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© 2002 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 21:1413-1416 • 0278-4297

Technical Advance

Sonographically Guided Antegrade Common Femoral Artery Access

Kee-Min Yeow, MD, Cheng-Hong Toh, MD, Cheng-Hesion Wu, MD, Rui-Ying Lee, MD, Hung-Chang Hsieh, MD, Chi-Ting Liau, MD and Hao-Jui Li, MD

Departments of Diagnostic Radiology (K.-M.Y., C.-H.T., C.-H.W., R.-Y.L.), Vascular Surgery (H.-C.H., H.-J.L.), and Hematology and Oncology (C.-T.L.), Chang Gung Memorial Hospital, Chang Gung University, Tao Yuan, Taiwan, Republic of China. Revised June 24, 2002. Revised manuscript accepted for publication July 29, 2002.

Address correspondence and reprint requests to Kee-Min Yeow, MD, Chang Gung Medical Community Village, 404, 11th Floor, Kwei Shan, Tao Yuan 333, Taiwan, Republic of China.

Objective. To evaluate the feasibility of sonographically guided antegrade common femoral artery puncture and superficial femoral artery access. Methods. Fifty antegrade common femoral artery punctures and superficial femoral artery access procedures were performed under sonographic guidance alone in 30 consecutive patients (24 male and 6 female; mean age, 55.1 ± 25.7 years; range, 13–85 years). The indications were (1) insertion of a vascular sheath for balloon angioplasty in 42 attempts (24 patients with lower leg ischemia) and (2) insertion of an angiographic catheter for 1-shot intra-arterial chemoinfusion therapy in 8 attempts (6 patients with distal femoral osteosarcomas). Results. Technical success was achieved in 28 of 30 patients or 48 (96%) of 50 procedures (95% confidence interval, 80.39–98.32). The average procedure time ± SD (excluding the failures) was 3 ± 1 minutes (range, 2–6 minutes). In the 2 failures (2 [4%] of 50) in which common femoral artery punctures were accomplished, further superficial femoral artery cannulations were completed under fluoroscopic road map angiographic guidance. A small groin hematoma was noted in 1 patient. No arteriovenous fistula or pseudoaneurysm was encountered. Conclusions. Sonographically guided antegrade common femoral artery puncture and selective cannulation of the superficial femoral artery are feasible and safe. They may be used as adjunctive modalities in difficult cases of common femoral artery access.

Key Words: antegrade needle puncture • common femoral artery • femoral artery access • selective cannulation of the superficial femoral artery • sonography

Abbreviations: CFA, common femoral artery • SFA, superficial femoral artery

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Copyright © 2002 by the American Institute of Ultrasound in Medicine.