Fluoroscopy guided vascular access: asking the right question, but getting the wrong answer?

摘要

Despite the provocative title of this editorial, I admire the effort by Abu-Fadel and colleagues in this issue of CCI. They have waded into a vacuum for prospective randomized trials comparing access techniques. It is now 57 years since Seldinger [1] delivered patients from having to undergo surgical cut down to access the femoral artery. Despite the passage of more than a half century, the techniques used by most operators have evolved very little, and by some considerations could be described as incomprehensibly primitive. Complications of vascular access remain the most common causes of morbidity, and some mortality, associated with both the simplest and most sophisticated of percutaneous diagnostic and interventional procedures.