{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:37:12Z","timestamp":1788449832637,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"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":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Transcatheter aortic valve implantation (TAVI) is an effective and safe intervention for severe symptomatic aortic stenosis regardless of surgical risk. Vascular complications following TAVI are considered among the most common and serious complications, with a higher risk of mortality.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n We aimed to perform a systematic review and meta\u2010analysis to evaluate the safety and efficacy of the combination of suture\u2010collagen plug vascular closure devices (VCDs) compared with suture\u2010only devices.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We have systematically searched the literature from inception until January 4, 2025, for cohort studies and clinical trials comparing the combination of suture\u2010collagen plug vascular closure devices (VCDs) versus suture\u2010only VCDs.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 2064 patients across six studies were included in the analysis. All studies compared dual Perclose ProGlide versus 1 Perclose ProGlide + 1 Angio\u2010Seal, except one study that used either one Prostar or dual ProGlide in the suture group. The combination group of suture\u2010plug VCDs was associated with a statistically significant reduction of VCDs failure (RR\u2009=\u20090.14, CI 95% [0.09\u20130.23],\n p<\/jats:italic>\n \u2009<\u20090.0001,\n I<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u200958.6938%), bleeding complications (RR\u2009=\u20090.35, CI95% [0.24\u20130.53],\n p<\/jats:italic>\n \u2009<\u20090.0001, 0.0%), major vascular complications (RR\u2009=\u20090.42, CI 95% [0.28, 0.63],\n p<\/jats:italic>\n \u2009<\u20090.0001,\n I<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u200950.4%), and minor vascular complications (RR\u2009=\u20090.54, CI 95% [0.43, 0.66],\n p<\/jats:italic>\n \u2009<\u20090.0001,\n I<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090%). On the other hand, all\u2010cause mortality did not have a statistically significant difference between the two groups (RR\u2009=\u20090.54, CI 95% [0.28, 1.05],\n p<\/jats:italic>\n \u2009=\u20090.0709,\n I<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In patients undergoing TAVI, the combination strategy of suture\u2010plug VCDs is superior to suture\u2010only devices regarding major and minor vascular complications, bleeding complications, and VCD failure. The significantly higher VCD failure of the suture\u2010only group observed in our study led to the use of additional closure devices to secure hemostasis, raising concerns about a higher risk of peripheral ischemia.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ccd.31655","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T01:14:41Z","timestamp":1748913281000},"page":"1088-1097","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Combination of Suture\u2010Plug Vascular Closure Devices Versus Suture\u2010Only Devices Following Transcatheter Aortic Valve Implantation: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5456-3883","authenticated-orcid":false,"given":"Saddik","family":"Haddad","sequence":"first","affiliation":[{"name":"Faculty of Medicine Tishreen University Latakia Syria"},{"name":"Cancer Research Center Tishreen University Latakia Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2043-2532","authenticated-orcid":false,"given":"George","family":"Bashour","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Tishreen University Latakia Syria"},{"name":"Cancer Research Center Tishreen University Latakia Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9241-8890","authenticated-orcid":false,"given":"Mamas A.","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group Keele University Keele UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"issue":"5","key":"e_1_2_11_2_1","first-page":"6","article-title":"2020 ACC\/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"143","author":"Otto C. M.","year":"2021","journal-title":"Circulation [Internet]"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.12.006"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz275"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.03.019"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.018042"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.007258"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012592"},{"issue":"7","key":"e_1_2_11_9_1","article-title":"Comparison of Strategies for Vascular ACCESS Closure After Transcatheter Aortic Valve Implantation: the ACCESS\u2010TAVI Randomized Trial","volume":"46","author":"Rheude T.","year":"2024","journal-title":"European Heart Journal"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v036.i03"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-20-01125"},{"issue":"24","key":"e_1_2_11_13_1","article-title":"Vascular Complications in TAVI Procedures: Assessment, Management, and Outcomes: A Retrospective Study","volume":"1109","author":"Vasileios C.","year":"2024","journal-title":"Hellenic Journal of Cardiology (HJC) Hell Kardiologike Epitheorese"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12175645"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2024.09.001"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.05.055"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/24748706.2021.1872818"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa799"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-22-00311"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S149916"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.2174\/1381612822666151208120522"},{"issue":"1","key":"e_1_2_11_22_1","article-title":"Abstract 4134878: Single Perclose Plus Angioseal Versus Double Perclose for Percutaneous Femoral Access: A Systematic Review and Meta\u2010Analysis","volume":"150","author":"Bertolino E.","year":"2024","journal-title":"Circulation [Internet]"},{"key":"e_1_2_11_23_1","unstructured":"Cochrane. \u201c10.4.3.1 Recommendations on Testing for Funnel Plot Asymmetry [Internet] \u201d cited February 17 2025 https:\/\/handbook-5-1.cochrane.org\/chapter_10\/10_4_3_1_recommendations_on_testing_for_funnel_plot_asymmetry.htm."}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31655","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31655","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31655","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:05:10Z","timestamp":1771221910000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ccd.31655"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31655","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"2025-03-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}