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The blue shark Prionace glauca plays a critical role as a predator in marine ecosystems but is threatened by by‐catch. To obtain more precise biological data, a Bayesian approach was used, and 536 vertebrae samples collected during 1 year at the landing stage called "Playita Mía" Manta, Ecuador, were analysed. The objective was to estimate the age and growth parameters of the species. The size of the specimens varied between 116 and 310 cm in total length (TL). Using a Bayesian approach based on the Markov Chain Monte Carlo (MCMC) method, growth parameters were evaluated. The von Bertalanffy model was the one that best fitted the data and provided more adequate estimates (females: L∞ = 325.50 cm, L0 = 53.23 cm, and k = 0.12 years; males: L∞ = 331.47 cm, L0 = 51.59 cm, k = 0.12 years −1; combined sexes: L∞ = 329.65 cm, L0 = 53.64 cm, k = 0.11 year−1). The results indicated that females and males have a similar growth, and that the species has a slow growth. Further studies using multi‐model Bayesian approaches and covering a broader range of sizes in the Pacific Ocean are suggested. These studies will provide crucial information for the management and conservation of this species. [ABSTRACT FROM AUTHOR]

Background: Nearly 45 million individuals worldwide are internally displaced annually by conflicts. While the psychological effects of war have been extensively documented, there is less understanding of the psychological and mental health symptoms experienced by internally displaced persons (IDPs) as a result of forced displacement. (IDPs). Aim: This study aims to assess the mental health status of people displaced in Hamam Al-Alil Camp. Methods: The cross-sectional survey study design was performed in Hamam Al-Alil camps (Situated on the western bank of the Tigris River in the Nineveh Governorate in Iraq, to the south of Mosul) for the period of 26th December 2017 throughout 1st March 2018. The sample of the study consists of (869) participants. Results: The study distributed 869 surveys which show that the estimation of females was (54%), while males (46%), most of the participants in this study were at age (18-30) years old, and a majority of the participants reported at least one or more mental conditions such as PTSD and anxiety Conclusions: Most of the participants were female and housewives (54%) (52%) respectively, and in terms of age (39%) they ranged in age from 18 to 30 years old as well as Hamam Al-Alil residents people reported a high prevalence of mental health symptoms. Recommendation: Resettlement partners must be mindful of the specific health concerns within this population to effectively meet the needs of the community. [ABSTRACT FROM AUTHOR]

TAVI requires a large-bore arteriotomy. Closure is usually performed by the suture system. Some studies report a vascular complication rate of up to 21%. MANTA is a recently developed percutaneous closure system dedicated to large caliber vessels based on an anchoring system. Early studies report a lower rate of vascular complications with MANTA devices. This single-center retrospective study included all patients who underwent femoral TAVI at the Brest University Hospital from 20 November 2019 to 31 March 2021. The primary endpoint is the rate of vascular complications (major and minor) pre and post-TAVI procedure. In total, 264 patients were included. There were no significant differences in vascular complications (major and minor) between the two groups (13.6% in the MANTA group versus 21.2% in the PROSTAR group; p = 0.105), although there was a tendency to have fewer minor vascular complications in the Manta group (12.1% versus 20.5%; p = 0.067). Manta was associated with a lower rate of bleeding complications (3.8% versus 15.2%; p = 0.002), predominantly minor complications with fewer closure failures (4.5% versus 13.6%; p = 0.01), less use of covered stents (4.5% versus 12.9%; p = 0.016), and with no difference in the need for vascular surgery compared to the Prostar group (1.5% versus 2.3%; p = 0.652). On the other hand, Manta was associated with a higher rate of femoral stenosis (4.5% versus 0%; p = 0.013) without clinical significance (1.5% versus 0%; p = 0.156). The Manta and Prostar devices are equivalent in terms of vascular complications. The Manta, compared to the Prostar, is associated with fewer bleeding complications. [ABSTRACT FROM AUTHOR]

