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Manos Brilakis
29.2 Femoral access bleeding
How to prevent and treat femoral access bleeding. Causes: 1. High puncture 2. Back wall puncture 3. Supratherapeutic anticoagulation 4. GP IIb/IIIa inhibitors - cangrelor 5. Hypertension 6. Inadvertent perforation of renal or lumbar arteries (usually with polymer-jacketed wires) Prevention: 1. Meticulous access technique (fluoroscopy, US ...
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