{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:22:46Z","timestamp":1790716966292,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"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":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>New vascular closure devices (VCD) are being introduced for achieving hemostasis after transcatheter aortic valve implantation (TAVI). However, no safety or efficacy data have been published compared to other contemporary VCD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare the safety and efficacy of suture\u2010based Perclose Prostyle as compared to plug\u2010based MANTA device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 408 consecutive TAVI patients from two high volume TAVI centers were included in the present study. Patients were grouped according to VCD: Prostyle versus MANTA. Propensity score matching (PSM) and multivariable analysis were utilized to compare clinical endpoints between the two groups. The primary endpoint was any vascular complication (VC) according to VARC\u20103 criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After PSM, a total of 264 patients were analyzed, of them 132 in each group. Overall baseline characteristics of the two groups were comparable. Primary end\u2010point was similar between MANTA as compared to Prostyle (16.7% vs. 15.3% respectively, <jats:italic>p<\/jats:italic>\u2009=\u20090.888). The main driver for VC among MANTA group were minor vascular complications (15.2%). Conversely, minor and major VC contributed equally to the primary endpoint among Prostyle group (7.6%) (<jats:italic>p<\/jats:italic>\u2009=\u20090.013). No outcome predictors were identified in multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VCD for transfemoral TAVI using the new\u2010generation Prostyle device or the MANTA device achieved comparable VARC\u20103 VC rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30921","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:13:38Z","timestamp":1701994418000},"page":"160-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of MANTA versus Perclose Prostyle large\u2010bore vascular closure devices during transcatheter aortic valve implantation"],"prefix":"10.1002","volume":"103","author":[{"given":"Israel M.","family":"Barbash","sequence":"first","affiliation":[{"name":"Interventional Cardiology Unit Leviev Heart Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yishay","family":"Wasserstrum","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit Leviev Heart Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"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 German Heart Center Munich Technische Universit\u00e4t M\u00fcnchen Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Guetta","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit Leviev Heart Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Ziegelm\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery German Heart Center Munich Technische Universit\u00e4t M\u00fcnchen Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Segev","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit Leviev Heart Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fefer","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit Leviev Heart Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University Tel Aviv 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