Background: Large-bore arteriotomies can be percutaneously closed with suture-based or plug-based vascular closure device (VCD) strategies. The efficacy of both techniques remains controversial. Aims: We conducted a meta-analysis of comparative studies between both VCD strategies, focusing on the most commonly applied VCDs (MANTA and ProGlide). Methods: We searched MEDLINE, the Cochrane Central Register of Controlled Trials and Google scholar for observational studies (OS) and randomized controlled trials (RCT) comparing vascular closure with the MANTA-based and the ProGlide-based technique. The principal endpoint of this analysis was access-site related vascular complications. Both study types were analyzed separately. Results: Access-site related vascular complications were less frequent after vascular closure with the MANTA technique in the analysis of OS (RR 0.61 [95%CI 0.43–0.89], p = 0.01, I2 = 0%), but more frequent in the analysis of RCT data (RR 1.70 [95%CI 1.16–2.51], p = 0.01, I2 = 0%). Both data sets provided no significant difference between the VCD techniques in terms of overall bleeding events (OS: RR 0.57 [95%CI 0.32–1.02], p = 0.06, I2 = 70%; and RCT: RR 1.37 [95%CI 0.82–2.28], p = 0.23, I2 = 30%). RCT data showed that endovascular stenting or vascular surgery due to VCD failure occurred more often after MANTA application (RR 3.53 [95%CI 1.07–11.33], p = 0.04, I2 = 0%). Conclusions: While OS point to favorable outcomes for large-bore vascular closure with the MANTA-based technique, RCT data show that this strategy is associated with more access-site related vascular complications as well as endovascular stenting or vascular surgery due to device failure compared with the ProGlide-based technique. [ABSTRACT FROM AUTHOR]

Open in new tab Download slide OBJECTIVES Large series of percutaneous femoral access for extracorporeal circulation in minimally invasive cardiac surgery (MICS) are scarcely reported. METHODS This is a single-centre study describing the use of percutaneous femoral access in patients undergoing MICS via minithoracotomy. Femoral artery closure was performed with a plug-based closure device. To reduce the risk for vascular complications, intraoperative ultrasound assessment of correct deployment of the arterial closure device was done during the later period of the study. RESULTS During a 5-year period, 650 patients underwent percutaneous femoral cannulation and decannulation with device closure of the femoral artery puncture. Two hundred and seven patients (31.8%) were operated in the early phase of the experience (August 2017–August 2019), without the use of intraoperative ultrasound assessment of closure device deployment. During the later period of our experience (August 2019–September 2022), 443 patients (68.2%) were operated, of whom all underwent intraoperative ultrasound assessment of closure device deployment. Of the patients operated without intraoperative ultrasound assessment, 6 patients (2.9%) experienced vascular complications compared with none of the patients in whom intraoperative ultrasound-assessment was used (P  < 0.001). In total, 15 patients (2.3%) underwent conversion to surgical cutdown owing to incomplete haemostasis or femoral artery stenosis/occlusion and the mechanism was intravascular deployment of the closure device in all 15 cases. CONCLUSIONS Percutaneous femoral access in MICS is safe and the need for surgical cutdown was infrequent. The risk for vascular complications is minimized with the use of intraoperative ultrasound assessment of the correct positioning of the vascular closure device. CLINICAL TRIAL REGISTRATION NUMBER http://www.clinicaltrials.gov ; Unique identifier: NCT05462769. [ABSTRACT FROM AUTHOR]

The forced migration of nearly 6 million Venezuelans is a global issue that is transforming urban contexts, particularly in Latin America. Ecuador is the third main recipient country of displaced Venezuelans. The lack of State migration policies and the deteriorating economic situation throughout the region have had significant impacts on migrants. While food security and migration have been studied extensively in Latin America, their intersection remains under-explored. Through a systematic review and focus group research, this exploratory study analyzes the food security conditions of Venezuelans in Ecuador and the impacts of the COVID-19 pandemic on the levels of food insecurity using an intersectional approach. Quantitative, systematic review results demonstrate that demands for food assistance outweighed the planning and provisions supplied by both state and non-state actors. Focus groups results support the findings from the systematic review and demonstrate that in the medium-sized port cities of Manta and Machala, food demands during the pandemic lockdown measures were met through the direct food supply and resilience strategies, including the securing of personal loans and bartering. In contrast, in the cities of Quito and Huaquillas, strict enforcement of COVID-19 lockdown measures, reduced access to work and systematic food access and increased reliance on food assistance from non-governmental actors. This study also found that the impacts of food (in)security in the context of COVID-19 disproportionately affected women in all cities, as they offered their food rations to meet the needs of their children, grandchildren, or other dependents. [ABSTRACT FROM AUTHOR]

