GW26-e5415 Adoption of Routine Ultrasound Guidance for Femoral Arterial Access

Abstract Even with current generation mechanical circulatory support (MCS) devices, vascular complications are still considerable risks in MCS that influence patients’ recovery and survival. Hence, efforts are made to reduce vascular trauma and obtaining safe and adequate arterial access using state-of-the-art techniques is one of the most critical aspects for optimizing the outcomes and efficiency of percutaneous MCS. Femoral arterial access remains necessary for numerous large-bore access procedures and is most commonly used for MCS, whereas percutaneous axillary artery access is typically considered an alternative for the delivery of MCS, especially in patients with severe peripheral artery disease. This article will address the access, maintenance, closure and complication management of large-bore femoral access and concisely describe alternative access routes.

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Derivation of a procedural performance checklist for ultrasound-guided femoral arterial line placement using the modified Delphi method

The Journal of Vascular Access ◽

10.1177/1129729820904872 ◽

2020 ◽

Vol 21 (5) ◽

pp. 715-722

Author(s):

Jessica Baez ◽

Elizabeth Powell ◽

Megan Leo ◽

Uwe Stolz ◽

Lori Stolz

Keyword(s):

Delphi Method ◽

Competency Assessment ◽

Arterial Line ◽

Ultrasound Guided ◽

Arterial Access ◽

Modified Delphi Method ◽

Modified Delphi ◽

Item Checklist ◽

Standard Quality ◽

Femoral Arterial Access

Background: Many specialties utilize procedural performance checklists as an aid to teach residents and other learners. Procedural checklists ensure that the critical steps of the desired procedure are performed in a specified manner every time. Valid measures of competency are needed to evaluate learners and ensure a standard quality of care. The objective of this study was to employ the modified Delphi method to derive a procedural checklist for use during placement of ultrasound-guided femoral arterial access. Methods: A 27-item procedural checklist was provided to 14 experts from three acute care specialties. Using the modified Delphi method, the checklist was serially modified based on expert feedback. Results: Three rounds of the study were performed resulting in a final 23-item checklist. Each item on the checklist received at least 70% expert agreement on its inclusion in the final checklist. Conclusion: A procedural performance checklist was created for ultrasound-guided femoral arterial access using the modified Delphi method. This is an objective tool to assist procedural training and competency assessment in a variety of clinical and educational settings.

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Radial versus femoral arterial access for trauma endovascular interventions: A noninferiority study

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0000000000002740 ◽

2020 ◽

Vol 89 (3) ◽

pp. 458-463 ◽

Cited By ~ 1

Author(s):

Sakib M. Adnan ◽

Anna N. Romagnonli ◽

Noha N. Elansary ◽

James R. Martinson ◽

Marta J. Madurska ◽

...

Keyword(s):

Arterial Access ◽

Endovascular Interventions ◽

Femoral Arterial Access

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Stent-assisted coiling of large common femoral artery pseudoaneurysm following coronary artery catheterization: an uncommon and novel approach

Romanian Journal of Internal Medicine ◽

10.1515/rjim-2016-0049 ◽

2017 ◽

Vol 55 (1) ◽

pp. 57-59

Author(s):

Mohammad Parsa Mahjoob ◽

Isa Khaheshi ◽

Mohammadreza Naderian

Keyword(s):

Coronary Artery ◽

Femoral Artery ◽

Common Femoral Artery ◽

Access Site ◽

Artery Pseudoaneurysm ◽

Arterial Access ◽

Novel Approach ◽

Femoral Arterial Access ◽

Cardiovascular Interventions

Abstract The femoral artery pseudoaneurysm is a disturbing groin complication associated with the femoral arterial access site used for invasive cardiovascular interventions. We present a 39 year old man who developed a huge right common femoral artery pseudoaneurysm, following diagnostic coronary artery catheterization, which was successfully managed with stent-assisted coiling, an emerging and narrative option in invasive percutaneous approaches to femoral artery pseudoaneurysm.

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