{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:46Z","timestamp":1786977406070,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T00:00:00Z","timestamp":1702080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postinterventional sonographic assessment of the femoral artery after transfemoral transcatheter aortic valve replacement (TF\u2010TAVR) has the potential to identify several pathologies. We investigated the incidence and risk factors of femoral vessel complications in a modern TAVR collective using postinterventional sonography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between September 2017 and March 2022, 480 patients underwent TF\u2010TAVR with postinterventional femoral sonography at a single center. Clinical outcomes and adverse events were analyzed after the Valve Academic Research Consortium 3 (VARC\u20103) criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In this cohort (51.2% male; age 80\u2009\u00b1\u20097.5 years, median EuroSCORE II 3.7) 74.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009359) were implanted with a self\u2010expandable and 25.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009121) with a balloon\u2010expandable valve. The main access (valve\u2010delivery) was located right in 91.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009438), and the primary closure system was Proglide in 95% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009456). Vascular complications (VC) were observed in 29.16% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009140) of patients; 23.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009112) presented with minor\u2010 and 5.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) with major VC. Postinterventional femoral artery stenosis on the main access was observed in 9.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200947). Multivariable logistic regression analysis revealed female sex (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.03, odds ratio [OR] 2.32, 95% confidence interval [CI] 1.09\u20134.89) and the number of used endovascular closure devices (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.014, OR 0.11, 95%CI 0.02\u20130.64) as predictive factors for femoral artery stenosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incidence of postinterventional femoral artery stenosis following TF\u2010TAVR was higher than expected with a number of used closure devices and female sex being independent risk factors. Considering the continuous advance of TAVR in low\u2010risk patients with preserved physical activity, emphasis should be directed at the correct diagnosis and follow\u2010up of these complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/clc.24197","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T07:14:30Z","timestamp":1702106070000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Femoral vessel complications after transfemoral TAVR\u2014A contemporary sonography\u2010based assessment of 480 patients with third\u2010generation transcatheter valves"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0925-6160","authenticated-orcid":false,"given":"Paul","family":"Werner","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery Medical University of Vienna Vienna 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