Antegrade access in a stented common femoral artery: Feasible but with a real bleeding risk

Giuseppe G L Biondi-Zoccai, Massimiliano Fusaro, Abdulkafi Tashani, Nadia Mollichelli, Massimo Medda, Marta Pasquato, Luigi Inglese

Research output: Contribution to journalArticle

Abstract

Antegrade femoral artery access is often used for diagnostic and interventional purposes in patients with critical limb ischemia, given its potential advantages in terms of visualization and back-up. However, it may be associated with an increased risk of local vascular complications, especially in the presence of common femoral artery atherosclerosis. We hereby report a case of antegrade femoral access in a previously stented common artery, which enabled successful recanalization of a totally occluded superficial femoral artery. Despite the procedural success, retroperitoneal bleeding occurred after sheath removal, which was nonetheless effectively managed with prolonged balloon inflations by means of contralateral femoral artery access. This clinical vignette, the first to date to report on antegrade access in a stented femoral artery, supports its feasibility despite the presence of a real bleeding risk.

Original languageEnglish
JournalInternational Journal of Cardiology
Volume114
Issue number2
DOIs
Publication statusPublished - Jan 8 2007

Keywords

  • Antegrade femoral access
  • Critical limb ischemia
  • Percutaneous transluminal angioplasty
  • Peripheral artery disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Biondi-Zoccai, G. G. L., Fusaro, M., Tashani, A., Mollichelli, N., Medda, M., Pasquato, M., & Inglese, L. (2007). Antegrade access in a stented common femoral artery: Feasible but with a real bleeding risk. International Journal of Cardiology, 114(2). https://doi.org/10.1016/j.ijcard.2006.07.030