Percutaneous Arterial Access

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Evolution of Percutaneous Arterial Access

Management of PVD was once limited exclusively to open procedures that included large incisions, coring plaques out of arteries (endarterectomy), and bypasses of blocked areas. Around 1960, Sven Seldinger introduced his technique to access vessels with a hollow needle and wire, and from this, multiple minimally invasive innovations blossomed.

These techniques have created a window of opportunity for earlier identification of disease severity and potential interventions such as stents, grafts, and balloon dilations (angioplasty) of plaques. These are termed percutaneous procedures. These minimally invasive percutaneous procedures are often outpatient and offer less morbidity than larger, more invasive procedures.

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