Alternative Sites for Continuous Arterial Monitoring

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Abstract
During a 13-mo. period, 148 patients who had percutaneous arterial cannulation for continuous intraoperative, postoperative and intensive care monitoring were studied. In all patients, alternative arteries were cannulated, which included the brachial (43%), axillary (19%), femoral (28%), dorsalis pedis (8%) and superficial temporal artery (1%). No patient sustained any functionally significant or serious complication requiring surgical intervention. Eighteen patients (12%) had minor, clinically insignificant complications. In the absence of an available radial artery, there are at least 5 other reliable arterial sites that may be cannulated and safely used when direct arterial monitoring is required.

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