Affiliation:
1. Department of Cardiology Saiseikai Yokohama City Eastern Hospital Kanagawa Japan
Abstract
Key Clinical MessageUnder challenging common femoral artery access scenarios, the “wall PIERCE” technique, which utilizes a larger puncture needle to pierce the vessel wall along the guidewire, facilitates sheath insertion. This method proved successful in two cases without any complications, presenting a valuable addition to strategies for addressing challenging sheath insertion scenarios.