Vascular Closure Devices: Begin With the End in Mind

To achieve that, it has been widely recommended that pre-procedure fluoroscopy of the femoral head would help to reduce inaccurate sheath insertion and lower complication rates. In the cardiac catheterization laboratory, ultrasound is sometimes used for the "difficult patient," relegating it to a situation that disrupts the flow of the procedure and may be frustrating, since rare use on the most difficult patients makes for a long learning curve.