1. Femoral approach: uni- or bilateral groin incision and exposure of femoral arteries.
2. Cross-clamping of the femoral arteries; to prevent a contralateral iatrogenic embolization, simultaneous cross-clamping of bilateral femoral arteries is indicated, lasting until the end of the procedure, in cases of:
a. Aortic embolization b. Uni- or bilateral embolic thrombus extending into the proximal common iliac artery.
3. Uni- or bilateral longitudinal or transverse arteri-otomy on the common femoral artery.
4. Uni- or bilateral introduction and retrograde progression of a size 3, 4 and eventually 5 or 6 Fogarty catheter.
5. Uni- or bilateral inflation of a balloon and retraction of the Fogarty catheter with removal of the embolic thrombus.
6. Uni- or bilateral flushing, controlling the quality of the run-in.
7. Uni- or bilateral arteriorraphy, flushing, washing with heparin solution, ending the suture, and removal of vascular clamps.
8. Control of haemostasis.
9. Place a drain in the femoral triangle(s).
10. Suture of surgical access.
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