{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:29:43Z","timestamp":1790616583069,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"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":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suture\u2010mediated closure using the ProGlide system can fail during transfemoral transcatheter aortic valve implantation (TAVR) in patients with heavily calcified femoral arteries, complicating vascular access management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe a case series of three TAVR procedure in which ProGlide pre\u2010closure failed due to calcified plaques impairing footplate apposition, despite accurate ultrasound\u2010guided puncture. Then, a bailout strategy involving femoral angioplasty via a secondary vascular access, the Fem\u2010PREP (Femoral Preparation for Preclosure) technique, was employed to improve vessel compliance and luminal diameter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Fem\u2010PREP technique provided minimal space required for adequate ProGlide footplate mobility, reducing plaque interference and enabling successful suture deployment in all cases without vascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Targeted femoral angioplasty using Fem\u2010PREP may overcome one of the key mechanical limitation associated with pre\u2010closure failure in calcified femoral arteries, offering a simple and effective adjunctive technique in selected TAVR patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70285","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T07:55:46Z","timestamp":1762156546000},"page":"61-69","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Angioplasty\u2010Assisted, Suture\u2010Mediated Vascular Closure Enabling Percutaneous Transfemoral TAVR in Case of a Diseased Puncture Site. The FEM\u2010PREP Technique"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9889-9113","authenticated-orcid":false,"given":"Agostino","family":"Spano'","sequence":"first","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"},{"name":"Cardiovascular Sciences Department Campus Bio\u2010medico University Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9674-0278","authenticated-orcid":false,"given":"Ole","family":"De Backer","sequence":"additional","affiliation":[{"name":"Cardiology, Rigshospitalet Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2311-4129","authenticated-orcid":false,"given":"Ignacio J.","family":"Amat\u2010Santos","sequence":"additional","affiliation":[{"name":"Division of Cardiology Hospital Cl\u00ednico Universitario de Valladolid Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marouane","family":"Boukhris","sequence":"additional","affiliation":[{"name":"Cardiology Department CHU Dupuytren Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0880-0491","authenticated-orcid":false,"given":"Adrien","family":"Jossart","sequence":"additional","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Auslender","sequence":"additional","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-0925","authenticated-orcid":false,"given":"Giuseppe","family":"Colletti","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Clinique Saint Joseph, Vivalia Arlon Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihai","family":"Cocoi","sequence":"additional","affiliation":[{"name":"Cardiology Department \u201cNiculae Stancioiu\u201d Heart Institute Cluj\u2010Napoca Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1583-5882","authenticated-orcid":false,"given":"Claudiu","family":"Ungureanu","sequence":"additional","affiliation":[{"name":"Cardiovascular Jolimont Hospital La Louvi\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.09.595"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-16-01024"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr491"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2025.05.010"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2023.101107"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.02.016"},{"key":"e_1_2_6_8_1","unstructured":"B. S. R. W.VercauterenandD. D.Roover \u201cPreclosure for PEVAR: This Technique can be Applied in a Majority of AAA Patients \u201d (2014)."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2016.11.004"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaf118"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29501"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.09.052"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2018.11.013"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.04.015"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.08.058"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.07.028"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV11I6A137"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.01.070"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2021.09.005"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.08.133"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T04:40:05Z","timestamp":1767760805000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,2]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ccd.70285"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70285","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,2]]},"assertion":[{"value":"2025-07-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}