With an increase in the number of catheter treatments for atrial fibrillation (AF), there is an increase in complications associated with vascular access. The most common peripheral vascular complications associated with catheter ablation of AF are considered to be femoral hematoma, pseudoaneurysm of the femoral artery, arterio-venous fistula and their combinations. Despite the usually benign course and prognosis, sometimes inguinal complications can cause the patient from significant discomfort to harm to health. In addition, they lead to an increase in the duration of hospitalization and the cost of diagnosis and treatment. According to Russian and foreign literature, there is no single approach to the management of patients with inguinal vascular complications. The article presents different strategies for postoperative management of complications of femoral vascular access: conservative, endovascular, surgical. The analysis of risk factors is carried out and anatomical prerequisites for the development of inguinal complications are presented, recommendations for the prevention of their occurrence are proposed.