{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T21:27:36Z","timestamp":1748554056366,"version":"3.40.4"},"reference-count":18,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>The failure rate of vascular closure devices remains a significant cause of major vascular complications in contemporary transcatheter aortic valve implantation practice.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>This research aimed to evaluate use of the Angio-Seal device in a bailout context in the setting of incomplete hemostasis following use of dual Perclose ProGlide devices in patients undergoing transfemoral transcatheter aortic valve implantation. A total of 185 patients undergoing transfemoral transcatheter aortic valve implantation with either dual Per-close ProGlide (n = 139) or a combination of dual Perclose ProGlide and Angio-Seal (n = 46) were retrospectively analyzed. The baseline, procedural characteristics, and all outcomes (defined according to Valve Academic Research Consortium-2 criteria) were compared.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>No significant differences were seen between the dual Perclose ProGlide vs dual Perclose ProGlide+Angio-Seal groups with regard to the in-hospital Valve Academic Research Consortium-2 primary end points of major vascular complications (n = 13 [9.4%] vs n = 2 [4.3%]; <jats:italic>P<\/jats:italic> = .36), minor vascular complications (n = 13 [9.4%] vs n = 8 [14.7%]; <jats:italic>P<\/jats:italic> = .14), major bleeding (n = 16 [11.5%] vs n = 2 [4.3%]; <jats:italic>P<\/jats:italic> = .25), and minor bleeding (n = 9 [6.5%] vs n = 5 [10.9%]; <jats:italic>P<\/jats:italic> = .34), with higher rates of hematoma in the dual Perclose ProGlide+Angio-Seal group (n = 4 [2.9%] vs n = 5 [10.9%]; <jats:italic>P<\/jats:italic> = .044).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Finding from the current study suggest that adjunctive Angio-Seal deployment may be feasible and safe, especially in patients with incomplete hemostasis following dual Perclose ProGlide use, and can be an optimal \u201cbailout\u201d procedure.<\/jats:p>\n<\/jats:sec>","DOI":"10.14503\/thij-21-7684","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T15:28:33Z","timestamp":1671031713000},"source":"Crossref","is-referenced-by-count":2,"title":["Angio-Seal Used as a Bailout for Incomplete Hemostasis After Dual Perclose ProGlide Deployment in Transcatheter Aortic Valve Implantation"],"prefix":"10.14503","volume":"49","author":[{"given":"Beytullah","family":"Cakal","sequence":"first","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinem","family":"Cakal","sequence":"additional","affiliation":[{"name":"Haseki Training and Research Hospital, Cardiology Clinic, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oguz","family":"Karaca","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filiz Kizilirmak","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haci Murat","family":"Gunes","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arzu","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozgur","family":"Ulas Ozcan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeliz","family":"Guler","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal","family":"Boztosun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Istanbul Medipol University, Ba\u011fcilar, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"7","key":"i1526-6702-49-6-e217684-b1","series-title":"Eur Heart J.","first-page":"561","article-title":"2021 ESC\/EACTS guidelines for the management of valvular heart disease","volume":"43","year":"2022","unstructured":"Vahanian\nA,\n\n\nBeyersdorf\nF,\n\n\nPraz\nF,\n\n;\nESC\/EACTS Scientific Document Group.\n\n2021 ESC\/EACTS guidelines for the management of valvular heart disease.\nEur Heart J.2022;43(7):561\u2013632.\ndoi:10.1093\/eurheartj\/ehab395"},{"issue":"18","key":"i1526-6702-49-6-e217684-b2","series-title":"N Engl J Med.","first-page":"1695","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","year":"2019","unstructured":"Mack\nMJ,\n\n\nLeon\nMB,\n\n\nThourani\nVH,\n\n;\nPARTNER 3 Investigators.\n\nTranscatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients.\nN Engl J Med.2019;380(18):1695\u20131705.\ndoi:10.1056\/NEJMoa1814052"},{"key":"i1526-6702-49-6-e217684-b3","series-title":"Int J Cardiol.","first-page":"234","article-title":"A meta-analysis and meta-regression of long-term outcomes of transcatheter versus surgical aortic valve replacement for severe aortic stenosis","volume":"225","year":"2016","unstructured":"Villablanca\nPA,\n\n\nMathew\nV,\n\n\nThourani\nVH,\n\n\n.