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Femoral artery puncture site

01

Overview

The **femoral artery puncture site** is a specific location on the common femoral artery typically used for vascular access during endovascular procedures such as angiography or catheterization. The ideal site is over the mid-portion of the femoral head, above the bifurcation of the common femoral artery (where it divides into the superficial and deep femoral arteries) and below the inguinal ligament, typically within the femoral triangle[1][2][3][4][5][6]. Proper puncture site selection is critical to minimize complications; access too high risks retroperitoneal bleeding, while access too low increases the risk of pseudoaneurysm or arteriovenous fistula[1][4][7]. Techniques for identifying the site include anatomic landmarks, fluoroscopic guidance, and real-time ultrasound imaging[1][2][3][4][5][7]. The puncture site itself is a procedural consideration, not a molecular or pharmacological entity.

Other names
Femoral access sitecommon femoral artery puncture sitefemoral vascular access site
02

Safety considerations

Vascular complications (e.g., pseudoaneurysm, arteriovenous fistula, hematoma, retroperitoneal hemorrhage)[1][2][4][7]Increased risk with improper site selection (e.g., puncture above the inguinal ligament or too distal below the femoral bifurcation)[1][2][4]Challenges with anatomic variation, obesity, weak pulses, and unfamiliarity with imaging techniques[2][5]

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