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1

Bach, Roland, and Hermann Josef Schieffer, eds. Katheterdiagnostik via Arteria femoralis. Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-47591-7.

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2

Kronenberger, Nicole. Langzeitergebnisse 5 Jahre nach Revaskularisation der Arteria femoralis profunda bei arterieller Verschlusskrankheit. [s.n.], 1998.

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3

Loose, Frank. Physiologische und pathophysiologische Veränderungen der "echoarmen Innenschicht" der Arteria carotis communis, der Arteria brachialis, der Arteria femoralis communis, der Arteria femoralis superficialis und der Arteria poplitea. 1995.

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4

Bach, Roland, and Hermann J. Schieffer. Katheterdiagnostik Via Arteria Femoralis: Technik, Hindernisse, Komplikationen. Springer London, Limited, 2013.

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5

Bach, Roland, and Hermann J. Schieffer. Katheterdiagnostik Via Arteria Femoralis: Technik, Hindernisse, Komplikationen. Springer Berlin / Heidelberg, 1990.

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6

Dettling, Christel. Angiographische und klinische Kurz- und Langzeitergebnisse der perkutanen transluminalen Angioplastie der Arteria iliaca und der Arteria femoralis superficialis. 1990.

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7

Pfahl, Norbert. Vergleichende Untersuchung zwischen Druckverband und Kollagenapplikation zum Verschluss der Arteria femoralis nach Herzkathetereingriffen. 1996.

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8

Bitzenhofer, Kurt. Ultrastrukturelle und morphometrische Veränderungen der Arteria femoralis normotoner und spontan hypertensiver (SH-)-Ratten nach fraktionierter Röntgenbestrahlung. 1990.

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9

Küttner, Robert. Vergleichdende in vivo Bildgebung von Flächenstenosen der Arteria femoralis superficalls mit hochaflösender Magnetresonanztomographie (MRT) und intravaskulärem Ultraschall (VUS). 2006.

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10

Krep, Hanns Henning. Anwendung der Duplexsonographie und der Videokapillarmikroskopie zur nichtinvasiven Messung der Blutströmungsgeschwindigkeit in der Arteria carotis communis und Arteria femoralis sowie in Nagelfalzkapillaren bei normotensiven und hypertensiven Personen. 1993.

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11

Seyfang, Bita. Verschluss der Punktionsstelle an der Arteria femoralis nach Koronardilatation mit Kollagen: Ist das Ausmessen der Haut-Gefäss-Distanz erforderlich? 1993.

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12

Breisgau, Universität Freiburg im, ed. Elektronenmikroskopisch-morphometrische Analyse der Gefässwand der Arteria femoralis spontan hypertensiver Ratten (SHR) nach Behandlung mit dem Ca-Antagonisten Nitrendipin. 1995.

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13

Peschen, Michael. Anwendung der gepulsten Doppler-Ultraschall-Sonographie zur quantitativen Durchblutungsmessung der Arteria Femoralis des Menschen unter besonderer Berücksichtigung der postoperativen Veränderungen bei Knochenbruchpatienten. 1992.

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14

Siegerstetter, Volker. Der Einfluss der Flussrestriktion auf die Thrombogenität und Neointimaproliferation der Ballon-expandierbaren Gefässendoprothese vom Palmaz-Typ (Stent): Eine tierexperimentelle Studie an der Arteria femoralis des Hundes. 1991.

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15

Sewall, Luke E. Retrograde Femoral Access for Difficult Superficial Femoral Artery Occlusions. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0019.

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Obtaining retrograde femoral access is a novel approach to treat difficult chronic total occlusions of the femoral arteries. The technique involves direct ultrasound-guided puncture of the mid to proximal superficial femoral artery. Using this access, a guidewire is advanced in a retrograde manner into the patent femoral or iliac artery above. This wire is then snared and brought out the contralateral sheath to allow safe access into the occluded vessel. The recanalization procedure can then be completed in a standard fashion. This technique is extremely useful in flush occlusions of the super
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16

Sprynger, Muriel, Iana Simova, and Scipione Carerj. Vascular echo imaging. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198726012.003.0068.

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Arterial diseases are heavily intertwined with atherosclerosis and coronary artery disease and the presence of both symptomatic and asymptomatic peripheral artery diseases is known to affect the rate of cardiovascular events and deaths. Screening for abdominal aortic aneurysm (AAA) in selected populations is also a major issue for the cardiologist. Additionally, intima-media thickness and ankle-brachial index (ABI) measurements, screening for carotid or femoral plaques, and new techniques looking at the rigidity and elasticity of arteries may further help with risk stratification, especially i
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17

Merlini, Marco P., Michael Dusmet, and J.A.M. van Dongen. Surgery of the Deep Femoral Artery. Springer London, Limited, 2012.

