CCI Registered Cardiovascular Invasive Specialist (RCIS) Practice Exam

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Which cardiac condition is associated with longer femoral artery hemostasis hold time?

Aortic stenosis

Mitral stenosis

Aortic insufficiency

Aortic insufficiency creates a high-flow, high-pulsatility arterial environment due to a wide pulse pressure and increased stroke volume. This makes bleeding at the femoral puncture site more likely to recur after catheter removal, so achieving durable hemostasis takes longer and requires extended compression or observation. The other valve conditions don’t produce the same degree of pulsatile, high-flow flow at the access site, so they don’t typically necessitate a longer hold time for femoral artery hemostasis.

Mitral insufficiency