1. Dual ProGlide versus ProGlide and FemoSeal for vascular access haemostasis after transcatheter aortic valve implantation
- Author
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Jonas M.D. Gmeiner, Marie Linnemann, Julius Steffen, Clemens Scherer, Martin Orban, Hans Theiss, Julinda Mehilli, Sebastian Sadoni, Sven Peterß, Dominik Joskowiak, Christian Hagl, Nikolaos Tsilimparis, Adrian Curta, Stefan Maurus, Philipp M. Doldi, Kornelia Löw, Magda Haum, Daniel Roden, Jörg Hausleiter, Steffen Massberg, Konstantinos Rizas, Simon Deseive, and Daniel Braun
- Subjects
Transcatheter Aortic Valve Replacement ,Femoral Artery ,Hemostasis ,Treatment Outcome ,Hemostatic Techniques ,Aortic Valve ,Humans ,Aortic Valve Stenosis ,Cardiology and Cardiovascular Medicine ,Vascular Closure Devices ,Retrospective Studies - Abstract
Large-bore arteriotomy for transcatheter aortic valve implantation (TAVI) requires percutaneous vascular closure devices, but real-world data comparing different closure strategies are limited.We sought to compare a dual ProGlide strategy vs a combination of one ProGlide and one FemoSeal for vascular closure after TAVI.We retrospectively analysed 874 propensity score-matched patients undergoing TAVI at the Munich University Hospital from August 2018 to October 2020. From August 2018 to August 2019, a dual ProGlide strategy was used for vascular closure. From October 2019 to October 2020, a combination of one ProGlide and one FemoSeal was used. The primary endpoint was defined as access-related major vascular complications or bleeding ≥Type 2 according to Valve Academic Research Consortium 3 criteria.Patients in the dual ProGlide group (n=437) had a higher incidence of the primary endpoint than patients treated with one ProGlide and one FemoSeal (n=437; 11.4% vs 3.0%; p0.001). Furthermore, they had a higher rate of closure device failure (2.7% vs 0.9%; p=0.044) and more often required unplanned surgery or endovascular treatment (3.9% vs 0.9%; p=0.004). The incidence of death did not differ significantly between groups (3.4% vs 1.6%; p=0.08).A combined ProGlide and FemoSeal strategy might have the potential to reduce access-related vascular complications following TAVI.
- Published
- 2022
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