Transfemoral Retrograde/Antegrade Access
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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