Comparison of vascular closure devices for access site closure after transfemoral aortic valve implantation
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Comparison of vascular closure devices for access site closure after transfemoral aortic valve implantation. / Barbash, Israel M; Barbanti, Marco; Webb, John; Molina-Martin De Nicolas, Javier; Abramowitz, Yigal; Latib, Azeem; Nguyen, Caroline; Deuschl, Florian; Segev, Amit; Sideris, Konstantinos; Buccheri, Sergio; Simonato, Matheus; Rosa, Francesco Della; Tamburino, Corrado; Jilaihawi, Hasan; Miyazaki, Tadashi; Himbert, Dominique; Schofer, Niklas; Guetta, Victor; Bleiziffer, Sabine; Tchetche, Didier; Immè, Sebastiano; Makkar, Raj R; Vahanian, Alec; Treede, Hendrik; Lange, Rüdiger; Colombo, Antonio; Dvir, Danny.
In: EUR HEART J, Vol. 36, No. 47, 14.12.2015, p. 3370-3379.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Comparison of vascular closure devices for access site closure after transfemoral aortic valve implantation
AU - Barbash, Israel M
AU - Barbanti, Marco
AU - Webb, John
AU - Molina-Martin De Nicolas, Javier
AU - Abramowitz, Yigal
AU - Latib, Azeem
AU - Nguyen, Caroline
AU - Deuschl, Florian
AU - Segev, Amit
AU - Sideris, Konstantinos
AU - Buccheri, Sergio
AU - Simonato, Matheus
AU - Rosa, Francesco Della
AU - Tamburino, Corrado
AU - Jilaihawi, Hasan
AU - Miyazaki, Tadashi
AU - Himbert, Dominique
AU - Schofer, Niklas
AU - Guetta, Victor
AU - Bleiziffer, Sabine
AU - Tchetche, Didier
AU - Immè, Sebastiano
AU - Makkar, Raj R
AU - Vahanian, Alec
AU - Treede, Hendrik
AU - Lange, Rüdiger
AU - Colombo, Antonio
AU - Dvir, Danny
N1 - Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.
PY - 2015/12/14
Y1 - 2015/12/14
N2 - BACKGROUND: The majority of transcatheter aortic valve implantation (TAVI) procedures are currently performed by percutaneous transfemoral approach. The potential contribution of the type of vascular closure device to the incidence of vascular complications is not clear.AIM: To compare the efficacy of a Prostar XL- vs. Perclose ProGlide-based vascular closure strategy.METHODS: The ClOsure device iN TRansfemoral aOrtic vaLve implantation (CONTROL) multi-center study included 3138 consecutive percutaneous transfemoral TAVI patients, categorized according to vascular closure strategy: Prostar XL- (Prostar group) vs. Perclose ProGlide-based vascular closure strategy (ProGlide group). Propensity-score matching was used to assemble a cohort of patients with similar baseline characteristics.RESULTS: Propensity matching identified 944 well-matched patients (472 patient pairs). Composite primary end point of major vascular complications or in-hospital mortality occurred more frequently in Prostar group when compared with ProGlide group (9.5 vs. 5.1%, P = 0.016), and was driven by higher rates of major vascular complication (7.4 vs. 1.9%, P < 0.001) in the Prostar group. However, in-hospital mortality was similar between groups (4.9 vs. 3.5%, P = 0.2). Femoral artery stenosis occurred less frequently in the Prostar group (3.4 vs. 0.5%, P = 0.004), but overall, Prostar use was associated with higher rates of major bleeding (16.7 vs. 3.2%, P < 0.001), acute kidney injury (17.6 vs. 4.4%, P < 0.001) and with longer hospital stay (median 6 vs. 5 days, P = 0.007).CONCLUSIONS: Prostar XL-based vascular closure in transfemoral TAVI procedures is associated with higher major vascular complication rates when compared with ProGlide; however, in-hospital mortality is similar with both devices.
AB - BACKGROUND: The majority of transcatheter aortic valve implantation (TAVI) procedures are currently performed by percutaneous transfemoral approach. The potential contribution of the type of vascular closure device to the incidence of vascular complications is not clear.AIM: To compare the efficacy of a Prostar XL- vs. Perclose ProGlide-based vascular closure strategy.METHODS: The ClOsure device iN TRansfemoral aOrtic vaLve implantation (CONTROL) multi-center study included 3138 consecutive percutaneous transfemoral TAVI patients, categorized according to vascular closure strategy: Prostar XL- (Prostar group) vs. Perclose ProGlide-based vascular closure strategy (ProGlide group). Propensity-score matching was used to assemble a cohort of patients with similar baseline characteristics.RESULTS: Propensity matching identified 944 well-matched patients (472 patient pairs). Composite primary end point of major vascular complications or in-hospital mortality occurred more frequently in Prostar group when compared with ProGlide group (9.5 vs. 5.1%, P = 0.016), and was driven by higher rates of major vascular complication (7.4 vs. 1.9%, P < 0.001) in the Prostar group. However, in-hospital mortality was similar between groups (4.9 vs. 3.5%, P = 0.2). Femoral artery stenosis occurred less frequently in the Prostar group (3.4 vs. 0.5%, P = 0.004), but overall, Prostar use was associated with higher rates of major bleeding (16.7 vs. 3.2%, P < 0.001), acute kidney injury (17.6 vs. 4.4%, P < 0.001) and with longer hospital stay (median 6 vs. 5 days, P = 0.007).CONCLUSIONS: Prostar XL-based vascular closure in transfemoral TAVI procedures is associated with higher major vascular complication rates when compared with ProGlide; however, in-hospital mortality is similar with both devices.
KW - Acute Kidney Injury/etiology
KW - Aged
KW - Aged, 80 and over
KW - Aortic Valve Stenosis/surgery
KW - Cardiology/standards
KW - Clinical Competence/standards
KW - Constriction, Pathologic/etiology
KW - Female
KW - Femoral Artery
KW - Humans
KW - Learning Curve
KW - Male
KW - Myocardial Infarction/etiology
KW - Postoperative Hemorrhage/etiology
KW - Stroke/etiology
KW - Transcatheter Aortic Valve Replacement/adverse effects
KW - Vascular Closure Devices/adverse effects
KW - Vascular Diseases/etiology
U2 - 10.1093/eurheartj/ehv417
DO - 10.1093/eurheartj/ehv417
M3 - SCORING: Journal article
C2 - 26314688
VL - 36
SP - 3370
EP - 3379
JO - EUR HEART J
JF - EUR HEART J
SN - 0195-668X
IS - 47
ER -