{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:04:46Z","timestamp":1778864686124,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"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":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Femoral large\u2010bore vascular access is an important and constantly increasing technique in interventional treatment. Temporary circulatory support in complex and high\u2010risk indicated patients (CHIP) presents a challenge in terms of postinterventional access site closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Monitoring the safety and efficacy of the MANTA system (Teleflex Inc.), a plug\u2010based vascular closure device (PbVCD) in patients receiving a percutaneous microaxial flow pump (mAFP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicenter prospective all\u2010comers registry enrolled 73 consecutive patients scheduled for PbVCD after receiving mAFP for CHIP or cardiogenic shock. The primary endpoint was the occurrence of vascular complications at the mAFP access site until discharge according to the Valve Academic Research Consortium\u20103 (VARC\u20103) definition. Secondary endpoints included the rate of procedure\u2010 or device\u2010related bleedings, device\u2010failures, and the time to hemostasis. Operators rated on the use of the MANTA System and the similarity compared to ANGIOSEAL (Terumo Medical Corp.).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Hemostasis was achieved in all 73 patients with no need for alternative treatment other than manual compression. The primary endpoint occurred in 7 (9.6%) patients with 1 (1.4%) patient suffering from a major vascular complication and 6 (8.2%) patients developing hematoma with type 2 bleeding (minor vascular complication). There was no vessel closure or thromboembolic event. In\u2010hospital survival was 100%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PbVCD system is a safe, efficient and easy\u2010to\u2010use vascular closure system for large\u2010bore vascular access in patients receiving a mAFP. Advantages and disadvantages of PbVCD and suture\u2010based vascular closure devices (SbVCD) systems should be individually adapted according to the patient's medical history and the anatomy of the vascular constellation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31528","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T02:15:42Z","timestamp":1744337742000},"page":"189-195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Safety and Efficacy of a Plug\u2010Based Vascular Closure Device After Percutaneous Microaxial Flow Pump in the Treatment of Complex and High\u2010Risk Indicated Patients"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9825-7155","authenticated-orcid":false,"given":"J\u00f6rg W.","family":"Schr\u00f6der","sequence":"first","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care University Hospital RWTH Aachen Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0793-7923","authenticated-orcid":false,"given":"Norman","family":"Mangner","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiology, Heart Center Dresden University Hospital, Technische Universit\u00e4t Dresden Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix J.","family":"Woitek","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiology, Heart Center Dresden University Hospital, Technische Universit\u00e4t Dresden Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai U.","family":"Markus","sequence":"additional","affiliation":[{"name":"VYSYO GmbH, Clinical Research Eschweiler Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lehrke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care University Hospital RWTH Aachen Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Vogt","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care University Hospital RWTH Aachen Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlo","family":"Verket","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care University Hospital RWTH Aachen Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros","family":"Siskos","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Centre Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Biener","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Pulmonology University Hospital Heidelberg Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Meder","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Pulmonology University Hospital Heidelberg Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2732-1205","authenticated-orcid":false,"given":"Nicolas M.","family":"Van Mieghem","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Centre Rotterdam the 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