Retrograde femoral artery puncture
Most endovascular procedures are performed under local anaesthesia but sedation may be required in longer, more complex procedures or in the agitated or nervous patient. It is important to infiltrate the entire area around the puncture site with local anaesthesia to minimize vessel spasm and for patient comfort. The most common site that is used in diagnostic and therapeutic angiography is the common femoral artery but the operator should be cognizant of other ports of access including the axillary, brachial, and radial approach.
Local sedation palpation of artery confirm position
Micropuncture starter kit use
Confirmation of femoral access sheath exchange