Arteriotomy

Arteriotomy is a surgical procedure that involves the incision of an artery. This procedure is often performed to gain access to the arterial system for interventions such as angioplasty, stent placement, or thrombectomy.

Procedure

The arteriotomy procedure begins with the administration of local anesthesia to numb the area. A small incision is then made in the skin over the artery. A needle is inserted into the artery, followed by a wire and a sheath. The sheath serves as a conduit for the insertion of various devices into the artery. Once the necessary interventions have been performed, the sheath is removed, and the arteriotomy site is closed using a variety of methods, including manual pressure, closure devices, or sutures.

Indications

Arteriotomy is indicated in a variety of conditions that require access to the arterial system. These include coronary artery disease, peripheral artery disease, and acute limb ischemia. It is also used in the treatment of aneurysms and arteriovenous malformations.

Risks and Complications

As with any surgical procedure, arteriotomy carries certain risks and potential complications. These include bleeding, infection, damage to the artery, and the formation of a hematoma. In rare cases, a pseudoaneurysm or arteriovenous fistula may develop.

Postoperative Care

After the procedure, the patient is monitored for signs of complications. The puncture site is checked for bleeding or hematoma formation. The patient's vital signs are monitored, and pain is managed with medication. The patient is also advised to limit physical activity to prevent bleeding.

See Also

• Angioplasty
• Stent
• Thrombectomy
• Coronary artery disease
• Peripheral artery disease
• Aneurysm
• Arteriovenous malformation