ABSTRACT
Vascular access An important part of planning any interventional procedure is determining the access point that will permit the greatest likelihood of procedural success and least risk of complication. Generally, the ipsilateral retrograde femoral artery (FA) can be chosen for high iliac lesions if the FA is relatively free of disease and there is an adequate “landing zone” for the sheath. This ipsilateral approach is favored when intervention is planned near the aortic bifurcation as positioning a PTA balloon or a stent accurately using the crossover technique from the contralateral FA can be very difficult due to the angulation of the guidewire and/or sheath.
