An 81-year-old man was referred to the cardiology center for PCI after presenting with excruciating chest pain associated with breathing difficulty. PCI was done using femoral access. After the procedure, the pressure was used to maintain hemostasis. 30 minutes later, the patient became hypotensive with cold extremities. The patient is suspected to have internal bleeding. Ecchymosis was found at the site of the femoral artery. What is the location of blood collection?

Question

Quizplus · Accepted Answer

Eductional Objective: The femoral artery is the best site for obtaining vascular access to the lower extremity during cardiac catheterization, To avoid bleeding, the artery should be accessed below the inguinal ligament. Femoral artery bleeding would accumulate in the free space of the retroperitoneum causing severe hemodynamic instability.

An 81-Year-Old Man Was Referred to the Cardiology Center for PCI