{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:11:28Z","timestamp":1791889888723,"version":"4.3.4"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Femoral arterial access is fundamental to interventional cardiology, especially for complex procedures that require large\u2010bore devices. However, vascular complications arising from suboptimal puncture techniques highlight the need for meticulous practice. This article presents a systematic, ultrasound\u2010guided approach for achieving an optimal common femoral artery (CFA) puncture, defined by five key criteria: access within the CFA, anterior wall\u2010only penetration, centralized lumen entry, puncture above the femoral head, and entry into a healthy arterial segment. We detail a six\u2010step protocol incorporating ultrasound guidance throughout: (1) identification of the CFA and femoral vein; (2) delineation of CFA boundaries; (3) localization of the femoral head; (4) determination of the optimal puncture site; (5) real\u2010time needle tracking and precise CFA puncture; and (6) confirmation of correct guidewire insertion. This protocol enhances both the safety and reproducibility of the procedure. Although there is a significant learning curve, proficiency with this method aims to enable rapid, consistent, and low\u2010complication vascular access. The article offers practical recommendations for implementation in the catheterization laboratory\u2014including equipment selection and team training\u2014and reviews current literature supporting the efficacy of ultrasound in minimizing access\u2010related complications.<\/jats:p>","DOI":"10.1002\/ccd.31646","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T05:23:04Z","timestamp":1748841784000},"page":"1023-1031","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Six\u2010Step Approach for Optimizing Ultrasound\u2010Guided Femoral Artery Access"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1267-0020","authenticated-orcid":false,"given":"Fernando Luiz de Melo","family":"Bernardi","sequence":"first","affiliation":[{"name":"Hospital Unimed Chapec\u00f3 Chapec\u00f3 Santa Catarina Brazil"},{"name":"Hospital Regional do Oeste Chapec\u00f3 Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme Luiz de Melo","family":"Bernardi","sequence":"additional","affiliation":[{"name":"Hospital Unimed Chapec\u00f3 Chapec\u00f3 Santa Catarina Brazil"},{"name":"Hospital Regional do Oeste Chapec\u00f3 Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falio Roberto","family":"Barbiero","sequence":"additional","affiliation":[{"name":"Hospital Unimed Chapec\u00f3 Chapec\u00f3 Santa Catarina Brazil"},{"name":"Hospital Regional do Oeste Chapec\u00f3 Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adalberto Gloeckner de","family":"Meira","sequence":"additional","affiliation":[{"name":"Hospital Unimed Chapec\u00f3 Chapec\u00f3 Santa Catarina Brazil"},{"name":"Hospital Regional do Oeste Chapec\u00f3 Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Felipe Monsanto Fernandes","family":"Alves","sequence":"additional","affiliation":[{"name":"Hospital da For\u00e7a A\u00e9rea do Gale\u00e3o Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2734-2284","authenticated-orcid":false,"given":"Dinaldo Cavalcanti de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco Recife Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1057-2953","authenticated-orcid":false,"given":"Estev\u00e3o Carvalho de Campos","family":"Martins","sequence":"additional","affiliation":[{"name":"Hospital da For\u00e7a A\u00e9rea do Gale\u00e3o Rio de Janeiro 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Guidance to Reduce Vascular and Bleeding Complications of Percutaneous Transfemoral Transcatheter Aortic Valve Replacement: A Propensity Score\u2013Matched Comparison","volume":"9","author":"Vincent F.","year":"2020","journal-title":"Journal of the American Heart Association [Internet]"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9030677"}],"container-title":["Catheterization and Cardiovascular 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