{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T13:34:35Z","timestamp":1786714475932,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The LockeT external suture retention device addresses the shortcomings of manual compression (MC), and other vascular closure devices\u2014namely, prolonged immobilization, resource utilization, and costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In this study, we compare the safety and effectiveness of LockeT to that of MC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a prospective, single\u2010center study of patients (N) undergoing atrial fibrillation ablation, randomized 1:1 to MC or LockeT. Each vascular access site (n) was included for analysis. Assessments included hemostasis at two hours (HA2H), time to ambulation (TTA), time to (TTD) and same\u2010day discharge (SDD), groin complications, and a patient comfort assessment. Cost analysis was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients were randomized to MC (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200949;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200998) or LockeT (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200952;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009102). Procedural times (119 [IQR 91\u2212155] vs. 106 [IQR 84\u2212127],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.104) and maximum sheath size (8.5 [IQR 8.5\u221211] vs. 8.5 [IQR 8.5\u221211],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.730) were no different. Neither HA2H (95.5% vs. 99%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.129) nor SDD rates (23.5% vs. 36.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.06) differed. However, TTA was significantly less (5.1 [IQR 3.9\u22126.5] vs. 4.4 [IQR 3.4\u22125.3],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017) in those with LockeT. In patients with SSD, the TTD was significantly shorter (6.0 [IQR 4.8\u22126.5] vs. 4.6 [IQR 4.3\u22124.9],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The cumulative complications were also significantly less (11.2% vs. 2.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) with LockeT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The LockeT is associated with lower TTA, without major complications, and with effective hemostasis. It also limits post\u2010procedural time for groin management. However, further evaluation of the device is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70369","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T18:17:40Z","timestamp":1781547460000},"page":"1723-1730","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["External Suture\u2010Retention Device Versus Manual Compression for Venous Access\u2010Site Closure Post\u2010Ablation: The LockeT II Study"],"prefix":"10.1111","volume":"37","author":[{"given":"Aashish","family":"Katapadi","sequence":"first","affiliation":[{"name":"Kansas City Heart Rhythm Institute Overland Park Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karnik","family":"Patel","sequence":"additional","affiliation":[{"name":"HCA Midwest Kansas City Kansas 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