{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:08:24Z","timestamp":1791410904168,"version":"4.3.3"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vascular complications following transfemoral TAVR are associated with increased morbidity and mortality. Measures that may mitigate this risk are important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the utility of routine, access\u2010vessel angiography post sheath\u2010removal in the detection and management of complications in patients undergoing transcatheter aortic valve replacement (TAVR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of 512 consecutive patients who underwent transfemoral TAVR with routine post access\u2010closure angiography from the radial artery. Rates of mild angiographically evident bleeding, bleeding requiring surgery\/interventional\u2010radiology, ischemia, 90\u2010day access\u2010site\u2010related events, and major and minor vascular complications using Valve Academic Research Consortium 3 definitions were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 512 patients, digital subtraction angiography (DSA) was undertaken via the radial artery in 467 patients (91%). In the remaining patients (9%) DSA was either not attempted, due to concerns regarding kidney disease and contrast volume, or failed due to anatomical factors (aortic tortuosity\/calcification). Significant chronic kidney disease was present at baseline in 72.4% of this cohort (stages\u00a0III\u2013IV or dialysis). Ninety\u2010four percent of cases underwent TAVR using a balloon\u2010expandable platform. Mild iliofemoral extravasation was observed in 7.7% of the DSA cases. These cases were managed by manual compression with none requiring any vascular intervention subsequently. Valve Academic Research Consortium 3\u00a0major and minor access\u2010site\u2010related complications were observed in 0.4% and 12.2%, respectively. Access\u2010site\u2010related bleeding and ischemic events requiring interventional\u2010radiology or vascular\u2010surgery were observed in 0.9% and 1.7% of the DSA cases, respectively. No new renal replacement therapy was needed in any of the DSA cases. Discharge to 90\u2010day access\u2010related complications was 0.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Routine post access\u2010closure angiography is feasible via the radial artery in patients undergoing transfemoral TAVR and appears safe. It facilitates early identification of complications and mitigates risk by enabling prompt action to be taken. Larger studies are needed to confirm these findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30894","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T18:19:00Z","timestamp":1698430740000},"page":"1311-1316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Routine postaccess\u2010closure angiography to detect vascular complications following transfemoral TAVR"],"prefix":"10.1002","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2266-8357","authenticated-orcid":false,"given":"Panagiotis","family":"Savvoulidis","sequence":"first","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan M.","family":"Nadir","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"},{"name":"Institute for Cardiovascular Sciences, College of Medical &amp; Dental Sciences University of Birmingham Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Mechery","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Lawton","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumail","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghaith M.","family":"Maqableh","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"},{"name":"Cardiology Department, Faculty of Medicine Al Balqa Applied University Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waseem","family":"Raja","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun Wai","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar N.","family":"Doshi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"},{"name":"Institute for Cardiovascular Sciences, College of Medical &amp; Dental Sciences University of Birmingham Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000047200.36165.B8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1008232"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1814052"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s44156-022-00005-6"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2022.05.035"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008609"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v12.i11.571"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccl.2019.08.005"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.06.005"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.018"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008227"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30894","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T18:05:21Z","timestamp":1703786721000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,27]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ccd.30894"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30894","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,27]]},"assertion":[{"value":"2023-03-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}