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Technical Pearls for Managing the Scarred Groin 

Technical Pearls for Managing the Scarred Groin
Chapter:
Technical Pearls for Managing the Scarred Groin
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0025
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date: 29 July 2021

The femoral artery is considered one of the most common access sites for endovascular interventions. Its accessibility, size, and ease of compression over the femoral head post intervention make it favorable for vascular access during endovascular interventions. Combined with the frequency with which the femoral artery is utilized in a variety of bypass and aortoiliac surgical interventions, scarred groins are frequently encountered. Further complicating femoral access are the rising rates of obesity that have doubled during the past 35 years, with more than two-thirds (68.6%) of American adults reported as overweight or obese as of 2012. Despite its frequency, a scarred groin presents a unique challenge to the interventionalist, particularly in obese patients. This chapter discusses considerations for managing the scarred groin.

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