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One step forward or eight needles back: A retro(grade) approach to femoral hemostasis for TAVR
Author(s) -
Turi Zoltan G.
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26327
Subject(s) - medicine , percutaneous , surgery , valve replacement , vascular closure device , hemostasis , radiology , stenosis
Key points Percutaneous approach rather than surgical cutdown is the procedure of choice for TAVR patients to minimize morbidity and procedure time. ProGlide has been shown to have noninferior outcomes versus surgical cutdown with shorter procedure time and less pain; noninferiority was not demonstrated by single Prostar XL in a randomized trial of “preclosure” for endovascular aortic aneurysm repair. The current study did not include a ProGlide arm. As the size of Transcatheter Aortic Valve Replacement devices continues to decrease, the need for large bulky 4‐needle devices like the Prostar XL is likely to become obsolete.