RCIS Vascular Access and Closure Devices

Question 1

What is the standard landmark for femoral arterial access using the modified Seldinger technique?

Accepted Answer

Over the femoral head at the mid-inguinal point

Answer

The optimal femoral arterial puncture site is over the femoral head at the mid-inguinal point to allow effective manual compression and reduce hematoma risk.

Question 2

Which complication is most associated with a high femoral arterial puncture above the inguinal ligament?

Accepted Answer

Retroperitoneal hematoma

Answer

High femoral puncture above the inguinal ligament can lead to retroperitoneal hematoma because the vessel cannot be compressed against the femoral head.

Question 3

What is the primary advantage of transradial access over transfemoral access for cardiac catheterization?

Accepted Answer

Reduced vascular access site complications and earlier ambulation

Answer

Transradial access significantly reduces access site bleeding complications and allows patients to ambulate immediately after the procedure.

Question 4

The Allen test is performed before radial artery access primarily to assess:

Accepted Answer

Collateral ulnar circulation to the hand

Answer

The Allen test evaluates ulnar collateral blood flow to ensure adequate hand perfusion if radial artery occlusion occurs post-procedure.

Question 5

Which vascular closure device uses a collagen plug deployed into the arteriotomy site to achieve hemostasis?

Accepted Answer

AngioSeal

Answer

AngioSeal uses an intravascular anchor and collagen plug system to mechanically seal the arteriotomy at the femoral access site.

RCIS - Registered Cardiovascular Invasive Specialist Practice Test

RCIS - Registered Cardiovascular Invasive Specialist Practice Test

RCIS Vascular Access and Closure Devices