Newborns show physiological differences in low- and high-altitude settings of Ecuador; those differences are especially relevant because most important cities in Ecuador are located at high altitude, above 2500 m. This study is an epidemiological, observational, and cross-sectional research performed at San Francisco Hospital in Quito (at 2850 m) and General Hospital in Manta (at 6 m) in the Manabí province. We studied 204 full-term newborns, healthy without any prenatal comorbidities, singleton pregnancy, mestizos, and born of healthy parents born. We found significant differences between the values of red blood cells (RBC), leucocytes, hematocrit, and hemoglobin. There was a difference of 27% more in RBC, 3% at hematocrit, and 0.4 g at hemoglobin in the high-altitude cohort. The leucocyte difference is 1270 cells/µl, which means a difference of 6%. At high-altitude settings, the mean pH was lower than normal values and pO2, pCO2, and HCO3. High-altitude newborns showed RBC of > 4,500,000 cells/µl; leukocytes > 19,000; pO2 ≤ 72 mm Hg; hemoglobin > 17.50 g/dl; and hematocrit > 54%. Both cohorts showed physiological changes of transition to extrauterine life. We observed higher polycythemia, respiratory acidosis, and hypoxemia among high-altitude newborns. High-altitude setting intensifies the physiological changes in hematological and arterial blood gases parameters. [ABSTRACT FROM AUTHOR]

Introduction: The phase 2 MANTA and MANTA-RAy studies were developed in consultation with global regulatory authorities to investigate potential impacts of filgotinib, a Janus kinase 1 preferential inhibitor, on semen parameters in men with active inflammatory diseases. Here we describe the methods and rationale for these studies. Methods and Rationale: The MANTA and MANTA-RAy studies included men (aged 21–65 years) with active inflammatory bowel disease (IBD) and rheumatic diseases, respectively. Participants had no history of reproductive health issues, and the following semen parameter values (≥ 5th percentile of World Health Organization reference values) at baseline: semen volume ≥ 1.5 mL, total sperm/ejaculate ≥ 39 million, sperm concentration ≥ 15 million/mL, sperm total motility ≥ 40% and normal sperm morphology ≥ 30%. Each trial included a 13-week, randomized, double-blind, placebo-controlled period (filgotinib 200 mg vs placebo, up to N = 125 per arm), for pooled analysis of the week-13 primary endpoint (proportion of participants with ≥ 50% decrease from baseline in sperm concentration). All semen assessments were based on two samples (≤ 14 days apart) to minimize effects of physiological variation; stringent standardization processes were applied across assessment sites. From week 13, MANTA and MANTA-RAy study designs deviated owing to disease-specific considerations. All subjects with a ≥ 50% decrease in sperm parameters continued the study in the monitoring phase until reversibility, or up to a maximum of 52 weeks, with standard of care as treatment. Overall conclusions from MANTA and MANTA-RAy will be based on the totality of the data, including secondary/exploratory measures (e.g. sperm motility/morphology, sex hormones, reversibility of any effects on semen parameters). Conclusions: Despite the complexities, the MANTA and MANTA-RAy studies form a robust trial programme that is the first large-scale, placebo-controlled evaluation of potential impacts of an advanced IBD and rheumatic disease therapy on semen parameters. Trial Registration: EudraCT numbers 2017-000402-38 and 2018-003933-14; ClinicalTrials.gov identifiers NCT03201445 and NCT03926195. Plain Language Summary: Filgotinib is a treatment for patients with ulcerative colitis and rheumatoid arthritis, and is being studied in other inflammatory diseases. Filgotinib works by blocking Janus kinase 1, an intracellular protein involved in inflammatory signalling processes. We designed the MANTA and MANTA-RAy trials with global health agencies to find out if filgotinib decreases the quality of semen in men with active inflammatory bowel disease (ulcerative colitis or Crohn's disease) (MANTA) or rheumatic disease (rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis or non-radiographic axial spondylitis) (MANTA-RAy). This paper describes the design of the two trials. Patients had normal sperm measurements and could not have had previous reproductive health issues. Nearly 250 patients were included in each trial. In both MANTA and MANTA-RAy, half of the patients were treated with 200 mg of filgotinib once a day for 13 weeks, and the other half with placebo. We determined if any patients had a decrease in number of sperm cells per millilitre (sperm concentration) by at least half after 13 weeks of treatment. We then monitored any patients who had such a decrease in sperm concentration for up to 52 weeks (while they received standard of care treatment) or until the decrease was reversed. The conclusions from the trials will be in a different paper and will be based on all the final data, including changes in sex hormones. This is the first large-scale clinical trial programme to measure the effect of a treatment on sperm in men with inflammatory bowel disease or rheumatic diseases. [ABSTRACT FROM AUTHOR]

