If the femoral artery cannot be accessed what are other options to obtain access for an arteriogram?
Multiple options for access may exist in any given patient. The appropriate access site depends on the patient’s symptoms, intended procedure, prior surgical history, known sites of arterial occlusion, and clinical setting. A brachial artery approach may be used if a femoral approach is impossible. Other access options include direct puncture of bypass grafts, direct translumbar aortic puncture, radial artery access, and retrograde popliteal or dorsalis pedis access.