Optimizing Femoral Access in EVAR: A Multicentric Comparison of Percutaneous and Surgical Approaches in Elective and Urgent Settings

The present study suggests that percutaneous approach achieves better short-term outcomes than surgical cutdown. However, these findings should be interpreted in light of the study's limitations, including its retrospective design and potential selection bias in access type allocation. Moreover, the success of percutaneous technique remains highly dependent on operator expertise and anatomical challenges. Therefore, the choice of approach should always be tailored for each patient.