\nA meta-analysis and meta-regression of long-term outcomes of transcatheter versus surgical aortic valve replacement for severe aortic stenosis.\nInt J Cardiol.2016;225:234\u2013243.\ndoi:10.1016\/j.jicard.2016.10.003"},{"issue":"10","key":"i1526-6702-49-6-e217684-b4","series-title":"Am J Cardiol.","first-page":"1231","article-title":"Incidence, predictors, and impact of vascular complications after transfemoral transcatheter aortic valve implantation with the SAPIEN 3 prosthesis","volume":"121","year":"2018","unstructured":"van Kesteren\nF,\n\n\nvan Mourik\nMS,\n\n\nVendrik\nJ,\n\n\n.\nIncidence, predictors, and impact of vascular complications after transfemoral transcatheter aortic valve implantation with the SAPIEN 3 prosthesis.\nAm J Cardiol.2018;121(10):1231\u20131238.\ndoi:10.1016\/j.amjcard.2018.01.050"},{"issue":"2","key":"i1526-6702-49-6-e217684-b5","series-title":"Cardiovasc Revasc Med.","first-page":"145","article-title":"A systematic review on the safety of Prostar XL versus ProGlide after TAVR and EVAR","volume":"18","year":"2017","unstructured":"Maniotis\nC,\n\n\nAndreou\nC,\n\n\nKaralis\nI,\n\n\nKoutouzi\nG,\n\n\nAgelaki\nM,\n\n\nKoutouzis\nM.\n\n\nA systematic review on the safety of Prostar XL versus ProGlide after TAVR and EVAR.\nCardiovasc Revasc Med.2017;18(2):145\u2013150.\ndoi:10.1016\/j.carrev.2016.11.004"},{"issue":"47","key":"i1526-6702-49-6-e217684-b6","series-title":"Eur Heart J.","first-page":"3370","article-title":"Comparison of vascular closure devices for access site closure after transfemoral aortic valve implantation","volume":"36","year":"2015","unstructured":"Barbash\nIM,\n\n\nBarbanti\nM,\n\n\nWebb\nJ,\n\n\n.\nComparison of vascular closure devices for access site closure after transfemoral aortic valve implantation.\nEur Heart J.2015;36(47):3370\u20133379.\ndoi:10.1093\/eurheartj\/ehv417"},{"issue":"3","key":"i1526-6702-49-6-e217684-b7","series-title":"J Endovasc Ther.","first-page":"350","article-title":"Efficacy and safety of the preclose technique following percutaneous aortic stent-graft implantation","volume":"20","year":"2013","unstructured":"Kim\nWH,\n\n\nShin\nS,\n\n\nKo\nYG,\n\n\nHong\nMK,\n\n\nJang\nY,\n\n\nChoi\nD.\n\n\nEfficacy and safety of the preclose technique following percutaneous aortic stent-graft implantation.\nJ Endovasc Ther.2013;20(3):350\u2013355.\ndoi:10.1583\/12-4103MR2.1"},{"issue":"1","key":"i1526-6702-49-6-e217684-b8","series-title":"Braz J Cardiovasc Surg.","first-page":"43","article-title":"Totally percutaneous access using Perclose Proglide for endovascular treatment of aortic diseases","volume":"32","year":"2017","unstructured":"Saadi\nEK,\n\n\nSaadi\nM,\n\n\nSaadi\nR,\n\n\nTagliari\nAP,\n\n\nMastella\nB.\n\n\nTotally percutaneous access using Perclose Proglide for endovascular treatment of aortic diseases.\nBraz J Cardiovasc Surg.2017;32(1):43\u201348.\ndoi:10.21470\/1678-9741-2016-0065"},{"issue":"4","key":"i1526-6702-49-6-e217684-b9","series-title":"Cardiovasc Intervent Radiol.","first-page":"821","article-title":"Efficacy and safety of augmenting the preclose technique with a collagen-based closure device for percutaneous endovascular aneurysm repair","volume":"38","year":"2015","unstructured":"Patel\nR,\n\n\nJuszczak\nMT,\n\n\nBratby\nMJ,\n\n\n.\nEfficacy and safety of augmenting the preclose technique with a collagen-based closure device for percutaneous endovascular aneurysm repair.\nCardiovasc Intervent Radiol.2015;38(4):821\u2013826.\ndoi:10.1007\/s00270-014-1004-0"},{"issue":"1","key":"i1526-6702-49-6-e217684-b10","series-title":"EuroIntervention.","first-page":"88","article-title":"The adjunctive use of Angio-Seal in femoral vascular closure following percutaneous transcatheter aortic valve replacement","volume":"12","year":"2016","unstructured":"Kiramijyan\nS,\n\n\nMagalhaes\nMA,\n\n\nBen-Dor\nI,\n\n\n.\nThe adjunctive use of Angio-Seal in femoral vascular closure following percutaneous transcatheter aortic valve replacement.\nEuroIntervention.2016;12(1):88\u201393.\ndoi:10.4244\/EIJV12I1A16"},{"issue":"15","key":"i1526-6702-49-6-e217684-b11","series-title":"J Am Coll Cardiol.","first-page":"1438","article-title":"Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document","volume":"60","year":"2012","unstructured":"Kappetein\nAP,\n\n\nHead\nSJ,\n\n\nG\u00e9n\u00e9reux\nP,\n\n\n.\nUpdated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document.\nJ Am Coll Cardiol.2012;60(15):1438\u20131454.\ndoi:10.1016\/j.jacc.2012.09.001"},{"issue":"17","key":"i1526-6702-49-6-e217684-b12","series-title":"N Engl J Med.","first-page":"1609","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients","volume":"374","year":"2016","unstructured":"Leon\nMB,\n\n\nSmith\nCR,\n\n\nMack\nMJ,\n\n;\nPARTNER 2 Investigators.