TY - JOUR AU - Fisher, Robert K. AB - J ENDOVASC THER 2012;19:397–399 397 ¤COMMENTARY ¤ The Fascia Suture Technique: This Late Bloomer Could Become a Winner Robert K. Fisher, MD, FRCS Regional Vascular Unit, Royal Liverpool and Broadgreen Hospital, Liverpool, UK. As the evidence strengthens for percutaneous tures. A high common femoral artery bifurca- endovascular aneurysm repair (EVAR), the tion may dictate an arterial puncture under debate regarding the method of arterial the inguinal ligament that involves an artery closure grows. The use of suture-mediated devoid of adequate fascial covering and closure devices has been advocated as main- taking a course deep into the pelvis, negating taining the true percutaneous nature of the any attempt at tamponade from the suture procedure but still has recognized failure rates through the overlying tissue. Such a situation 1,2 and incurs significant additional costs. The may be considered a relative contraindica- fascia suture technique reported over 15 years tion, a view supported by Harrison et al. ago by Diethrich has remained quiescent until Open cutdown following successful percuta- recent years, although it avoids deep groin neous EVAR should be undertaken in such dissection and offers a highly cost effective cases. closure. In the last few years, 2 groups have Similarly, Monta´ TI - The Fascia Suture Technique: This Late Bloomer Could Become a Winner JF - Journal of Endovascular Therapy DO - 10.1583/11-3702C.1 DA - 2012-06-01 UR - https://www.deepdyve.com/lp/sage/the-fascia-suture-technique-this-late-bloomer-could-become-a-winner-Zmn8u3DW1i SP - 397 EP - 399 VL - 19 IS - 3 DP - DeepDyve ER -