Transbrachial approach as the first alternative to transradial approach for coronary angiography

OBJECTIVE: Trans-radial approach for coronary angiography is the most appropriate route for intervention due to its low risk of complications and adverse events. However, trans-radial approach has its own limitations and whenever radial access is not feasible, trans-brachial approach should be considered due to its similar benefit with forearm artery access. The aim of this study was to evaluate the efficacy and safety of trans-brachial approach for coronary angiography. ----- METHODS: We retrospectively evaluated all cases of trans-brachial approach in our hospital at Cardiology department at Sisters of Charity Hospital from November 2012 to February 2020. 117 patients were included in this study. ----- RESULTS: There were 117 procedures, 5 patients were excluded from the study due to incomplete data, 112 patients were left in the study with 98.21% success rate. There was only one major complication and one minor. ----- CONCLUSION: Brachial approach is safe and efficient alternative to trans-radial approach if performed by skilled operators who are experienced in arm approaches and if standardized post-procedure protocol is being used after the procedure.