{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:11:42Z","timestamp":1771233102628,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,5,29]],"date-time":"2021-05-29T00:00:00Z","timestamp":1622246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Compare two large\u2010bore vascular closure devices (VCDs), collagen\u2010plug\u2010based MANTA and suture\u2010based dual Perclose ProGlide (PP), in patients undergoing contemporary transfemoral transcatheter aortic valve replacement (TAVR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The SAFE MANTA IDE clinical trial demonstrated that the collagen\u2010plug\u2010based MANTA VCDs were safe and effective in closing large\u2010bore arteriotomies. However, data comparing this collagen\u2010plug\u2010based VCD to the suture\u2010based VCD in contemporary practice are sparse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective observational study in which we screened transfemoral (TF) TAVR patients at our institution from 2017 to 2020. Included were those whose large\u2010bore TF access was closed using either MANTA or PP with and without Angio\u2010Seal. Our primary outcome was VCD success. Additional in\u2010hospital outcomes included major and minor vascular complications, post\u2010TAVR length of stay, and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We screened 696 patients who underwent TAVR. Using propensity scores, we matched 124 patients who received MANTA with 124 patients who received PP. Patients had a mean age of 77.2\u2009years, 69.0% were men, and their mean Society of Thoracic Surgeons score was 3.4%. VCD success was equivalent between VCDs (95.2% vs. 95.2%; <jats:italic>p<\/jats:italic>\u00a0=\u20091.000). Patients had similar rates of mortality (0% vs. 0.8%; <jats:italic>p<\/jats:italic>\u00a0=\u2009.316), and no patients had major vascular complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In contemporary TAVR, the collagen\u2010plug\u2010based MANTA VCD appears to be as safe and effective as the suture\u2010based dual PP VCD, with no differences in VCD success, vascular complications, or mortality. Therefore, selection of VCD for TAVR should be left to operator discretion, taking into account anatomical considerations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29786","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T17:07:50Z","timestamp":1622740070000},"page":"580-585","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["<scp>Propensity\u2010matched<\/scp> comparison of <scp>large\u2010bore<\/scp> access closure in transcatheter aortic valve replacement using <scp>MANTA<\/scp> versus Perclose: A <scp>real\u2010world<\/scp> experience"],"prefix":"10.1002","volume":"98","author":[{"given":"Giorgio A.","family":"Medranda","sequence":"first","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian C.","family":"Case","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hank","family":"Rappaport","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaby","family":"Weissman","sequence":"additional","affiliation":[{"name":"Department of Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson L.","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6446-2683","authenticated-orcid":false,"given":"Lowell F.","family":"Satler","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itsik","family":"Ben\u2010Dor","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toby","family":"Rogers","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"},{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart, Lung and Blood Institute National Institutes of Health  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4063-9226","authenticated-orcid":false,"given":"Ron","family":"Waksman","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.06.150"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.09.054"},{"issue":"7","key":"e_1_2_9_4_1","first-page":"E184","article-title":"Trends and outcomes of alternative\u2010access transcatheter aortic valve replacement","volume":"31","author":"Pineda AM","year":"2019","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.04.056"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV12I1A16"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820912224"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs533"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.04.065"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27595"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-18-00769"},{"key":"e_1_2_9_12_1","unstructured":"Van MieghemNM.2020.MARVEL (Manta registry for vascular large\u2010bore closure) prospective registry. 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