{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T20:37:10Z","timestamp":1782333430093,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"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":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Vascular closure devices, used for the percutaneous closure of the femoral venous access\u2010sites following electrophysiology (EP) procedures, are known to require shorter time to hemostasis compared to manual compression. The new VASCADE MVP_XL (Haemonetics Corp., USA) was designed for procedures utilizing large procedural sheaths, with a resorbable patch with 58% higher collagen content than the earlier VASCADE\u2010MVP system, for better efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to compare the safety and efficacy of VASCADE MVP\u2010XL and VASCADE MVP in consecutive patients with atrial fibrillation (AF) undergoing procedures utilizing large sheaths (i.e. Farapulse pulsed\u2010field ablation and left atrial appendage closure procedure).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Based on the device used to achieve access\u2010site hemostasis, AF patients undergoing EP procedures were classified into group 1: MVP\u2010XL (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009151) and group 2: MVP (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009423). The closure device was deployed under ultrasound guidance and included 2\u20134\u2009min of gentle compression followed by approximately 2\u2009h of bedrest. Fluoroscopy was used for proper positioning and accurate deployment of the collagen patch. All procedures were conducted under uninterrupted anticoagulation. The access\u2010sites were examined immediately after the procedure, after the 2\u2009h bed\u2010rest and before discharge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Baseline characteristics were similar between the groups except the procedure type (Watchman) and rivaroxaban use.<\/jats:p>\n                    <jats:p>\n                      Time to final sheath pull, time to ambulation and time to discharge were similar between the groups. Access\u2010site bleeding occurred in 13 patients (3.1%) in the MVP group versus none (0%) in the MVP\u2010XL group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029). Time to hemostasis was significantly shorter in the MVP\u2010XL group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>VASCADE MVP\u2010XL has a better safety and efficacy profile compared to the VASCADE\u2010MVP system, especially in procedures involving large sheaths.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70348","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T05:12:06Z","timestamp":1776748326000},"page":"1295-1301","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["VASCADE MVP\u2010XL Versus VASCADE MVP for Large\u2010Bore Venous Access\u2010Site Closure in Electrophysiology Procedures: A Single\u2010Center Experience on Efficacy and Complications"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5816-4924","authenticated-orcid":false,"given":"Elio","family":"Zito","sequence":"first","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"},{"name":"Department of Biomedical, Surgical and Dental Sciences University of Milan Milan 20122 Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6601-944X","authenticated-orcid":false,"given":"Sanghamitra","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prem Geeta","family":"Torlapati","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7548-4685","authenticated-orcid":false,"given":"Vincenzo Mirco La","family":"Fazia","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"},{"name":"Department of Biomedicine and Prevention, Division of Cardiology University of Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6293-2564","authenticated-orcid":false,"given":"Marco","family":"Marino","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"},{"name":"Department of Biomedicine and Prevention, Division of Cardiology University of Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Chiarazzo","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"},{"name":"Department of Biomedicine and Prevention, Division of Cardiology University of Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Stifano","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, Division of Cardiology University of Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carola","family":"Gianni","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Texas Cardiac Arrhythmia Institute St. David's Medical Center Austin Texas 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Italy"},{"name":"Interventional Electrophysiology, Scripps Clinic San Diego California USA"},{"name":"Metro Health Medical Center Case Western Reserve University School of Medicine Ohio Cleveland 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A.Geis S.Pleger E.Chorianopoulos O. J.M\u00fcller H. A.Katus andR.BekeredjianFeasibility and Clinical Benefit of a Suture\u2010mediated Closure Device for Femoral Vein Access After Percutaneous Edge\u2010to\u2010edge Mitral Valve Repair https:\/\/doi.org\/10.4244\/EIJV10I11A231.","DOI":"10.4244\/EIJV10I11A231"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24358"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.70348","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T05:42:17Z","timestamp":1781588537000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.70348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/jce.70348"],"URL":"https:\/\/doi.org\/10.1111\/jce.70348","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"assertion":[{"value":"2025-11-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}