Femoral Vascular Access Using Radiographic Landmarks

Femoral arterial and venous access have been a mainstay of diagnostic and interventional cardiology for decades. While the majority of cases are now done with radial arterial access in many laboratories, femoral access continues to be performed in many cases and offers unique advantages in selected patients, for example in patients with bilateral intact internal mammary artery (IMA) coronary bypass grafts or in patients with poor upper extremity vascular access such as in many hemodialysis patients with renal failure. Femoral cases can be performed safely, but meticulous attention should be paid to all aspects of femoral artery and venous access sites.

You will learn:

  • To correctly identify anatomic landmarks including bony landmarks such as the femoral head in relation to vascular structures
  • To enumerate factors that increase the risk of femoral access
  • To discuss the typical equipment used for vascular access including needles, wires, and catheters/sheaths
  • To recognize complexities of femoral and iliac anatomy and to understand potential remedies

Author(s): Michael Ragosta III, MD

Estimated time to complete: 45 minutes

Credit hours: .75

Method and Medium: Learners participate in the interactive learning modules by correctly answering multiple choice questions dispersed throughout. Learners will be prompted to try again if a question is answered incorrectly.