Basics of the Cath Lab: Resources for CVPs, Fellows, and the Cath Curious-Femoral Access Site Management

Video Transcription

Video Summary

In this video, Ashley D'Armiento, an RN at Mount Sinai Cath Lab, and Dr. Sahil Kira, Interventional Director of the Structural Heart Program at Mount Sinai Hospital, discuss femoral access management. They begin by explaining the anatomy of the femoral artery and the importance of accessing it in a safe and appropriate manner. They discuss the use of ultrasound and fluoroscopy to identify the best access points and stress the importance of considering the patient's individual factors, such as vessel health and previous vascular grafts, when deciding on a closure device. They also discuss the use of manual compression and various manual assist devices, such as the FemStop and the Safeguard, for hemostasis. The video concludes with a discussion on potential complications of femoral access, including persistent bleeding, hematoma, pseudoaneurysm, retroperitoneal bleed, AV fistula, acute limb ischemia, and infection. They emphasize the need for continued monitoring of patients post-procedure to detect any complications promptly. Overall, the video provides a comprehensive overview of femoral access management and the consideration of different closure strategies and devices.

Asset Subtitle

Ashley D'armiento, BSN, CVRN-BC, ACNP, MSN-c and Sahil Khera, MD, FSCAI

Keywords

femoral access management

anatomy of the femoral artery

ultrasound and fluoroscopy

closure device

manual compression

complications of femoral access