Surgical Technique

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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