Percutaneous Femoral Access
Percutaneous Femoral Access - Related Videos
08:20
Percutaneous Cricothyrotomy
0 Views •
2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA A surgical airway procedure is indicated when other forms of endotracheal intubation have failed and ventilation is worsening or not possible. This is the feared "can't intubate, can't ventilate" scenario, and in the emergency setting, cricothyrotomy is the surgical procedure of choice. Cricothyrotomy is preferred over tracheotomy because of the lower risk of complications, the predictable anatomy...
10:45
Central Venous Catheter Insertion: Femoral Vein
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2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations, including vascular access, vasopressor and caustic medication delivery, central venous pressure monitoring, volume resuscitation, total parental nutrition, hemodialysis, and frequent phlebotomy. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the...
09:02
Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Cited by 12 •
2016
In this manuscript, we describe percutaneous isolated hepatic perfusion with simultaneous chemofiltration as treatment for unresectable liver metastases. This procedure is performed under general anaesthesia in the angiosuite by an experienced team, consisting of an interventional radiologist, a clinical perfusionist and anaesthesiologist.
07:39
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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Cited by 1 •
2021
The following article describes the stepwise procedure for placement of a device (e.g., Tandemheart) in cardiogenic shock (CS) that is a percutaneous left ventricular assist device (pLVAD) and a left atrial to femoral artery bypass (LAFAB) system that bypasses and supports the left ventricle (LV) in CS.
05:04
Implantation of Human-Sized Coronary Stents into Rat Abdominal Aorta Using a Trans-Femoral Access
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Cited by 4 •
2020
This protocol describes the implantation of human coronary stents into the abdominal aorta of rats with an apoE-/- background using a trans-femoral access. Compared with other animal models, murine models carry the advantages of high throughput, reproducibility, ease of handling and housing, and a broad availability of molecular markers.
FAQs
The target vessel should match the intended diagnostic or therapeutic pathway. Arterial and venous entry provide different routes for catheter-based procedures, so clinicians must align vessel selection with the procedure’s purpose. Evaluating femoral anatomy and the planned catheter course supports appropriate access-site selection and helps practitioners choose an access strategy with better procedural control.
Each component extends the initial needle access in a controlled sequence. The guidewire establishes a track through the punctured vessel, the dilator prepares that track for device placement, and the vascular sheath creates a stable pathway for catheter introduction. This staged approach improves control compared with advancing a catheter directly through the initial needle puncture.
Anatomical landmarks provide a surface-based method for estimating the vessel location, while ultrasound supplies image guidance during identification of the target artery or vein. Both approaches help clinicians select the intended vessel before puncture. Using vessel localization deliberately is important because accurate access-site selection supports catheter control and may help reduce complications.
The femoral vessels provide an entry route, but the catheter must then be directed through the vascular system toward the area relevant to the procedure. Understanding anatomy helps clinicians anticipate that route and maintain control while manipulating the catheter. These considerations influence procedural precision, the choice of access strategy, and the ability to deliver diagnostic or therapeutic interventions.
Clinicians first identify the intended femoral artery or vein using anatomical landmarks or ultrasound. They puncture the vessel with a needle, advance a guidewire, and then place a dilator followed by a vascular sheath using the Seldinger technique. Once the sheath is positioned, it provides the catheter pathway needed for the planned diagnostic or therapeutic procedure.
This route supports several catheter-based applications, including angiography, cardiac catheterization, endovascular repair, and treatment delivery to vessels or organs. Its value is that one access approach can support both diagnostic evaluation and therapeutic intervention. The specific application determines the target vessel, catheter pathway, and degree of manipulation required during the procedure.
Selection depends on the target vessel, relevant anatomy, intended catheter pathway, and whether the procedure is diagnostic or therapeutic. Femoral access may therefore be considered when these factors fit the planned intervention. Reviewing them before puncture helps practitioners anticipate catheter manipulation, improve procedural control, and work toward reducing access-related complications in medicine.