Short- and Midterm Results of the Fascia Suture Technique for Closure of Femoral Artery Access Sites After Endovascular Aneurysm Repair

Abstract

The fascia suture technique seems to be safe, effective, and simple to use for closing percutaneous access sites after EVAR. Complications are rare, and the outcome is not affected by obesity, femoral calcification, or femoral artery stenosis.

Intra-operative Cone Beam Computed Tomography can Help Avoid Reinterventions and Reduce CT Follow up after Infrarenal EVAR

“…Seven small pseudoaneurysms (<1 cm) after fascia closure (n ¼ 78) were found but none warranted repair. 9 Two cases of aneurysm growth between the pre-operative CTA and the post-operative CTA were found. In one of these cases the expansion was combined with a type 2 endoleak at 1 month.…”

Endovascular abdominal aortic aneurysm repair in the geriatric population

“…Meticulous surgical technique in terms of arteriotomy and subcutaneous tissue closure and approximation and routine use of drains, where indicated, are necessary to avoid such complications. Meticulous fascial closure is necessary in this population as it has been shown to decrease access site complications [35]. Other interventions such as the use of platelet derived products have also been advocated, but cost remains a significant issue.…”

Editor's Choice - A Randomized Controlled Trial of the Fascia Suture Technique Compared with a Suture-mediated Closure Device for Femoral Arterial Closure after Endovascular Aortic Repair

“…A strength of the study is that no external compression was allowed, whereas it was in another report. 17 Vascular surgeons performed the majority of the procedures, which may have been beneficial for FST as it utilizes standard surgical materials and technique. The Prostar technique has the advantage of maintaining EVAR as a strictly percutaneous procedure while the FST requires a limited groin dissection to the femoral fascia, which is an uncommon procedure for interventional radiologists.…”