Question

Please compare why angioplasty goes through the femoral artery instead of the femoral vein like the ablation procedure. If you are struggling trace the path from the femoral vein to the descending branch of the left coronary artery.

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Answer 1

An angioplasty is done in an individual to relive atherosclerotic plaque or occlusion that has taken place in a blood vessel of our heart . The major angioplasty procedures are conducted in the coronary arteries like the left and the right coronary artery. In this procedures the catheter is to reach the site of plaque that is the coronary artey . So to reach the coronary artey the way is to insert the catheter into the arteries of our arm that is the radial artery and also through the artery of our limb that is the femoral artery . So by moving up through the femoral artery is the best way to reach the coronary artey. From the femoral artery the catheters will move up to the common iliac artery and then move to the abdominal aorta and then the catheters will move up to the thoracic aorta which then further move up to the aortic arch and through one of the aortic sinus it will move into the coronary artey and help to relive the block in the individual. So the best route is through the arteries and not vein as if inserted through vein then longer distance is to be travelled when compared .

While in case of ablation therapy the situation is diffrent as this procedure is mainly indicated to relieve atrial fibrillation in the individual . So in this procedure the best way to heart of the individual is through the femoral vein which helps the catheter to move to the right atrium and then to the site to be repaired .

In case of angioplasty the need is to reach the left side of the heart so the femoral artery is used while in case of ablation therapy the right side is more preferred . So the vein is used