In patients undergoing transfemoral TAVI, the MANTA VCD showed a similar risk of VARC-2 vascular and bleeding complications compared to the ProGlide VCD, but it reduced significantly the need of additional VCDs for completion of hemostasis.

Results: operative mortality was zero and there were no clinically significant bleeding complications. epidural analgesia was necessary for adequate pain control. small symp tomless residual pneumothoraxes and pleural effusions were common after the operation but neither required intervention. one patient had ah emothorax 7m onths postopera tively,which was cured with asingle puncture. bar displacement took place in 2patients but required correction in only one of these patients. there were 2wound infections, one superficial and one which led to removal of the bar was 6m onths after the operation. this may have been unnecessary.t wo patients had pneumonia, one probably unrelated to the operation. one patient required psychiatric ward treatment, and 3p atients had mild psychological symptoms not requiring specific therapy.t he preliminary cosmetic results were good or excellent in 90% of the cases, but alonger followup is needed for information on the final outcome.Conclusions: Mirpe is as afe operation and gives ac osmetically good result. thora coscopy is needed during the operation. the early postoperative period in hospital is painful and there the patients need intensive care. We found the high epidural analgesia beneficial and safe during early period of pain treatment. the bar is removed not earlier than 3years after the operation as aday care surgical procedure.

Background and Aims: the purpose of this study was to describe the frequency and types of complications after tube thoracostomy among all patients treated with tube thoracostomy for both traumatic and non-traumatic indications. Material and Methods: Retrospective register-based study of patients treated with tube thoracostomy between the years 2004 and 2014 in a university hospital. Results: in total, 1808 patients who had undergone tube thoracostomy were identified, complete data on tube thoracostomy treatment was available for 1169 patients. a total of 233 (19.9%) patients had 289 complications, 284 (98.3%) were positional resulting in tube malfunction. in 84 (7.2%) patients, malposition of the tube resulted in need for non-urgent operative treatment. there were 103 in-hospital deaths, but none due to tube thoracostomy complications. empyema as a treatment indication was more frequent in patients with complications (15.9% vs 6.8%, p < 0.001) as was diabetes (21.9% vs 13.2%, p = 0.001). the likelihood of complications was lower with Ch16 tubes (odds ratio 0.22, p < 0.001) and higher in diabetics (odds ratio 1.86, p = 0.001). Conclusion: tube thoracostomy is a common procedure and complications occur in 19.9% of patients. serious complications caused by the chest tube placement, however, are extremely rare. Complications were most common in patients treated for empyema and diabetics. small Ch16 tubes were associated with a lower incidence of complications.