{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:50:53Z","timestamp":1785801053243,"version":"3.56.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Surgical cut-down is commonly used for femoral cannulation in minimally invasive cardiac surgery, but is associated with higher rates of wound healing disorders. Percutaneous cannulation using vascular closure devices offers a less invasive alternative with potentially fewer complications. The aim of this study was to assess the feasibility and safety of using a single ProGlide system for primary access-site closure in comparison with surgical cut-down. Additionally, we analysed the learning curve for adopting this strategy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A retrospective analysis was conducted on 753 patients who underwent minimally invasive cardiac surgery at our centre between January 2018 and February 2024. Femoral access was achieved via open cut-down in 377 patients and percutaneous cannulation using a single ProGlide system in 376. The percutaneous cohort was categorized into 2 subgroups: early era (2020\u20132021, N\u2009=\u2009102) versus late era (2022\u20132024, N\u2009=\u2009274). The primary end-point was late access-site-related complications, while the secondary end-point was device failure requiring open femoral revision.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Access-site complications including lymph fistula, healing disorders were significantly higher in the open cut-down group compared to the percutaneous group (lymph fistula: 10.6% cut-down vs 0.3% percutaneous, P\u2009=\u20090.004, healing disorders: 3.4% cut-down vs 0% vascular closure device, P\u2009&amp;lt;\u20090.001). The success rate of a single vascular closure device strategy improved from 65.7% in the early era to 91.6% in the late era (P\u2009&amp;lt;\u20090.001), with fewer device failures (2.9% vs 11.7%; P\u2009=\u20090.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Percutaneous cannulation using single ProGlide is observed as a safe and feasible alternative to open femoral cut-down and showed excellent results after an initial learning curve.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf118","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T16:13:10Z","timestamp":1743696790000},"source":"Crossref","is-referenced-by-count":6,"title":["Femoral vessel cannulation strategies in minimally invasive cardiac surgery: single Perclose ProGlide versus open cut-down"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2694-1006","authenticated-orcid":false,"given":"Majd","family":"Ismail","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilara Merve","family":"Berberoglu Aydin","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9750-9836","authenticated-orcid":false,"given":"Jang-Sun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Sch\u00f6nburg","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efstratios","family":"Charitos","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5796-9926","authenticated-orcid":false,"given":"Yeong-Hoon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver Joannis","family":"Liakopoulos","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff Clinic Bad Nauheim, Campus University of Giessen , Bad Nauheim,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,3]]},"reference":[{"key":"2025041817065144800_ezaf118-B1","doi-asserted-by":"crossref","first-page":"7210","DOI":"10.3390\/jcm12237210","article-title":"Beyond conventional operations: embracing the era of contemporary minimally invasive cardiac surgery","volume":"12","author":"Ilcheva","year":"2023","journal-title":"J Clin Med"},{"key":"2025041817065144800_ezaf118-B2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1093\/icvts\/ivx140","article-title":"Percutaneous cannulation for cardiopulmonary bypass in minimally invasive surgery is associated with reduced groin complications","volume":"25","author":"Moschovas","year":"2017","journal-title":"Interact 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Cardiol"},{"key":"2025041817065144800_ezaf118-B12","first-page":"6","article-title":"Femoral arterial closure using ProGlide\u00ae is more efficacious and cost-effective when ambulating early following cardiac catheterization","volume":"13","author":"Sekhar","year":"2016","journal-title":"Int J Cardiol Heart Vasc"}],"container-title":["European Journal of Cardio-Thoracic 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