Large Bore Vascular Access Closure Device Strategies

Sarathy, Kiran; Patel, Kush; Jones, Daniel M.; Akhtar, Mohammed Abid; Khanna, Vikram; Broyd, Chris; Ozkor, Muhiddin; Kennon, Simon; Mathur, Anthony; Baumbach, Andreas; Mullen, Michael

doi:10.1080/24748706.2021.1872818

Cited by 7 publications

(5 citation statements)

References 21 publications

(25 reference statements)

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“…We identified 11 studies (2 RCTs and 9 observational studies) for the meta-analysis. 8,[11][12][13][14][15][16][17][18][19][20] The literature search process is detailed in Figure 1. The details of the included studies are illustrated in Table 1.…”

Section: Summary Of Studiesmentioning

confidence: 99%

See 1 more Smart Citation

MANTA Versus Suture-based Closure Devices Following Transcatheter Aortic Valve Replacement: An Updated Meta-analysis

Al‐Abdouh

Abusnina

Mhanna

et al. 2022

Journal of the Society for Cardiovascular Angiography & Int

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Section: Summary Of Studiesmentioning

confidence: 99%

“…We performed a systematic review and meta-analysis using data comparing plug-based and suture-based large-bore vascular closure devices. [13][14][15][16][17][18][19][20]…”

Section: Introductionmentioning

confidence: 99%

MANTA Versus Suture-based Closure Devices Following Transcatheter Aortic Valve Replacement: An Updated Meta-analysis

Al‐Abdouh

Abusnina

Mhanna

et al. 2022

Journal of the Society for Cardiovascular Angiography & Int

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“…Fifteen years ago the standard approach was prolonged manual compression. 19 We believe that the trans-arterial PIVSD closure has advantages, and we encourage other operators to consider this approach for closure of PIVSDs. Device manufacturers will also need to design a 120 cm 10 F braided sheath which will allow delivery of larger PIVSD devices via a single arterial access.…”

Section: Discussionmentioning

confidence: 91%

“…In the era of transcatheter aortic valve implantation, many operators have become familiar and comfortable with management of the large‐bore arterial access using various arterial closure devices. Fifteen years ago the standard approach was prolonged manual compression 19 . We believe that the trans‐arterial PIVSD closure has advantages, and we encourage other operators to consider this approach for closure of PIVSDs.…”

Section: Discussionmentioning

confidence: 92%

Single arterial access closure of post‐infarction ventricular septal defect: A case series

Doost

Chilmeran²,

Gomes³

et al. 2022

Cathet Cardio Intervent

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Background Post‐infarction ventricular septal defect (PIVSD) carries a very poor prognosis. Surgical repair offers reasonable outcomes in patients who survive the initial healing period. Percutaneous device implantation remains a potentially effective earlier alternative. Methods and Results From March 2018 to May 2022, 11 trans‐arterial PIVSD closures were attempted in 9 patients from two centers (aged 67.2 ± 11.1 years; 77.8% male). Two patients had a second procedure. Myocardial infarction was anterior in four patients (44.5%) and inferior in five cases (55.5%). Devices were successfully implanted in all patients. There were no major immediate procedural complications. Immediate shunt grade postprocedure was significant (11.1%), minimal (77.8%), or none (11.1%). Median length of stay after the procedure was 14.8 days. Five patients (55%) survived to discharge and were followed up for a median of 605 days, during which time no additional patients died. Conclusion Single arterial access for percutaneous closure of PIVSD is a good option for these extremely high‐risk patients, in the era of effective large‐bore arterial access closure. Mortality remains high, but patients who survive to discharge do well in the longer term.

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“…Vascular access-related complications were common and associated with poor outcomes. With lower profile delivery catheters, ultrasound-guided puncture, pre-TAVI CT angiography and dedicated large-bore closure devices, vascular access has become safer 17–19. Transapical TAVI was initially the only alternative access if transfemoral access was not possible.…”

Section: Procedural Changesmentioning

confidence: 99%