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18

Merlini, Marco P., Michael Dusmet, and J.A.M. van Dongen. Surgery of the Deep Femoral Artery. Springer, 2011.

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19

Parikh, Roshni A., and David M. Williams. Obtaining True Lumen Access in Aortic Dissections with Iliac Extension. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0012.

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Aortic dissection resulting in lower extremity ischemia is an emergent condition requiring urgent endovascular treatment of the aorta and iliofemoral arteries to restore blood flow to the lower extremities. This chapter describes the management, applications, challenges, and potential complications when obtaining bilateral true lumen access during the urgent endovascular treatment of lower extremity ischemia after an aortic dissection. Most interventions require retrograde access to the true lumen; however, if one of the common femoral arteries is dissected, then retrograde access can be a cha
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20

Jabbour, Pascal, and Eric Peterson, eds. Radial Access for Neurointervention. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197524176.001.0001.

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Although femoral artery catheterization has been the mainstay of arterial access for cerebral angiography, there has been a recent increase in the use of transradial access among neurointerventionalists. Despite its widespread use among interventional cardiologists, there is a paucity of evidence for its use in the neurosurgical literature. With the constant evolution of device technology and the need of multimodal treatments for complex neurovascular pathologies, most neurointerventionalists resort to femoral artery access because of the vessel’s larger diameter and having been trained with t
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21

Madassery, Sreekumar. Obtaining Hemostasis at Puncture Sites. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0046.

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This chapter pertains to femoral artery access. Attaining an “ideal” access is essential for maximizing the chances of maintaining effective hemostasis. Deciding whether to perform arterial access closure using the gold standard of manual compression versus a vascular closure device (VCD) requires the operator to evaluate many characteristics of the patient. The location of the arteriotomy, vessel size, degree of calcification, use of anticoagulants, and sheath size during the procedure are the primary factors that need to be considered. The ISAR-CLOSURE study reported that use of VCDs was not
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22

Covic, Adrian, Mugurel Apetrii, Luminita Voroneanu, and David J. Goldsmith. Vascular calcification. Edited by David J. Goldsmith. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0120_update_001.

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Vascular calcification (VC) is a common feature of patients with advanced CKD and it could be, at least in part, the cause of increased cardiovascular mortality in these patients. From a morphologic point of view, there are at least two types of pathologic calcium phosphate deposition in the arterial wall—namely, intima calcification (mostly associated with atherosclerotic plaques) and media calcification (associated with stiffening of the vasculature, resulting in significantly adverse cardiovascular outcomes). Although VC was viewed initially as a passive phenomenon, it appears to be a cell-
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23

Femoral artery atrophy following prolonged reduced hindlimb activity. 1989.

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24

Femoral artery atrophy following prolonged reduced hindlimb activity. 1991.

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25

Femoral artery atrophy following prolonged reduced hindlimb activity. 1991.

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26

Kahn, S. Lowell. Technical Pearls for Managing the Scarred Groin. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0025.

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The femoral artery is considered one of the most common access sites for endovascular interventions. Its accessibility, size, and ease of compression over the femoral head post intervention make it favorable for vascular access during endovascular interventions. Combined with the frequency with which the femoral artery is utilized in a variety of bypass and aortoiliac surgical interventions, scarred groins are frequently encountered. Further complicating femoral access are the rising rates of obesity that have doubled during the past 35 years, with more than two-thirds (68.6%) of American adul
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27

Ramrakha, Punit, and Jonathan Hill, eds. Cardiac catheterization and intervention. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199643219.003.0006.

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Radiation protection in the catheterization laboratory 310Vascular access: the femoral artery 312Vascular access: the radial artery 314Vascular access site management 316Coronary angiography 318Interpreting the coronary angiogram 320Angiographic study of grafts 322Complications of angiography 324Right-heart catheterization 326Cardiac output and left ventricular function ...
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28

Waters, Janet. A Woman with Leg Weakness after Delivery. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0024.

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This chapter on femoral neuropathy in pregnancy describes how to recognize the clinical syndrome of femoral neuropathy in the postpartum patient. Hallmarks of femoral neuropathy include legs buckling due to weakness in hip flexors and knee extensors, numbness and paresthesias in the anteromedial thigh, and reduced or absent patellar reflex. The chapter discusses how one can distinguish the disorder from other postpartum mononeuropathies, as well as from other, more ominous causes of postpartum leg weakness, such as epidural hematoma, retroperitoneal hematoma, anterior spinal artery syndrome, i
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29

Kahn, S. Lowell. Techniques for Traversing Difficult Aortic Bifurcations and Aortobifemoral Grafts. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0023.

