Commentary regarding 'percutaneous closure of large femoral artery access with ProStar XL in thoracic endovascular aortic repair'

摘要

Endovascular solutions for aortic aneurysmal disease have gained widespread acceptance, although many surgeons still resort to surgical exposure of the femoral arteries for access. Concerns have been raised about percutaneous closure devices including cost and failure rates, despite evidence demonstrating reduced length of stay and reduced complication rates.1 Particular concerns have been raised relating to larger delivery devices. However, there is also potential for bias against a percutaneous solution, from surgeons who are not fully comfortable with endovascular techniques. Continuing the status quo, with routine femoral exposure, allows for continued surgical presence in cases where they may otherwise not be involved.