Primary access problems in the region of the femoral artery due to arteriosclerotic changes
- Prophylaxis: thorough clinical examination, if necessary preoperative angiographic assessment, subtle intraoperative dissection of the inguinal vessels
- Management: vascular surgical reconstruction (thromboendarterectomy, patch plasty, bypass or similar)
Dissection or rupture along the course of the iliac artery or aorta caused by endovascular materials (wires, catheters, sheaths, endoprosthesis)
- Prophylaxis: manipulations only under fluoroscopic control
- Management: final check of arterial inflow and radiological control, leave guidewire in situ for further interventions, vascular surgical reconstruction after extraperitoneal or transperitoneal exposure
Peripheral embolism
- Prophylaxis: controlled manipulation, perioperative heparin administration
- Management: radiological or vascular surgical intervention
Handling errors during implantation of the endoprosthesis
- Prophylaxis: theoretical and practical exercises regarding the characteristics of the individual products (markings, release mechanism, etc.)
- Management: interventional correction, conversion