Journal article

Publication year: 2021

Pages: 183-188

Journal: International Journal of Cardiology

Volume number: 331

ISSN: 0167-5273

eISSN: 1874-1754

DOI Link: https://doi.org/10.1016/j.ijcard.2021.01.043

Publisher: Elsevier

Abstract: 

Background: The most common method of percutaneous closure in transfemoral transcatheter aortic valve implantation (TAVI) employs two obtusely oriented ProGlide devices. The aim of this study was to assess the feasibility and safety of using a single ProGlide system for primary access site closure in comparison with the double ProGlide approach in an all-corners TAVI population.

Methods: Between March 2016 and December 2018, a total of 1105 patients underwent transfemoral TAVI for severe aortic stenosis at our center. Application of two ProGlide systems was standard until April 2017 (n = 432), whereas thereafter a single ProGlide system was used (n = 663). A 1:1 propensity score matching was performed to adjust for baseline differences between the two groups, resulting in 327 matched cases. Primary outcomes of interest were main access site-related vascular complications.

Results: The mean number of ProGlide devices used per patient was 1.03 (SD 0.2) in the single-ProGlide group versus 2.01 (SD 0.14) in the double-ProGlide group. An additional vascular closure device was required to obtain full hemostasis in 23.2% versus 9.5% of patients (p < 0.001) in the two groups, respectively. Technical success of ProGlide usage was similar (94.3% versus 92.1%, p = 0.163). In the matched cohorts, the rates of main access site-related major vascular complications were similar (4.0% vs. 6.4%, p = 0.217).

Conclusion: The single-ProGlide technique is feasible, with rates of technical success similar to those of the double-ProGlide technique. Use of this method did not lead to more frequent access site-related complications but was more cost effective than the double-ProGlide approach. (C) 2021 Elsevier B.V. All rights reserved.

Harvard Citation style: Reifart, J., Liebetrau, C., Weferling, M., Doerr, O., Renker, M., Bhumimuang, K., et al. (2021) Single versus double use of a suture-based closure device for transfemoral aortic valve implantation, International Journal of Cardiology, 331, pp. 183-188. https://doi.org/10.1016/j.ijcard.2021.01.043

APA Citation style: Reifart, J., Liebetrau, C., Weferling, M., Doerr, O., Renker, M., Bhumimuang, K., Liakopoulos, O., Choi, Y., Nef, H., Hamm, C., & Kim, W. (2021). Single versus double use of a suture-based closure device for transfemoral aortic valve implantation. International Journal of Cardiology. 331, 183-188. https://doi.org/10.1016/j.ijcard.2021.01.043