open access

Vol 16, No 1 (2009)
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Published online: 2008-11-28
Submitted: 2013-01-14
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Access strategies for peripheral arterial intervention

Craig R. Narins
Cardiol J 2009;16(1):88-97.

open access

Vol 16, No 1 (2009)
How to do
Published online: 2008-11-28
Submitted: 2013-01-14

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.
Get Citation

Keywords

peripheral vascular diseases; angiography; stents

About this article
Title

Access strategies for peripheral arterial intervention

Journal

Cardiology Journal

Issue

Vol 16, No 1 (2009)

Pages

88-97

Published online

2008-11-28

Bibliographic record

Cardiol J 2009;16(1):88-97.

Keywords

peripheral vascular diseases
angiography
stents

Authors

Craig R. Narins

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