Comparison of suture-based vascular closure devices in transfemoral transcatheter aortic valve implantation

Abstract

Patients undergoing transfemoral TAVI had significantly lower rates of vascular complications and percutaneous closure device failures when the Prostar was used compared with two ProGlide devices.

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

“…The Prostar XL suture‐mediated closure systems are also widely used to achieve haemostasis after TF‐TAVI. Some studies compared the effectiveness of the Prostar and ProGlide, but the results were controversial . These studies underline the importance of the use of an optimal deployment technique.…”

The Polish Interventional Cardiology TAVI Survey (PICTS): adoption and practice of transcatheter aortic valve implantation in Poland

“…The reported preference of Prostar XL over Proglide use in Polish centres depends on local practice. Current conflicting reports on the safety of closure device use in TAVI suggest the need for further research in this field [19, 20]. …”

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

“…The current study found no significant clinical differences between percutaneous preclose techniques using a single or double Perclose ProGlide devices in patients undergoing TF‐TAVI. Several previous reports revealed the feasibility of percutaneous femoral artery closure devices for the management of large‐caliber sheaths during TF‐TAVI . The success rates of femoral artery hemostasis using double Perclose ProGlide devices in the literature range from 80.5% to 93.9% .…”

“…The Prostar XL and Perclose ProGlide (Abbott Vascular, Santa Clara, California) suture‐mediated closure systems are widely used for this purpose. The preclose technique is required for the adoption of this less invasive percutaneous approach during TF‐TAVI, whereas the debate is ongoing as to which devices are superior or how many such devices are needed to achieve hemostasis . The technical aspects of the reported ProGlide method involve double suturing using two ProGlide devices before insertion of a large‐caliber sheath , and comparative data in the literature comparing single and double ProGlide techniques after percutaneous TF‐TAVI are limited.…”