The steerable sheath revolution

The authors are to be congratulated for a well-conducted study1 reporting prospectively monitored data, confirming that transfemoral (TF) access is associated with better outcomes compared to upper extremity (UE) access during fenestrated and branched endovascular repair (FBEVAR). The authors acquired a high number of cases with UE access as there was the initial general belief that access from above (possibly facilitated by using preloaded catheters) could decrease number of failed catheterizations, especially for downward-facing target vessels (TVs), and improve technical success.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Invited commentary Source Type: research