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Transfemoral Retrograde/Antegrade Access

  • George V. Moukarbel
  • Frederic S. Resnic
Chapter

Abstract

Transfemoral access remains a versatile and commonly used access location for a variety of cardiac and vascular procedures. Using anatomical landmarks, ultrasound, and fluoroscopy, an adequate access location can be secured. The use of the micropuncture technique allows for a nearly guaranteed adequate access location, and a femoral angiogram performed through the sheath defines the anatomy of the vessel and the location of the access. This is important for the success of the procedure and to minimize the occurrence of complications, namely bleeding and development of pseudoaneurysms. Retrograde access is the most commonly used access. Some patients require antegrade access in order to facilitate femoral and tibial interventions and to avoid the need for crossover in diseased, tortuous, or previously stented iliac vessels.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Toledo Medical Center, Division of Cardiovascular MedicineToledoUSA
  2. 2.University of Toledo College of MedicineToledoUSA
  3. 3.Department of Cardiovascular MedicineThe Landsman Cardiovascular CenterBurlingtonUSA
  4. 4.Comparative Effectiveness Research Institute, Lahey Hospital and Medical CenterBurlingtonUSA
  5. 5.Tufts University School of MedicineBostonUSA

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