Background: The use of veno–arterial extracorporeal membrane oxygenation (VA‐ECMO) decannulation with different percutaneous closure devices has been increasing. At our center, ProGlide devices have been used since November 2018, and Manta devices became an alternative since March 2020. This study aimed to compare the success and complication rates and the clinical outcomes of ProGlide and Manta devices for VA‐ECMO decannulation after arteriotomy wound closure. Methods: We retrospectively reviewed the results of bedside VA‐ECMO decannulation between November 2018 and June 2021. Patients with VA‐ECMO who could be bridged to recovery were recruited and divided into the ProGlide or Manta group based on the closure device used. Procedure time, amount of blood loss, amount of blood products transfused, and use of vasoactive medications during the procedure were documented. Clinical examination and Doppler ultrasound were performed to detect any complications. Results: After the closure technique, ProGlide was used in 44 patients and Manta was used in 13. There was no significant difference in the success rate between the ProGlide and Manta groups (86.4% vs. 100%). Amount of blood loss was greater in the ProGlide group than in the Manta group (290 [100–400] ml vs. 50 [50–100] ml), and more patients in the ProGlide group required an increased dose of inotropes during the procedure (59.1% vs. 15.4%), but the transfusion requirement was similar between the two groups. Conclusions: The success rate of hemostasis using arteriotomy wound closure during VA‐ECMO decannulation was similar between the two devices. [ABSTRACT FROM AUTHOR]

Aims As the indications to transcatheter aortic valve replacement (TAVR) expand to patients at increasingly lower risk, procedure-related vascular and bleeding complications events must be minimized. We aimed to evaluate the impact of different large-bore arterial access closure devices on clinical outcomes after TAVR. Methods and results We searched for papers that reported outcomes according to the type of vascular closure device/technique used after TAVR and performed a Bayesian network meta-analysis (NMA). Fifteen studies involving 9259 patients who underwent access site closure using PROSTAR™ XL percutaneous vascular surgical system (Abbott Vascular, Santa Clara, CA, USA), Perclose ProGlide™ suture-mediated closure system (Abbott), or MANTATM vascular closure device (Teleflex, Morrisville, NC, USA) were included. NMA showed MANTA to have the highest likelihood of reducing a primary composite endpoint of intra-hospital death, major vascular complications, and major or life-threatening bleedings [surface under the cumulative ranking curve analysis (SUCRA) 94.8%], but this was mitigated when only randomized clinical trials and propensity-matched cohorts were included (SUCRA 56.1%). The ProGlide showed the highest likelihood to reduce major or life-threatening bleedings, especially with increasing procedural complexity, and the MANTA device to reduce major and minor vascular complications. The ProStar XL device performed poorly in all explored endpoints. Conclusion Available evidence summarized through a NMA shows that ProGlide and MANTA devices appear to be both valid vascular closure devices globally and to be the best options to minimize vascular complications and reduce bleeding in patients undergoing TAVR, respectively. [ABSTRACT FROM AUTHOR]

Percutaneous closure of arteriotomy wound during peripheral venoarterial extracorporeal membrane oxygenation decannulation was shown to be safe and allow earlier mobilization. The new MantaTM vascular closure device (Essential Medical), designed for the closure of arterotomy wound created by large-bore vascular sheaths up to 25Fr during endovascular catheterization procedures, was reported to be applicable in venoarterial extracorporeal membrane oxygenation decannulation. In this article, we would like to share our experience of using real-time ultrasound guidance to ensure the safe application of Manta during bedside venoarterial extracorporeal membrane oxygenation decannulation. [ABSTRACT FROM AUTHOR]

Mobula mobular, a mobulid species once considered a Mediterranean Sea endemic, has received its common name "giant devil ray" based on repeated misidentifications of oceanic manta rays, Mobula birostris, that had strayed into the Mediterranean, where they had never been reported from before. Based on the maximum known size (350 cm disc width) of M. mobular, when compared to some of its congenerics, the giant devil ray is not giant at all. A recent revision of the phylogeny and taxonomy of genus Mobula, which included, amongst other things, the decision to consider the circumtropical spinetail devil ray M. japanica a junior synonym of M. mobular, has caused the latter species to become circumglobal, and the only known mobulid with a tail spine. As a consequence, it is here recommended that the common name of M. mobular be "spinetail devil ray". [ABSTRACT FROM AUTHOR]

