| Autor: |
Corrado Tamburino, Enrico Criscione, Carmelo Sgroi, Valeria Garretto, Silvia Motta, Roberto Valvo, Pierfrancesco Veroux, Orazio Strazzieri, Giuliano Costa, Claudia Reddavid, Andrea Picci, Angelo Giuffrida, Alessia Giaquinta, Wanda Deste, Marco Barbanti, Maria Teresa Cannizzaro, Cristina Inserra |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
EuroIntervention. 17:728-735 |
| ISSN: |
1774-024X |
| DOI: |
10.4244/eij-d-20-01125 |
| Popis: |
BACKGROUND Vascular complications still represent an important issue after transcatheter aortic valve implantation (TAVI). AIMS The aim of this study was to evaluate the effectiveness of upfront use of an adjunctive Angio-Seal (AS) plug-based system on top of suture-based devices (SBDs) for endovascular haemostasis after transfemoral (TF) TAVI. METHODS From January 2019 to April 2020, 332 consecutive patients with preprocedural computed tomography angiography (CTA) assessment underwent fully percutaneous TF-TAVI. The primary outcomes were 30-day major vascular complications and major or life-threatening (LT) bleeding due to endovascular closure system failure. A total of 246 TF-TAVI patients (123 pairs), undergoing either isolated SBD or SBD+AS, were matched using the propensity-score method. RESULTS At 30 days, patients receiving SBD+AS had lower rates of major/LT bleeding (1.6% vs 8.9%, odds ratio [OR] 0.17, 95% confidence interval [CI]: 0.04-0.78; p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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