{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T07:02:47Z","timestamp":1771225367838,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"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":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Plug\u2010based vascular closure devices (Pb\u2010VCD) and suture\u2010based vascular closure devices (Sb\u2010VCD) are used for percutaneous vascular access site closure during transcatheter aortic valve replacement (TAVR). Until now, no clear superiority of either device was shown in studies comparing 18\u2009F VCDs solely. However, there is no data exclusively comparing the 14\u2009F Pb\u2010VCDs against Sb\u2010VCDs after novel 14\u2009F low\u2010profile third\u2010generation heart valve delivery sheath use with focus on vascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to compare the safety and efficacy of 14\u2009F Pb\u2010VCD to Sb\u2010VCD following 14\u2009F low\u2010profile transcatheter heart valve delivery sheath use during TAVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective, propensity score\u2010matched comparison of patients receiving either the 14\u2009F Pb\u2010VCD or the Sb\u2010VCD after 14\u2009F low\u2010profile third\u2010generation heart valve delivery sheath use during TAVR. Valve academic research consortium\u20103 (VARC\u20103) criteria were used to define the primary endpoint of major and minor vascular complications at the access site. Secondary endpoints included length of hospital stay and in\u2010hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred and fifteen (Sb\u2010VCD) and 169 (Pb\u2010VCD) patients were included in propensity score matching and resulted in 69 matched patient pairs. The primary endpoint of major vascular complications was comparable between the groups (8.7% [Sb\u2010VCD] vs. 5.8% [Pb\u2010VCD],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.511), whereas minor vascular complications were more frequent in the Pb\u2010VCD group (2.9% vs. 11.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049). Secondary endpoints of length of hospital stay (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.270) and in\u2010hospital mortality (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.366) were balanced between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>14\u2009F Pb\u2010VCDs are associated with significantly higher rates of VARC\u20103 defined minor vascular complications after 14\u2009F delivery sheath utilization during TAVR, not leading to increased in\u2010hospital patients' mortality. Adequate vascular closure following transfemoral TAVR remains of high clinical significance and continuous efforts are needed to optimize vascular access and closure strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31626","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T06:44:31Z","timestamp":1748414671000},"page":"918-925","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Propensity Matched Analysis of 14 French Suture\u2010 Versus Plug\u2010Based Vascular Closure During Transfemoral Transcatheter Aortic Valve Replacement (TAVR)"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1120-4087","authenticated-orcid":false,"given":"Tobias","family":"Lerchner","sequence":"first","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center University Hospital Essen Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Michel","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center University Hospital Essen Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Tiroch","sequence":"additional","affiliation":[{"name":"Department of Cardiology Heart Center Bodensee Konstanz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tienush","family":"Rassaf","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center University Hospital Essen Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Krane","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Institute Insure, German Heart Center Munich, School of Medicine &amp; Health Technical University of Munich Munich Germany"},{"name":"Department of Surgery, Division of Cardiac Surgery Yale School of Medicine New Haven Connecticut USA"},{"name":"DZHK (German Center for Cardiovascular Research)\u2014Partner Site Munich Heart Alliance Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc Michael","family":"Vorpahl","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rhythmology and Vascular Medicine Helios Clinic Siegburg Siegburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Ruge","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Institute Insure, German Heart Center Munich, School of Medicine &amp; Health Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.003"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29095"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.06.042"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.057856"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.007258"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30088"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2018.12.003"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV5I4A69"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV12I7A147"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.09.052"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.04.003"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2009.06.030"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa799"},{"issue":"1","key":"e_1_2_12_15_1","first-page":"29","article-title":"The Impact of Frailty on the Outcomes of Hemodialysis Vascular Access","volume":"38","author":"Chen C. 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