Abstract
Preparation is the key to the successful completion of any job. Before performing any procedure, the operator should be intimately familiar with the patient's complaint, the natural history of the disease process, and the risks and benefits of any potential interventions relative to the patient's problem. There are several considerations regarding diagnostic arteriography that implicate subsequent interventions. In general, the common femoral artery is the optimal access route for arteriography and intervention. Occasionally, ipsilateral femoral access facilitates iliac artery revascularization, and other times contralateral access is better. Bilateral femoral access is often required. Accessing a common femoral artery without a pulse is often necessary and can usually be achieved without much difficulty. If the external iliac artery is occluded ipsilateral to the accessed femoral artery, then specialized equipment is required to permit the exchange of the access needle and traversal of the occluded iliac artery.
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