Relevant anatomy for percutaneous catheterization of the femoral artery and vein. The right femoral artery and vein run underneath the inguinal ligament, which connects the anterior-superior iliac spine and the pubic tubercle. The arterial puncture should be made approximately 1.5 to 2 fingerbreadths (3 cm) below the inguinal ligament and directly over the femoral artery pulsation. The venous puncture should be made at the same level but approximately 1 fingerbreadth medial to the arterial position. X, Puncture site. (From Baim DS, Grossman W. Percutaneous approach. In: Grossman W, ed. Cardiac Catheterization and Angiography [3rd ed.]. Philadelphia: Lea & Febiger; 1986:60.)