ABSTRACT

The indication for using this route is similar to the one of the axillary route, namely, extreme situations when peripheral circulation is poor and immediate access is necessary. In cannulating the femoral artery, we prefer to use a Seldinger technique (over a guide wire) to make sure that the insertion of the cannula is precise and is positioned in the iliac system. Again, because of threat to the lower extremity from spasm and/or embolization, we prefer to use this route only in extreme emergencies and for as short a period as possible.