Vol 16, No 1 (2009)
How to do
Submitted: 2013-01-14
Published online: 2008-11-28
Access strategies for peripheral arterial intervention
Craig R. Narins
DOI: 10.5603/cj.21539
·
Cardiol J 2009;16(1):88-97.
Vol 16, No 1 (2009)
How to do
Submitted: 2013-01-14
Published online: 2008-11-28
Abstract
An operator’s ability to determine the optimal vascular access strategy for patients undergoing
peripheral endovascular intervention is critical to maximizing procedural safety and success.
Individualizing an approach to access requires careful planning, and is contingent upon a solid
general knowledge of normal and abnormal vascular anatomy, as well as the particulars of each
patient’s history, physical examination, and non-invasive test results. An awareness of the
technical nuances, relative safety, and indications for obtaining percutaneous arterial access at
all potential sites is essential. Available means for approaching lower extremity arterial disease
include the retrograde and antegrade common femoral approaches, the contralateral crossover
technique, upper extremity approaches from the radial, brachial, or axillary arteries, or occasionally
retrograde access via the popliteal, dorsalis pedis, or tibial arteries. These techniques, as
well as important considerations for approaching disease of the renal, subclavian, and carotid
arteries are reviewed.
Abstract
An operator’s ability to determine the optimal vascular access strategy for patients undergoing
peripheral endovascular intervention is critical to maximizing procedural safety and success.
Individualizing an approach to access requires careful planning, and is contingent upon a solid
general knowledge of normal and abnormal vascular anatomy, as well as the particulars of each
patient’s history, physical examination, and non-invasive test results. An awareness of the
technical nuances, relative safety, and indications for obtaining percutaneous arterial access at
all potential sites is essential. Available means for approaching lower extremity arterial disease
include the retrograde and antegrade common femoral approaches, the contralateral crossover
technique, upper extremity approaches from the radial, brachial, or axillary arteries, or occasionally
retrograde access via the popliteal, dorsalis pedis, or tibial arteries. These techniques, as
well as important considerations for approaching disease of the renal, subclavian, and carotid
arteries are reviewed.
Keywords
peripheral vascular diseases; angiography; stents
Title
Access strategies for peripheral arterial intervention
Journal
Cardiology Journal
Issue
Vol 16, No 1 (2009)
Pages
88-97
Published online
2008-11-28
Page views
727
Article views/downloads
2274
DOI
10.5603/cj.21539
Bibliographic record
Cardiol J 2009;16(1):88-97.
Keywords
peripheral vascular diseases
angiography
stents
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