The conventional route for coronary and non coronary diagnostic procedure and intervention is femoral approach. Femoral artery Is cannulated by Seldinger Technique and hemostatic sheath introduced. There are several disadvantages of the approach. In Obese subjects puncturing the femoral artery is difficult and can leads to complications like increased bleeding, local hematoma and blood transfusion. The incidence of AV malformations and retroperitoneal hematoma are also high. Another important drawback of the procedure is prolonged bed rest, prolonged hemostatic time and prolonged hospitalization. This will increase the cost of the procedure.
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