatible |
Multiple products suitable |
| Covered stents for bailout | Self-expanding covered stents preferred Oversize by 10-20% relative to vessel 120 cm catheter length 2.5, 5, 7.5 cm lengths |
Viabahn Endoprosthesis (W.L. Gore) 5 mm and 6 mm diameter (6F sheath, 0.018ʺ guidewire) 7 mm and 8 mm diameter (7F sheath, 0.018ʺ guidewire) 5 mm and 6 mm diameter (7F sheath, 0.035ʺ guidewire) 7 mm to 10 mm diameter (8F sheath, 0.035ʺ guidewire) |