{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:20:06Z","timestamp":1790716806069,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,23]],"date-time":"2022-01-23T00:00:00Z","timestamp":1642896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Vascular access site complications increase morbidity and mortality in transcatheter aortic valve replacement (TAVR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Medtronic's EnVeo PRO\u00ae low\u2010profile sheath concept and Edwards'\u00a0expandable eSheath\u00ae aim to lower vascular trauma and access site complications. This study aims to compare Valve Academic Research Consortium (VARC)\u20103 defined access\u2010related vascular complications using the two different transcatheter heart valve (THV) delivery concepts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective, propensity\u2010matched study to compare access site vascular complications in 756 consecutive patients who underwent a transfemoral TAVR using a Medtronic Evolut\u2010R\u00ae\/Evolut\u2010PRO\u00ae or an Edwards Sapien3\u00ae\/Sapien3ultra\u00ae THV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Propensity score matching resulted in 275 patient pairs. The primary endpoint of major VARC\u20103 vascular complication was 7.6% in the Medtronic group and 12.7% in the Edwards group (<jats:italic>p<\/jats:italic>\u2009=\u20090.066). Minor VARC\u20103 vascular complications were 9.1% and 8%, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.76). VARC\u20103 bleeding complications (8.4% vs. 12.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.129) length of hospital stay (7.6\u2009\n<jats:styled-content>+<\/jats:styled-content>\u20095.4\u00a0vs. 7.5\u2009\n<jats:styled-content>+<\/jats:styled-content>\u20093.7 days, <jats:italic>p<\/jats:italic>\u2009=\u20090.783) and in\u2010hospital mortality (1.1% vs. 0.4%, <jats:italic>p<\/jats:italic>\u2009=\u20090.624) were comparable between both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In a propensity\u2010matched TAVR population, patients treated with the integrated sheath showed a trend towards fewer major vascular complications than patients treated with an expandable sheath, however, the difference was not statistically significant.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30088","type":"journal-article","created":{"date-parts":[[2022,1,23]],"date-time":"2022-01-23T20:33:46Z","timestamp":1642970026000},"page":"1611-1618","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Propensity matched analysis of vascular complications using integrated or expandable sheaths for TAVR"],"prefix":"10.1002","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6886-3660","authenticated-orcid":false,"given":"Hendrik","family":"Ruge","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery INSURE (Institute for Translational Cardiac Surgery), German Heart Center, TUM  Munich Germany"},{"name":"Department of Cardiovascular Surgery German Heart Center Munich, TUM  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melchior","family":"Burri","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery INSURE (Institute for Translational Cardiac Surgery), German Heart Center, TUM  Munich Germany"},{"name":"Department of Cardiovascular Surgery German Heart Center Munich, TUM  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7560-9257","authenticated-orcid":false,"given":"Magdalena","family":"Erlebach","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery INSURE (Institute for Translational Cardiac Surgery), German Heart Center, TUM  Munich Germany"},{"name":"Department of Cardiovascular Surgery German Heart Center Munich, TUM  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruediger","family":"Lange","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery INSURE (Institute for Translational Cardiac Surgery), German Heart Center, TUM  Munich Germany"},{"name":"Department of Cardiovascular Surgery German Heart Center Munich, TUM  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29095"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.06.042"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1514616"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1814052"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1816885"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28295"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1700456"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.02.038"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.07.045"},{"key":"e_1_2_10_12_1","article-title":"Surgical cutdown avoids vascular complications in transcatheter aortic valve replacemnts in calcified and small femoral arteries","author":"Burri M","year":"2021","journal-title":"Thorac Cardiovasc Surg"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.03.019"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.07.013"},{"key":"e_1_2_10_15_1","first-page":"S3595","article-title":"Surgical cutdown avoids vascular complications in transcatheter aortic valve replacement in calcified and small femoral arteries","volume":"10","author":"Burri M","year":"2021","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["Catheterization and Cardiovascular 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