{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T01:24:10Z","timestamp":1775265850679,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,5,14]],"date-time":"2022-05-14T00:00:00Z","timestamp":1652486400000},"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":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aim to report on the efficacy and safety of large bore venous access (LBVA) preclosure with Perclose\u2122 (Abbott Vascular Devices) suture\u2010mediated device use following transcatheter edge\u2010to\u2010edge (TEER) and replacement (TMVR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients requiring TEER and TMVR require LBVA. Clinical outcome data on the use of suture\u2010mediated devices for LBVA site closure are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2012 and 2019, 354 consecutive high\u2010risk patients with mitral valvular heart disease underwent TEER (<jats:italic>n<\/jats:italic>\u2009=\u2009287) with MitraClip and TMVR (<jats:italic>n<\/jats:italic>\u2009=\u200967) with Edwards Sapien Valves. Patients had LBVA with 24 or 16 French sheaths. All patients underwent preclosure of LBVA except for one that underwent manual hemostasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no closure device failures. None of the cases required surgical repair of the access site following venous preclosure. Two cases had large hematomas (&gt;6\u2009cm) following Perclose in each group. Six cases had small hematomas (&lt;6\u2009cm and &gt;2\u2009cm) with three in each group. There was one major bleeding using Mitral Valve Academic Research Consortium 2 definition (retroperitoneal bleed from arterial puncture) unrelated to the venous closure. Transfusion related to vascular access complication was required in five cases. There were two immediate acute deep venous thromboses postprocedure; one of which occurred after preclosure. There were no arteriovenous malformations, pseudoaneurysms, or access site infections reported following Perclose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this large sample size analysis, Proglide preclosure technique is a feasible and safe alternative approach to achieving hemostasis after removal of LBVA sheaths in patients undergoing TEER and TMVR. Randomized trials are needed to compare the different modalities of hemostasis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30229","type":"journal-article","created":{"date-parts":[[2022,5,15]],"date-time":"2022-05-15T05:49:35Z","timestamp":1652593775000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Preclosure of large bore venous access sites in patients undergoing transcatheter mitral replacement and repair"],"prefix":"10.1002","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3207-5843","authenticated-orcid":false,"given":"Mustafa","family":"Mohammed","sequence":"first","affiliation":[{"name":"Department of Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4758-7211","authenticated-orcid":false,"given":"Paul","family":"Nona","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elian","family":"Abou Asala","sequence":"additional","affiliation":[{"name":"Department of Medicine Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Chiang","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Lemor","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5206-1639","authenticated-orcid":false,"given":"Brian","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiberio","family":"Frisoli","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Lee","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5784-9924","authenticated-orcid":false,"given":"Dee Dee","family":"Wang","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William W.","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0334-6504","authenticated-orcid":false,"given":"Marvin","family":"Eng","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro A.","family":"Villablanca","sequence":"additional","affiliation":[{"name":"Center for Structural Heart Disease, Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.877407"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24835"},{"issue":"8","key":"e_1_2_9_4_1","first-page":"592","article-title":"Percutaneous suture closure for management of large French size arterial puncture in aortic 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