{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:32:23Z","timestamp":1777944743360,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The hybrid strategy combining plug\u2010based and suture\u2010based vascular closure devices (VCD) was introduced as a promising technique for vascular access hemostasis after transcatheter aortic valve implantation (TAVI) with satisfactory outcomes. However, data comparing two plug\u2010based VCDs each in the combination with a suture\u2010based VCD, namely ProGlide\/AngioSeal (P\/AS) with ProGlide\/FemoSeal (P\/FS) VCDs, is still lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To compare the 30\u2010day outcome of the hybrid strategy using P\/AS versus P\/FS for vascular access site closure after TAVI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective single\u2010center observational study included 608 patients recruited from a prospective TAVI registry between 2016 and 2022. The composite endpoint was defined as any VCD\u2010related major vascular complications and\/or bleeding more than type 1 according to Valve Academic Research Consortium criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The current study reported a significantly higher rate of composite endpoint in P\/AS group, which was driven by a higher rate of major bleeding (5.4% vs. 1.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). We also found a higher rate of VCD\u2010related minor bleeding in P\/AS group (16.3% vs. 8.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Successful access site hemostasis was achieved in 71.7% of P\/AS group versus 83.1% in P\/FS group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). The presence of anterior wall calcification at the access site was significantly associated with the composite endpoint (adj odds ratio 2.49; 95% confidence interval (1.08\u20135.75),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The hybrid strategy for large bore vascular access closure using P\/FS showed a potentially better 30\u2010day outcomes compared with P\/AS. The presence of anterior calcification at the access site carries a significant risk of VCD\u2010related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31259","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T15:54:05Z","timestamp":1728402845000},"page":"1251-1259","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["ProGlide\u2010AngioSeal versus ProGlide\u2010FemoSeal for vascular access hemostasis posttranscatheter aortic valve implantation"],"prefix":"10.1002","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5406-112X","authenticated-orcid":false,"given":"Mohamed","family":"Samy","sequence":"first","affiliation":[{"name":"Cardiology Department Heart Center Segeberger Kliniken GmbH Bad Segeberg Germany"},{"name":"Cardiology Department Zagazig University Sharkia 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