|  The  conventional route for coronary and non coronary diagnostic procedure and intervention  is femoral approach. Femoral artery Is cannulated by Seldinger Technique and  hemostatic sheath  introduced. There are  several disadvantages of the approach. In Obese subjects puncturing the femoral  artery is difficult and can leads to complications like increased bleeding,  local hematoma  and blood transfusion. The incidence of AV malformations  and retroperitoneal hematoma are also high. Another important drawback of the  procedure is prolonged bed rest, prolonged hemostatic time and prolonged  hospitalization. This will increase the cost of the procedure.
 
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