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SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training

Position Statement Training Vascular Access Closure

This statement was endorsed by the American College of Cardiology (ACC), Heart Failure Society of America (HFSA), Society for Interventional Radiology (SIR), and Vascular & Endovascular Surgery Society (VESS) in March 2022.

This statement, authored by a multidisciplinary writing group, provides recommendations for patient selection, insertion techniques, closure techniques, management of complications, training and privileging. It also identifies gaps for future research, including the ideal approach to removal, securing devices for longer term use outside the cath lab, and comparative efficacy of surgical and percutaneous axillary access.

All authors: Arnold H. Seto, MD, MPA, FSCAI (Chair); Jerry D. Estep, MD; Rajiv Tayal, MD, MPH, FSCAI; Shirling Tsai, MD; John C. Messenger, MD, FSCAI; M Chadi Alraies, MD, MPH; Darren B. Schneider, MD; Andrew J. Klein, MD, FSCAI; Yazan Duwayri, MD; James M. McCabe, MD, FSCAI; Suzanne J. Baron, MD MSc, FSCAI; Venu Vadlamudi, MD, FSCAI; Timothy D. Smith, MD, FSCAI; and David A. Baran, MD, FSCAI (Vice-Chair).

Other Guidance Documents

Evidence-based recommendations that promote optimal patient care based on current state-of-the-art science in interventional cardiology.