Academic Journal
Outcomes with plug-based versus suture-based vascular closure device after transfemoral transcatheter aortic valve replacement: A systematic review and meta-analysis
| العنوان: | Outcomes with plug-based versus suture-based vascular closure device after transfemoral transcatheter aortic valve replacement: A systematic review and meta-analysis |
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| المؤلفون: | Sedhom, Ramy, Dang, Alexander T, Elwagdy, Amr, Megaly, Michael, Elgendy, Islam Y, Zahr, Firas, Gafoor, Samir, Mamas, Mamas, Elbadawi, Ayman |
| المصدر: | Rochester Regional Health authored publications and proceedings |
| بيانات النشر: | RocScholar |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | MANTA, ProGlide, ProStar, vascular closure device, Medicine and Health Sciences |
| الوصف: | Background: Studies comparing plug-based (i.e., MANTA) with suture-based (i.e., ProStar XL and ProGlide) vascular closure devices (VCDs) for large-bore access closure after transcatheter aortic valve replacement (TAVR) have yielded mixed results. Aims: To examine the comparative safety and efficacy of both types of VCDs among TAVR recipients. Methods: An electronic database search was performed through March 2022 for studies comparing access-site related vascular complications with plug-based versus suture-based VCDs for large-bore access site closure after transfemoral (TF) TAVR. Results: Ten studies (2 randomized controlled trials [RCTs] and 8 observational studies) with 3113 patients (MANTA = 1358, ProGlide/ProStar XL = 1755) were included. There was no difference between plug-based and suture-based VCD in the incidence of access-site major vascular complications (3.1% vs. 3.3%, odds ratio [OR]: 0.89; 95% confidence interval [CI]: 0.52-1.53). The incidence of VCD failure was lower in plug-based VCD (5.2% vs. 7.1%, OR: 0.64; 95% CI: 0.44-0.91). There was a trend toward a higher incidence of unplanned vascular intervention in plug-based VCD (8.2% vs. 5.9%, OR: 1.35; 95% CI: 0.97-1.89). Length of stay was shorter with MANTA. Subgroup analyses suggested significant interaction based on study designs such that there was higher incidence of access-site vascular complications and bleeding events with plug-based versus suture-based VCD among RCTs. Conclusion: In patients undergoing TF-TAVR, large-bore access site closure with plug-based VCD was associated with a similar safety profile as suture-based VCD. However, subgroup analysis showed that plug-based VCD was associated with higher incidence of vascular and bleeding complications in RCTs. |
| نوع الوثيقة: | text |
| اللغة: | unknown |
| Relation: | https://scholar.rochesterregional.org/rrhpubs/1763; https://doi.org/10.1002/ccd.30597 |
| DOI: | 10.1002/ccd.30597 |
| الاتاحة: | https://scholar.rochesterregional.org/rrhpubs/1763 https://doi.org/10.1002/ccd.30597 |
| رقم الانضمام: | edsbas.8C8CB6D4 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/ccd.30597 |
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