Abstract
To evaluate ultrasound (US)-guided femoral artery access using the US-determined inguinal ligament (IL; US-IL) and femoral head as anatomic landmarks to prevent "high stick" (ie, cannulation above the IL) of the common femoral artery (CFA). Fifty consecutive US-guided femoral artery accesses for embolization of hepatocellular carcinoma (n = 49) or renal angiography (n = 1) between December 2008 and August 2009 were prospectively analyzed. Primary endpoints were evaluation of technical success and major/minor complications during the procedure and follow-up visits. Secondary endpoints were the relative locations of the US-IL, fluoroscopically determined IL (FL-IL), and origin site of the inferior epigastric artery (IEA) on completion angiography. Relationships were evaluated between CFA types and lengths on US, between CFA types on US, and between frequencies of low-lying US-IL on fluoroscopy. Spearman correlation, Student t test, and Fisher exact test were used for statistical analysis. Technical success of CFA access was achieved in all patients (100%), with no high stick of the CFA noted. No complications were noted. On fluoroscopy, US-IL was located significantly lower than FL-IL (P = .002). On fluoroscopy and completion ang...Continue Reading
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