Devices and Techniques for Vascular Access: Utility and Limitations of Current Methods
Intravascular surgical procedures may be performed by either percutaneous or open-incision surgical techniques. Percutaneous insertion of devices is used both in the radiology and cardiology suites and in the operating room. Outside of the operating room the percutaneous route is used in the majority of procedures, whereas in the operating room a higher percentage of the interventions are done through an open surgical incision to accommodate the introduction of larger devices or to combine an intravascular procedure with a conventional operation.1 Aside from balloon angioplasty catheters, many intravascular devices are difficult to use percutaneously because of size limitations. As interventional devices develop, percutaneous adaption occurs after miniaturization of the instruments.
KeywordsVascular Access Introducer Sheath Side Port Intimal Flap Intravascular Device
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