Key result
Combined suture and plug closure linked to fewer access-site complications and bleeding vs suture-only in TAVI.
Why the study?
Does a combined suture- and plug-based closure strategy reduce access site-related vascular complications compared with a suture-only approach in patients undergoing transfemoral TAVI?
Does a combined suture- and plug-based closure strategy reduce access site-related vascular complications compared with a suture-only approach in patients undergoing transfemoral TAVI?
A combined suture- and plug-based closure strategy is associated with fewer vascular complications and lower bleeding rates than a suture-only approach in real-world transfemoral TAVI.
May support combined closure in transfemoral TAVI; extends real-world data but leaves randomized confirmation open.
Summary In a real‐world TAVI population, a combined suture‐ and plug‐based closure strategy significantly reduced access site‐related vascular complications compared with a suture‐only approach. This benefit was consistent across major and minor complications and was accompanied by lower bleeding rates. These real‐world data support combined suture/plug closure as a preferred strategy in transfemoral TAVI.
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Zako et al. (2026) studied this question. Combined suture- and plug-based closure significantly reduced access site-related vascular complications and bleeding compared to a suture-only approach in real-world TAVI patients.
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