Comparative data of single versus double proglide vascular preclose technique after percutaneous transfemoral transcatheter aortic valve implantation from the optimized catheter valvular intervention (OCEAN‐TAVI) japanese multicenter registry

Kodama, Atsuko; Yamamoto, Masanori; Shimura, Tetsuro; Kagase, Ai; Kōyama, Yutaka; Tada, Norio; Takagi, Kensuke; Araki, Motoharu; Yamanaka, Futoshi; Shirai, Shinichi; Watanabe, Yusuke; Hayashida, Kentaro

doi:10.1002/ccd.26686

Cited by 40 publications

(32 citation statements)

References 17 publications

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“…The results of our study highlight the safety of utilizing a single Perclose device following TF‐TAVR, and potentially reducing the cost of the procedure by limiting excessive usage of closure devices and shortening the overall procedural duration. Prior literature also emphasized the safety of using a single Perclose device to achieve hemostasis when compared to double Perclose devices in patients undergoing TAVR with SAPIEN XT valves …”

Section: Discussionmentioning

confidence: 99%

The utilization of single versus double Perclose devices for transfemoral aortic valve replacement access site closure: Insights from Cleveland Clinic Aortic Valve Center

Bazarbashi

Ahuja

Gad

et al. 2019

Cathet Cardio Intervent

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Introduction: Percutaneous femoral access is the preferred access route for transcatheter aortic valve replacement (TAVR). The majority of experienced TAVR centers use two 6F Perclose ProGlide™ devices to close the primary vascular access site, deployed prior to upsizing sheath size with closure completed at the end of the case (the "preclose" approach). A strategy of utilizing a single Perclose device to preclose may have advantages including fewer complications, complexity, and cost, but the safety of this is unknown. This study examines in the safety and efficacy of using a single Perclose versus double Perclose for perclosure of large bore access during TAVR. Methods: Patients undergoing Transfemoral (TF) TAVR from January 2014 to December 2017 within the Cleveland Clinic Aortic Valve Center were identified. A retrospective review of medical charts was conducted. Vascular complications were defined according to the VARC-2 criteria. Results: A total of 740 patients were included; 487 (65.8%) received a single Perclose device while 253 (34.2%) received double Perclose devices. Baseline characteristics were similar with no differences between the single versus double Perclose groups, respectively. The access sheath size was similar in both groups with (14, 16, and 18 F) being the most common sizes utilized. Of the total 487 patients with single Perclose, 75.6% needed additional closure device (AngioSeal). With double Perclose strategy, additional closure device (AngioSeal) was used in 40.3% patients with 470 (63.5%) patients being successfully perclosed. Vascular complication rates including hematoma, stenosis requiring stenting, pseudoaneurysm, and other major vascular complications were similar between both groups.

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Section: Discussionmentioning

confidence: 99%

The utilization of single versus double Perclose devices for transfemoral aortic valve replacement access site closure: Insights from Cleveland Clinic Aortic Valve Center

Bazarbashi

Ahuja

Gad

et al. 2019

Cathet Cardio Intervent

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“…The echo‐guided technique described here satisfied the requirements and was useful even with the Prostar XL, but this point should be assessed in other cohort studies. The single and double ProGlide techniques have been used during TF‐TAVI but the superiority remains controversial . In a recent study, the single ProGlide technique achieved similar results to those of the double ProGlide technique even with the use of a large‐calibre sheath .…”

Section: Discussionmentioning

confidence: 99%

“…The single and double ProGlide techniques have been used during TF‐TAVI but the superiority remains controversial . In a recent study, the single ProGlide technique achieved similar results to those of the double ProGlide technique even with the use of a large‐calibre sheath . The single ProGlide technique was not associated with ProGlide‐related complications in our cohort.…”

Section: Discussionmentioning

confidence: 99%

The novel echo‐guided ProGlide technique during percutaneous transfemoral transcatheter aortic valve implantation

Honda

Araki

Yamawaki

et al. 2017

J Interven Cardiology

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“…Based on the experiences previously described by other authors, PEVAR is routinely performed using the “pre-close technique” applying one single Perclose ProGlide for stent grafts with delivery system profiles up to 14F and two crossed Perclose ProGlides for delivery system profile devices greater than 14F. 7 , 8 , 9 …”

Section: Techniquementioning

confidence: 99%

An Alternative Technique to Achieve Haemostasis During PEVAR Using Perclose ProGlide

Baldino

Persi

Mortola

et al. 2018

EJVES Short Reports

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IntroductionPercutaneous endovascular abdominal aortic aneurysm repair (PEVAR) using the Perclose ProGlide suture mediated closure device is currently performed on a global scale. A safe, effective, and cheap technique for achieving haemostasis during PEVAR is described that allows the reversible downsizing of the arteriotomy, without using any other devices.TechniqueThe procedure consists of pulling the blue thread of the pre-implanted ProGlide, advancing the knot close to the arterial wall by pushing it with the dilator of a small introducer sheath, and maintaining the system under tension by grasping the end of the blue thread with a haemostat until bleeding control is achieved.DiscussionSeventeen PEVAR femoral access downsizing procedures have been performed between February and June 2018 and no complications were observed. The technique could be useful in everyday practice and has now become the author's standard practice.

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Comparative data of single versus double proglide vascular preclose technique after percutaneous transfemoral transcatheter aortic valve implantation from the optimized catheter valvular intervention (OCEAN‐TAVI) japanese multicenter registry

Abstract: Vascular closure with a single ProGlide in TF-TAVI could achieve equivalent, acceptable rates of technical success and procedural complications compared with the double ProGlide technique. © 2016 Wiley Periodicals, Inc.

Cited by 40 publications

References 17 publications

The utilization of single versus double Perclose devices for transfemoral aortic valve replacement access site closure: Insights from Cleveland Clinic Aortic Valve Center

The utilization of single versus double Perclose devices for transfemoral aortic valve replacement access site closure: Insights from Cleveland Clinic Aortic Valve Center

The novel echo‐guided ProGlide technique during percutaneous transfemoral transcatheter aortic valve implantation

An Alternative Technique to Achieve Haemostasis During PEVAR Using Perclose ProGlide

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