1/7 Vascular Access for Shock-MCS. Do it the same way every time (“slow is smooth, smooth is fast”). Fluoro Femoral Head. US-guided Micropuncture access, observe micro wire advancement, perform access site angiogram (with wire left in), Preclose (single Perclose)... 2/7 Aorto-Iliac angiography (with run-off) for complete pre-insertion vascular assessment...