Fredholm K, et al. - Given that three different approaches (percutaneous closure devices, surgical exposure and direct suture (“cutdown”), and the less invasive fascial closure technique) can be utilized for achieving arterial access closure after endovascular aneurysm repair (EVAR), researchers examined 439 groins in 225 elective EVAR patients for the intra-operative, in hospital, and three month outcome of fascial closure and cutdown. In addition, they sought for the risk factors for failure. Fascial closure, cutdown, and closure device were applied to complete 64%, 33%, and 3%, respectively. Outcomes support the superiority of cutdown to fascial closure for femoral artery access after elective EVAR. However, fascial closure is still considered to be a good and fast method in acute EVAR, and hence, has been kept in the present authors’ armamentarium for this indication.