Everything Flows, Nothing Stays Still

Abstract

Heraclitus’ central doctrine of the universe – “all is in flux” – certainly applies to endovascular techniques. In their current study, Timaran et al. demonstrate the constant “flux” in complex endovascular aortic repair.1 In contrast to most European centres, the authors suggest routine use of pre-loaded catheters and wires and upper extremity access (UEA) to speed up complex procedures, whereas others currently push more for transfemoral access and avoidance of UEA with its associated stroke risk.