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Contralateral extremity interventions are a mainstay of endovascular therapy for the lower extremity. The retrograde common femoral arterial access for contralateral infrainguinal interventions remains one of the most common access sites. Traversing the aortic bifurcation for an up-and-over approach is readily accomplished with little difficulty, but sharp angulation, severe calcification, iliac occlusive disease, kissing common iliac stents, and surgical or endovascular bifurcations can make this challenging or impossible. This chapter describes multiple techniques to transverse the difficult
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30

Kahn, S. Lowell. Flip Techniques: Obtaining Antegrade and Retrograde Femoral Access Through a Single Access Site. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0024.

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Retrograde access of the common femoral artery for ipsilateral iliac and up-and-over contralateral iliac-to-tibial interventions has been the standard of care for lower extremity procedures. However, ipsilateral antegrade access has gained popularity for infrainguinal occlusive disease. Proximity of the access site to the point of occlusion confers a higher technical success rate. Interestingly, there are times where conversion of a single femoral access from retrograde to antegrade or antegrade to retrograde may be desired. Three techniques are reviewed in this chapter: the first technique in
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31

Carberry, George, and Michael Brunner. Optimal Technique for Catheterizing the Pulmonary Arteries Without Dedicated Pulmonary Catheters. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0040.

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With the emergence of high-resolution computed tomography angiography, the number of transcatheter pulmonary arteriograms being performed has steeply declined. For this reason, many interventional departments no longer stock dedicated pulmonary artery catheters such as the pre-shaped 7 Fr Grollman catheter for a femoral vein approach. Interventionalists are therefore required to improvise with catheters that are available on hand. Transcatheter pulmonary arteriography may be indicated when dedicated pulmonary artery catheters are not available for use. In this chapter, a step-by-step approach
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32

Sanders, Kyle, Craig Miller, Ricardo Yamada, and Marcelo Guimaraes. Transradial Access Technique. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0058.

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Transradial access (TRA) competency can be rapidly achieved by the experienced interventionist. Statistically significant reductions in bleeding and other access site complications have been shown in randomized and meta-analysis studies when comparing TRA to both brachial and femoral artery access. Despite accumulating data, vascular interventional radiologists have been hesitant to adopt TRA for a variety of reasons. However, TRA offers distal dual blood supply, easily achievable hemostasis, and no adjacent critical structures. Other advantages of TRA are safer endovascular approach concomita
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33

Dake, Michael D. Transcaval Aortic Catheterization for Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Device Delivery. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0014.

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During the past decade, development of catheter-based techniques for treatment of thoracic aortic and aortic valve pathologies has required that interventionalists focus on the anatomic suitability of vascular access to allow safe introduction of large size devices. Both thoracic endovascular aortic repair (TEVAR) and transcatheter aortic valve implantation (TAVI) procedures require 20 French and larger sheaths and most of major complications during these procedures have been access related. This chapter reviews transcaval aortic access techniques for delivering large devices during TEVAR and
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34

Kahn, S. Lowell. Balloon-Assisted Thrombin Injection for Pseudoaneurysms with Wide or Short Neck Morphology. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0021.

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Pseudoaneurysms after cardiac catheterizations are not uncommon. Although most commonly they occur superficial to the common femoral artery, they are reported to occur at any location intentionally or unintentionally accessed. Ultrasound-assisted thrombin injection is a mainstay of therapy in appropriate patients. Although variations exist regarding the optimal location and amount of thrombin injection, the superior outcomes, low complication rate, and low cost associated with this method render great appeal to its utilization. This chapter describes an adjunctive technique (as well as a simpl
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35

Gandhi, Ripal T., Jonathan J. Iglesias, Constantino S. Peña, and James F. Benenati. The Endoconduit for Small Iliac Access. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0013.

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Endoconduits are increasingly being utilized in patients with small iliac access who require introduction of large devices for endovascular aneurysm repair, thoracic endovascular aneurysm repair, and transcatheter aortic valve replacement. Many techniques exist to circumvent the challenges imposed by suboptimal iliac anatomy, the most common of which is placement of an open surgical conduit through a retroperitoneal exposure of the common iliac artery or distal aorta. Endoconduit placement avoids more aggressive surgical approaches and involves the placement of a covered stent across the disea
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