Key result
A hybrid vascular closure technique using ProGlide and Angio-Seal achieved successful hemostasis in 98.7% (74/75) of patients undergoing transfemoral TAVI.
Why the study?
The clinical utility and feasibility of combining a suture- and a collagen-mediated vascular closure system after transfemoral TAVI required evaluation in a real-world setting.
Does a hybrid vascular closure technique combining suture- and collagen-mediated devices safely achieve hemostasis in patients undergoing transfemoral TAVI?
Observational (n=75)
No
Does a hybrid vascular closure technique combining suture- and collagen-mediated devices safely achieve hemostasis in patients undergoing transfemoral TAVI?
A percutaneous hybrid closure technique combining suture- and collagen-mediated devices is safe and highly effective for achieving hemostasis of large bore arteriotomies after transfemoral TAVI.
Answers are grounded in this paper and cite their sources.
May support hybrid closure feasibility in TAVI; hypothesis-generating and requires randomized trials before practice change.
OBJECTIVES: To evaluate the clinical utility and feasibility of a hybrid technique for obtaining vascular hemostasis by combining a suture- and a collagen-mediated system after transfemoral transcatheter aortic valve implantation (TF TAVI) in a real-world setting. METHODS: In 75 consecutive TF TAVI procedures, we investigated a hybrid closing method to achieve hemostasis at the large bore puncture site using a combination of one presuture closure system (ProGlide) and one collagen-mediated system (Angio-Seal). Vascular complications at puncture site were recorded until discharge. RESULTS: Successful hemostasis by the hybrid technique was achieved in 74 out of 75 patients, and the method was well tolerated by all patients. In 73 patients, (97.3%) neither puncture site related complications nor serious early or late bleedings were observed during a median hospital stay of 2 days postprocedure. CONCLUSION: This single-center registry study indicates that a percutaneous hybrid closure technique is safe and efficacious in closing large bore arteriotomies. It is an easy and reliable technique that may contribute to simplifying TAVI procedures. STUDY REGISTRATION: The data was collected from an 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.
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Al‐Ani et al. (2019) conducted an observational in Transfemoral transcatheter aortic valve implantation (n=75). Hybrid vascular closure technique (ProGlide and Angio-Seal) was evaluated on Successful hemostasis. A hybrid vascular closure technique using ProGlide and Angio-Seal achieved successful hemostasis in 98.7% (74/75) of patients undergoing transfemoral TAVI.
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