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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Complications related to femoral artery access for transcatheter procedures

Patrick A Stone1, John E Campbell

  • 1Division of Vascular & Endovascular Surgery, WVU, Charleston, WV, USA. pstone0627@yahoo.com

Vascular and Endovascular Surgery
|September 13, 2012
PubMed

Insights

Percutaneous femoral artery access is common in endovascular procedures. This review details complications, risk factors, and management strategies for femoral access, crucial for vascular surgeons.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Procedures

Background:

  • Percutaneous endovascular techniques offer a less morbid alternative to open vascular surgery.
  • Complications from cardiac and peripheral interventions frequently involve the arterial access site.
  • Retrograde femoral access is the most common arterial access method.

Purpose of the Study:

  • To provide an in-depth literature review of complications associated with percutaneous femoral artery puncture.
  • To analyze access-related complications based on method, direction, risk factors, and incidence.
  • To outline management strategies for specific femoral access complications.

Main Methods:

  • Comprehensive review of existing medical literature on percutaneous femoral artery access complications.
  • Analysis of data concerning access techniques (e.g., pulse, fluoroscopic guidance).
  • Evaluation of retrograde versus antegrade access complications, risk factors, and incidence.

Main Results:

  • Identifies specific complications encountered during percutaneous femoral artery puncture.
  • Details risk factors and incidence rates for various access-related complications.
  • Summarizes current literature on the management of these complications.

Conclusions:

  • Femoral artery access is integral to endovascular procedures, with associated complications requiring careful management.
  • Understanding access methods, risk factors, and complication patterns is essential for vascular surgeons.
  • This review consolidates knowledge to guide the management of percutaneous femoral access complications.

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