Highlight
- Ultrasound-guided femoral venous puncture significantly reduces vascular access site complications in atrial fibrillation (AF) catheter ablation.
- The ULYSSES trial, a multicenter randomized study, shows a reduction in composite vascular events from 3.3% to 0.6% with ultrasound guidance.
- Secondary benefits include fewer unintended arterial punctures and a markedly lower failure rate of venous access compared to conventional palpation-guided techniques.
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For clinical reference; use professional judgment.

