Best Practices for Percutaneous Axillary Arterial Access and Training

Authoring Organization

Publication Month/Year

April 19, 2022

Last Updated Month/Year

February 12, 2024

Supplemental Implementation Tools

Document Type


Country of Publication


Document Objectives

Axillary artery access has become increasingly widespread as an alternative to the femoral route for large-bore transcatheter aortic valve replacement (TAVR), endovascular aortic repair (EVAR), and mechanical circulatory support (MCS) procedures. Advantages of percutaneous access include avoidance of a surgical incision, general anesthesia, and conduit graft infection. This statement aims to review the anatomic considerations and risks for percutaneous axillary artery access, suggest best practices for access techniques, hemostasis/closure strategies, and complication management, and recommend options for training and privileging.

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Hospital, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant



Diseases/Conditions (MeSH)

D062645 - Percutaneous Coronary Intervention


Percutaneous Axillary Arterial Access

Supplemental Methodology Resources

Data Supplement