Location of femoral artery access and correlation with XXXX .

@entity1 @entity455
OBJECTIVES: The aim of the study was to document the frequency of optimal femoral artery access location and its correlation with @entity455 in contemporary practice. BACKGROUND: Vascular access bleeding during coronary interventions is associated with adverse outcomes. A potential strategy for reducing access-site bleeding is to achieve optimal location for the femoral access. However, there is a paucity of data on how well this goal is achieved in clinical practice using anatomical landmarks. METHODS: We retrospectively evaluated femoral angiograms of 300 @entity1 undergoing percutaneous coronary intervention to identify the location of the access that had been performed using anatomical landmarks. @entity1 were divided into two groups based on the location of the arterial access: above the femoral bifurcation but below the inferior border of the inferior epigastric artery (optimal location) and those that were either above or below these landmarks (suboptimal location). Frequency of access site complications was recorded. RESULTS: The femoral artery access site was located outside the optimal location in 38 (13.0%) @entity1 . There was no significant difference regards to baseline characteristics. Overall, access-related complications occurred in 17 (5.7%) @entity1 . @entity455 were significantly more frequent in @entity1 who had a femoral artery access outside the optimal location (18% vs. 4%, P < 0.001). CONCLUSIONS: The femoral artery access site is not at the optimal location in a significant proportion of @entity1 , and this is associated with an increased risk of @entity455 . Improving the rates of optimal arterial access by routine use of fluoroscopy or ultrasound guidance has the potential of reducing @entity455 and improving outcomes.
