{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:21:06Z","timestamp":1762507266851,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T00:00:00Z","timestamp":1510790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Interven Cardiology"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to assess the impact of different access\u2010site closure strategies, suture or closure device (Proglide, Abbott Vascular), on vascular and bleeding complications after percutaneous mitral valve repair (MitraClip, Abbott Vascular).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Considering the high\u2010risk profile in patients receiving percutaneous mitral valve repair, complications related to the large 24 Fr access sheath and its relation to the closure technique have not been evaluated so far.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Between 2009 and 2015, 277 consecutive high\u2010risk patients with severe mitral valve regurgitation (MR) underwent percutaneous mitral valve repair at our institution using Z\u2010suture (<jats:italic>n<\/jats:italic>\u2009=\u2009150) or closure device (<jats:italic>n<\/jats:italic>\u2009=\u2009127) to close the access\u2010site. Duplex sonography was performed in all patients. The primary endpoint was access\u2010site related complications according to the Valve Academic Research Consortium (VARC) criteria. Secondary outcomes were the incidence of bleeding complications and mortality. Access\u2010site related VARC2 major and minor complications were comparable after closure with Z\u2010suture or closure device (2,7% vs 3.1%, <jats:italic>P<\/jats:italic>\u2009=\u20090.81 and 15,3% vs 15.7%, <jats:italic>P<\/jats:italic>\u2009=\u20090.92). Three patients (2%) in the suture and four patients (3.1%) in the closure device group experienced unplanned endovascular intervention at the access site. Access\u2010site related major bleeding was observed in 4 (2.7%) suture and 4 (3.1%) closure device treated patients (<jats:italic>P<\/jats:italic>\u2009=\u20090.81). No access site related mortality occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both Z\u2010suture and closure device use after percutaneous mitral valve repair are feasible and safe. However, there is no benefit of one strategy over the other according to VARC2 major and minor complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joic.12459","type":"journal-article","created":{"date-parts":[[2017,11,17]],"date-time":"2017-11-17T02:22:45Z","timestamp":1510885365000},"page":"223-229","source":"Crossref","is-referenced-by-count":27,"title":["Vascular complications after percutaneous mitral valve repair and venous access closure using suture or closure device"],"prefix":"10.1111","volume":"31","author":[{"given":"Birgit","family":"Steppich","sequence":"first","affiliation":[{"name":"Deutsches Herzzentrum der Technischen Universit\u00e4t M\u00fcnchen M\u00fcnchen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Stegm\u00fcller","sequence":"additional","affiliation":[{"name":"Deutsches Herzzentrum der Technischen Universit\u00e4t M\u00fcnchen M\u00fcnchen 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