Related Experiment Video
Updated: Sep 12, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Avoiding Vascular Misadventure: Pre-emptive Contralateral Endovascular Access in Revision Total Hip Arthroplasty: A
David Isaacs1, Connor Byrne2, Yun Ke Du3
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Case:
A 73-year-old woman with a custom triflange acetabular component (CTAC) underwent re-revision total hip arthroplasty (THA) with prophylactic contralateral vascular access. Severe acetabular bone loss led to medialization of the CTAC, putting the distal external iliac artery at risk during surgery. Endovascular access allowed for immediate control of hemorrhage if encountered. Patient was symptom-free at 1 year.
Conclusion:
This case demonstrates the feasibility and safety associated with obtaining pre-emptive vascular access for high-risk revision THAs. This methodology allows for potentially decreasing patients' morbidity and mortality, without incurring significant additional risks.
Related Concept Videos
Peripheral Artery Disease V: Postoperative Nursing Management
Aneurysm III: Interprofessional Care