Anatomical landmarks that can be used for localization in common femoral artery puncture

INTRODUCTION: The rate of endovascular interventions for diagnosis and treatment is increasing in many medical fields, such as neurosurgery and cardiology. This situation increases the probability of vascular complications.This study was designed to identify bony anatomical structures in a more standardized manner and minimize the rate of complications related to CFA puncture procedures.
METHODS: In the angiograms of the 85 patients, the superior and medial borders were determined as the borders of the acetabulum, whereas the lateral and inferior borders were determined as the borders of the femoral head. The images were divided into six equal parts, including three in the cranial-caudal plane and two in the medial-lateral plane.
RESULTS: No significant difference was observed in the intervention side based on catheters or the inside or outside of the femoral head based on age (p > 0.05). Moreover, no significant difference was observed between patients with both hypertension and diabetes mellitus and those without (p > 0.05). Regarding sex-related differences, more interventions in the region numbered 4 were observed among male patients (p < 0.05).
DISCUSSION AND CONCLUSION: Moreover, no significant difference was observed between patients with hypertension, diabetes mellitus, and other diseases and those without these diseases in terms of their localization of catheter placement or whether their catheter placement was inside or outside the femoral head. It was thought that the reason for the intervention being made in regions other than those reported in the literature could be the unsuitable position of the patient (patient lying asymmetrically) or anatomical variations.