Large Bore Vascular Access Closure Device Strategies

BackgroundThe optimal strategy for large bore vascular closure following TAVR is a matter of contention as major bleeding and complications remain challenge. We compared three strategies post-TAVR in terms safety efficacy: dual ProGlide-based strategy, hybrid ProGlide Angio-Seal, MANTA strategy.MethodsPatients were enrolled one the strategies: two ProGlides, single with an 8 F or 18 MANTA.ResultsIn total, 172 patients this study: 86 group, 40 ProGlide/Angio-Seal 46 group. Hemostasis was achieved 95% patients. associated vessel occlusion 2% cases. The group required extra device to achieve hemostasis 35% cases.ConclusionThe MANTA, are all effective, but there important differences between them which mandate careful consideration by operators.Abbreviations: TAVR: Transcatheter Aortic Valve Replacement; VCD: Vascular Closure Device; CT: Computed Tomography; DSA: Digital Subtraction Angiography