A simplified technique for converting antegrade femoral access to retrograde access for catheterization

Vascular. 2021 Feb;29(1):143-145. doi: 10.1177/1708538120939730. Epub 2020 Jul 6.

Abstract

Objectives: Femoral access conversion is sometimes required in clinical practice. Various techniques have been reported to convert a retrograde femoral access to antegrade access with a high success rate. However, despite paucity of data, converting an antegrade access to retrograde access is quite challenging with a potentially higher risk of technical failure or loss of access.

Methods: Here, we report a simple technique of antegrade to retrograde access conversion utilizing a pigtail catheter and an angled Glidewire.

Results: Successful conversion was achieved with no immediate complications with the proposed technique.

Conclusions: Techniques that describe antegrade to retrograde access conversion are seldomly reported in the medical literature. Our technique was successful in making the conversion utilizing only pigtail catheter and angled Glidewire.

Keywords: Femoral access; antegrade to retrograde access; coronary angiography.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cardiac Catheterization*
  • Catheterization, Peripheral*
  • Coronary Angiography*
  • Coronary Artery Disease / diagnostic imaging*
  • Femoral Artery* / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Punctures