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Conducting studies of motivation, evaluation and satisfaction of the demand of sun and beach tourism provides important information to adapt the products according to demand. The present study was conducted in situ in the city of Manta, Ecuador. Using a questionnaire, variant and bivariate statistical techniques were used to achieve the study objectives. The findings show that the main motivations of tourists are to rest, enjoy the beach and the sun, and enjoy the typical local gastronomy, which ratifies the main motivations in destinations with these characteristics. The most valuable aspects of the visit were the hospitality of the residents, the sun and the beach, and the restaurant service. The satisfaction of the destination is high, which shows the potential of this site for this type of tourism. [ABSTRACT FROM AUTHOR]

DNA sequence data from mitochondrial genomes and c. 1000 nuclear exons were analysed for a complete taxon sampling of manta and devilrays (Mobulidae) to estimate a current molecular phylogeny for the family. The resulting inferences were combined with morphological information to adopt an integrated approach to resolving the taxonomic arrangement of the family. The members of the genus Manta were found to consistently nest within the Mobula species and consequently the genus Manta is placed into the synonymy of Mobula. Mobula eregoodootenkee, M. japanica and M. rochebrunei were each found to be junior synonyms of M. kuhlii, M. mobular and M. hypostoma, respectively. The mitochondrial and nuclear tree topologies were in agreement except for the placement of M. tarapacana which was basal to all other mobulids in the nuclear exon analysis, but as the sister group to the M. alfredi- M. birostris-M. mobular clade in the mitochondrial genome analysis. Results from this study are used to a revise the taxonomy for the family Mobulidae. A single genus is now recognized (where there were previously two) and eight nominal species (where there were previously 11). [ABSTRACT FROM AUTHOR]

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Copyright of Revista Mexicana de Biodiversidad is the property of Universidad Nacional Autonoma de Mexico, Instituto de Biologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The development of various target enrichment methods in combination with next generation sequencing techniques has greatly facilitated the use of partially degraded DNA samples in genetic studies. We employed the MYbaits target enrichment system in combination with Ion Torrent sequencing on a broad range of DNA quality, extracted from tissues obtained from both natural history archives and through various opportunistic sampling methods, to sequence the mitogenome of 11 mobulid rays and two closely related species. Mobulids are large, elusive pelagic filter feeders, for which conservation concerns have recently be raised in connection to their vulnerable life histories and increasing fishing pressure. We show that the MYbaits target enrichment method can be used to effectively sequence large parts of the mitogenome from heavily degraded DNA samples, and provide a time and cost effective alternative for genetic studies of rare and/or difficult to sample species. [ABSTRACT FROM AUTHOR]

The article deals with rights in rem. It comes forth with an opinion that objects like intangible property, especially intellectual property, shall be regarded as objects of property law according to the Civil law of the Republic of Latvia, although during establishment of these legal norms, intellectual property as an object of rights in rem was not well known. The concepts of movable and immovable things and movable and immovable property are used in parallel in the Civil law, even though the first are only attributed to tangible property, while the latter may be used also with respect to intangible property. A common tendency in Latvian laws is the movement from a rather narrow understanding of rights in rem towards a broader understanding. The same tendency may be observed with respect to an aggregation of property. Movable things are regarded to be a part of immovable things (superficies solo cedit) only in cases specifically provided by law (numerus clausus). Still, due to peculiarities of Latvian legal system, several exceptions may be established. They, in turn, cause uncertainty in public registration system of immovable property in Latvia. There are also problems with identification of individual objects of intellectual property subject to registration, e.g. trademarks. Such practise has, consequently, caused or may potentially cause unlawful losing of the rights that have been already obtained, e.g. the ones acquired by a creditor secured by the right of pledge. To solve the problem, it is more urgent to skilfully interpret existing norms rather than to amend the current legal norms. A common tendency in Latvian laws is the movement from a rather narrow understanding of rights in rem towards a broader understanding. The same tendency may be observed with respect to an aggregation of property. Movable things are regarded to be a part of immovable things (superficies solo cedit) only in cases specifically provided by law (numerus clausus). Still, due to peculiarities of Latvian legal system, several exceptions may be established. They, in turn, cause uncertainty in public registration system of immovable property in Latvia. There are also problems with identification of individual objects of intellectual property subject to registration, e.g. trademarks. Such practise has, consequently, caused or may potentially cause unlawful losing of the rights that have been already obtained, e.g. the ones acquired by a creditor secured by the right of pledge. [ABSTRACT FROM AUTHOR]

