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Arterial and Venous Access 

Arterial and Venous Access
Arterial and Venous Access

Alexandra H. Fairchild

, and Robert A. Hieb

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date: 19 September 2020

Vascular access is a critical part of endovascular therapy. Vascular access complications continue to represent a significant amount of morbidity and mortality related to endovascular procedures. This chapter introduces the topic of arterial access—a critical step in many interventional procedures. The ideal arterial access has a simple, percutaneous approach and a low risk of complications, is of the appropriate caliber to accommodate the sheath size for the procedure, and allows easy control of the vessel. The pros and cons of the various access sites for specific procedures are reviewed. Anatomy and access techniques of both common (e.g., femoral, radial, and brachial arteries) and less common access vessels (e.g., tibiopedal vessels, bypass grafts) are discussed in detail. A review of options to achieve hemostasis following arterial access and potential access site complications is also included. Finally, a brief discussion of venous access for visceral interventions is included.

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