Clinical and economic outcomes of ProGlide compared with surgical repair of large bore arterial access

Abstract

Aim: This study compared real-world complication rates, hospitalization duration and costs, among patients undergoing arterial repair using the Perclose ProGlide (ProGlide) versus surgical cutdown (Cutdown). Materials & methods: Retrospective study of matched patients who underwent transcatheter aortic valve replacement/repair, endovascular abdominal aortic aneurysm repair, thoracic endovascular aortic repair or balloon aortic valvuloplasty with arterial repair by either ProGlide or Cutdown between 1 January 2013 and 24 April 2017. Results: Infections and blood transfusions were lower in the ProGlide cohort. Patients in the ProGlide cohort had a 42.5% shorter index hospitalization, which corresponded to US$14,687 lower costs. Conclusion: The use of ProGlide for arterial repair was associated with significantly lower transfusion rates, shorter index hospitalization and lower hospitalization costs compared with surgical cutdown.

Management of Vascular Access in the Setting of Percutaneous Mechanical Circulatory Support (pMCS): Sheaths, Vascular Access and Closure Systems

“…Suture-based devices have been reported to reduce mortality, the need for blood transfusions, and infections, finally translating into shorter admissions after interventions compared with surgical approaches [ 14 ]. The ProGlide (Abbott Vascular, Santa Clara, CA) device is the most widely used suture-based device.…”

Percutaneous cannulation for cardiopulmonary bypass in robotic mitral valve surgery with zero groin complications

“…with lower transfusions and shorter length of stay 9 and can also be beneficial in minimally invasive surgery.…”

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

“…Whereas the percutaneous approach demonstrated good long-term results using large bore devices such as Proglide or the lately developped MANTA large bore device with careful pt and device selection [157][158][159][160], the surgical approach has a relatively high local complication rate. The use of ProGlide for arterial repair was particularly associated with significantly lower transfusion rates, shorter index hospitalization and lower hospitalization costs compared with surgical cutdown as well as reduced pain and improved wound healing [161,162]. Agrusa et al used the Proglide device also for the axillary access during complex aortic interventions with high rates of safety and technical success [163].…”