An updated checklist of manta and devil rays (family Mobulidae) occurring in waters of the Azores archipelago is given based on new data from underwater images and on the re-evaluation of previous citations for the region. There are, at least, three species of mobulids occurring in the region, possibly four: giant manta Manta birostris; Chilean devil ray Mobula tarapacana; and one or both of the giant devil ray Mobula mobular/spinetail devil ray Mobula japanica species complex. These findings have direct implications for the known ranges of all these species and for the conservation of their North Atlantic populations. [ABSTRACT FROM PUBLISHER]

Background: We present a complication following the deployment of the MANTA vascular closure device (VCD) following a transcatheter aortic valve replacement procedure which resulted in occlusion of the common femoral artery. Aims: To address possible complications associated with MANTA VCD. Results: This was addressed by ballooning the site from the contralateral side which re‐established flow. Conclusion: We believe this is the first report to address this kind of complication and may prove useful as more of the MANTA devices are being used in multiple procedures. [ABSTRACT FROM AUTHOR]

The Mobulidae are zooplanktivorous elasmobranchs comprising two recognized species of manta rays ( Manta spp.) and nine recognized species of devil rays ( Mobula spp.). They are found circumglobally in tropical, subtropical and temperate coastal waters. Although mobulids have been recorded for over 400 years, critical knowledge gaps still compromise the ability to assess the status of these species. On the basis of a review of 263 publications, a comparative synthesis of the biology and ecology of mobulids was conducted to examine their evolution, taxonomy, distribution, population trends, movements and aggregation, reproduction, growth and longevity, feeding, natural mortality and direct and indirect anthropogenic threats. There has been a marked increase in the number of published studies on mobulids since c. 1990, particularly for the genus Manta, although the genus Mobula remains poorly understood. Mobulid species have many common biological characteristics although their ecologies appear to be species-specific, and sometimes region-specific. Movement studies suggest that mobulids are highly mobile and have the potential to rapidly travel large distances. Fishing pressure is the major threat to many mobulid populations, with current levels of exploitation in target fisheries unlikely to be sustainable. Advances in the fields of population genetics, acoustic and satellite tracking, and stable-isotope and fatty-acid analyses will provide new insights into the biology and ecology of these species. Future research should focus on the uncertain taxonomy of mobulid species, the degree of overlap between their large-scale movement and human activities such as fisheries and pollution, and the need for management of inter-jurisdictional fisheries in developing nations to ensure their long-term sustainability. Closer collaboration among researchers worldwide is necessary to ensure standardized sampling and modelling methodologies to underpin global population estimates and status. [ABSTRACT FROM AUTHOR]

Background: Despite decreasing sheath diameter, access site bleeding and vascular complications are still a major concern in transfemoral aortic valve implantation (TAVI), and may increase morbidity and even increase mortality. The aim was to compare safety of arterial closure in transfemoral TAVI with two different principles, pre-suture with ProGlide and collagen plug closure with Manta. Results: Seventy-six patients treated with ProGlide and 75 with Manta were analysed. The endpoints were 1: access site vascular complications and 2: non-planned vascular or endovascular surgery at the puncture site. Complications occurred in 2 (2.7%) ProGlide and in 8 (10.7%) Manta cases, p = 0.047. During the learning phase there were no significant differences. In the established phase there was one event (2%) in the ProGlide group, compared to 6 endpoints (12.0%), p = 0.047, in the Manta group. Unplanned surgery or intervention was seen in two (2.7%) ProGlide and in 7 (9.3%) Manta patients, p = ns. There were no significant differences during the learning phase. In established use, endpoints occurred more frequently in patients treated with the Manta device (12%), than in patients treated with the ProGlide (2%), p = 0.047. Conclusion: The ProGlide presuture closure device was associated with significantly lower rates of vascular complications and lower rates of surgery and interventions compared to the collagen plug Manta system. Trial registration: The data were collected from Internal quality control registry on treatment of patients with valvular heart disease with or without coronary artery disease, No 2014/17280, Oslo University Hospital, Ullevål. [ABSTRACT FROM AUTHOR]