An upfront combined strategy for endovascular haemostasis in transfemoral transcatheter aortic valve implantation.

ABSTRACT:

Background

Vascular complications still represent an important issue after transcatheter aortic valve implantation (TAVI).

Aims

The aim of this study was to evaluate the effectiveness of upfront use of an adjunctive Angio-Seal (AS) plug-based system on top of suture-based devices (SBDs) for endovascular haemostasis after transfemoral (TF) TAVI.

Methods

From January 2019 to April 2020, 332 consecutive patients with preprocedural computed tomography angiography (CTA) assessment underwent fully percutaneous TF-TAVI. The primary outcomes were 30-day major vascular complications and major or life-threatening (LT) bleeding due to endovascular closure system failure. A total of 246 TF-TAVI patients (123 pairs), undergoing either isolated SBD or SBD+AS, were matched using the

SUBMITTER: Costa G 

PROVIDER: S-EPMC9724957 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature