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Femoral Artery Access

#FemoralArteryAccess #VascularProcedure #Angiography #Catheterisation #Fluoroscopy #GuideWire #ArterialSheath #MedicalProcedure #DrGregoryWeir This video transcript describes the step-by-step process of gaining *femoral artery access* in a medical theatre. Upon the patient's arrival, their identity is confirmed, and the planned procedure is verified while the surgical team scrubs. The radiographer prepares the imaging equipment, and the *femoral area is cleaned before a sterile drape is placed**. The **femoral artery is palpated by hand**, and its position is confirmed using **fluoroscopy**. A needle is inserted into the artery at a **45-degree angle**, with correct placement indicated by **pulsatile blood flow**. A **guide wire* is then advanced under continuous fluoroscopic guidance. A small *2 to 3 mm skin incision* is made adjacent to the needle to facilitate the introduction of the *sheath**. The needle is removed, and the sheath is placed over the wire and into the femoral artery. The **sheath protects the artery* during the insertion and removal of various devices. The **guide wire acts as a rail**, ensuring devices navigate the intended route. This technique is fundamental for various vascular procedures, including angiography and catheterisation. Most endovascular procedures require femoral artery access, in other words, guidewires inserted via the femoral artery to get access to the arteries of the rest of the body