\n\nTranscatheter or surgical aortic-valve replacement in intermediate-risk patients.\nN Engl J Med.2016;374(17):1609\u20131620.\ndoi:10.1056\/NEJMoa1514616"},{"issue":"14","key":"i1526-6702-49-6-e217684-b13","series-title":"N Engl J Med.","first-page":"1321","article-title":"Surgical or transcatheter aortic-valve replacement in intermediate-risk patients","volume":"376","year":"2017","unstructured":"Reardon\nMJ,\n\n\nVan Mieghem\nNM,\n\n\nPopma\nJJ,\n\n;\nSURTAVI Investigators.\n\nSurgical or transcatheter aortic-valve replacement in intermediate-risk patients.\nN Engl J Med.2017;376(14):1321\u20131331.\ndoi:10.1056\/NEJMoa1700456"},{"issue":"12","key":"i1526-6702-49-6-e217684-b14","series-title":"J Am Coll Cardiol.","first-page":"1043","article-title":"Vascular complications after transcatheter aortic valve replacement: insights from the PARTNER (Placement of AoRTic TraNscathetER Valve) trial","volume":"60","year":"2012","unstructured":"G\u00e9n\u00e9reux\nP,\n\n\nWebb\nJG,\n\n\nSvensson\nLG,\n\n;\nPARTNER Trial Investigators.\n\nVascular complications after transcatheter aortic valve replacement: insights from the PARTNER (Placement of AoRTic TraNscathetER Valve) trial.\nJ Am Coll Cardiol.2012;60(12):1043\u20131052.\ndoi:10.1016\/j.jacc.2012.07.003"},{"issue":"3","key":"i1526-6702-49-6-e217684-b15","series-title":"Am Heart J.","first-page":"402","article-title":"Adverse impact of bleeding and transfusion on the outcome post-transcatheter aortic valve implantation: insights from the Pooled-RotterdAm-Milano-Toulouse In Collaboration Plus (PRAGMATIC Plus) initiative","volume":"164","year":"2012","unstructured":"Tchetche\nD,\n\n\nVan der Boon\nRM,\n\n\nDumonteil\nN,\n\n\n.\nAdverse impact of bleeding and transfusion on the outcome post-transcatheter aortic valve implantation: insights from the Pooled-RotterdAm-Milano-Toulouse In Collaboration Plus (PRAGMATIC Plus) initiative.\nAm Heart J.2012;164(3):402\u2013409.\ndoi:10.1016\/j.ahj.2012.07.003"},{"issue":"8","key":"i1526-6702-49-6-e217684-b16","series-title":"JACC Cardiovasc Interv.","first-page":"851","article-title":"Transfemoral aortic valve implantation new criteria to predict vascular complications","volume":"4","year":"2011","unstructured":"Hayashida\nK,\n\n\nLef\u00e8vre\nT,\n\n\nChevalier\nB,\n\n\n.\nTransfemoral aortic valve implantation new criteria to predict vascular complications.\nJACC Cardiovasc Interv.2011;4(8):851\u2013858.\ndoi:10.1016\/j.jcin.2011.03.019"},{"issue":"3","key":"i1526-6702-49-6-e217684-b17","series-title":"Catheter Cardiovasc Interv.","first-page":"E55","article-title":"Comparative data of single versus double Proglide vascular preclose technique after percutaneous transfemoral transcatheter aortic valve implantation from the optimized catheter valvular intervention (OCEAN-TAVI) Japanese multicenter registry","volume":"90","year":"2017","unstructured":"Kodama\nA,\n\n\nYamamoto\nM,\n\n\nShimura\nT,\n\n\n.\nComparative data of single versus double Proglide vascular preclose technique after percutaneous transfemoral transcatheter aortic valve implantation from the optimized catheter valvular intervention (OCEAN-TAVI) Japanese multicenter registry.\nCatheter Cardiovasc Interv.2017;90(3):E55\u2013E62.\ndoi:10.1002\/ccd.26686"},{"issue":"4","key":"i1526-6702-49-6-e217684-b18","series-title":"J Endovasc Ther.","first-page":"497","article-title":"Use of the 8-F Angio-Seal vascular closure device in large-caliber arteriotomies","volume":"19","year":"2012","unstructured":"Sarin\nSN,\n\n\nShah\nRK,\n\n\nChun\nA,\n\n\n.\nUse of the 8-F Angio-Seal vascular closure device in large-caliber arteriotomies.\nJ Endovasc Ther.2012;19(4):497\u2013500.\ndoi:10.1583\/12-3881.1"}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e217684.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-21-7684\/3415079\/i1526-6702-49-6-e217684.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e217684.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e217684.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:01:55Z","timestamp":1745366515000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e217684.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,1]]},"references-count":18,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.14503\/thij-21-7684","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"type":"electronic","value":"1526-6702"},{"type":"print","value":"0730-2347"}],"subject":[],"published":{"date-parts":[[2022,11,1]]}}}