IMR Press / RCM / Volume 23 / Issue 9 / DOI: 10.31083/j.rcm2309316
Open Access Review
Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory
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1 Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA
*Correspondence: (Yader Sandoval)
Academic Editor: Boyoung Joung
Rev. Cardiovasc. Med. 2022, 23(9), 316;
Submitted: 25 April 2022 | Revised: 13 July 2022 | Accepted: 15 July 2022 | Published: 14 September 2022
(This article belongs to the Special Issue Optimal vascular access techniques for patient safety and efficiency)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Safe and efficient arterial access is critical for optimal patient outcomes and procedural success in the cardiac catheterization laboratory. Because of the lower risk for vascular and bleeding complications, as well as patient comfort, transradial access has become the predominant approach for diagnostic coronary angiography and percutaneous coronary intervention. Transfemoral access, however, is still required for selected complex percutaneous coronary interventions, mechanical circulatory support, and structural heart procedures. The use of adjunctive technology and techniques such as ultrasound guidance and micropuncture can be combined with fluoroscopy and palpation to improve outcomes associated with vascular access. The importance of optimal access techniques has augmented due to increasing volume of structural heart and mechanical circulatory support procedures requiring large bore sheaths. In this document we review the contemporary techniques for femoral and radial access in the cardiac catheterization laboratory.

vascular access
catheterization laboratory
Fig. 1.
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