Percutaneous vascular closure device in minimally invasive mitral valve surgery

Publication date: Available online 30 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Mikael Kastengren, Peter Svenarud, Göran Källner, Magnus Settergren, Anders Franco-Cereceda, Magnus DalénAbstractBackgroundMinimally invasive mitral valve surgery requires femoral artery cannulation for extracorporeal circulation, predominantly performed through surgical cut-down. Surgical groin incision is frequently associated with complications such as seroma and infection. We evaluated the safety and efficacy of a percutaneous plug-based large-bore vascular closure device (VCD) for femoral artery closure in minimally invasive mitral valve surgery.MethodsA single-center prospective study comparing patients undergoing minimally invasive mitral valve surgery with femoral cannulation performed either through surgical cut-down or percutaneously with access site closure using a plug-based VCD (MANTA, Teleflex/Essential Medical Inc., Malvern, Pennsylvania, USA).ResultsDuring 2016 to 2018 a total of 268 (147 surgical cut-down, 121 VCD) patients underwent minimally invasive mitral valve surgery with femoral arterial cannulation of catheters sized 19-F or 21-F. Propensity score-matching resulted in 109 matched pairs. In both the overall series and the propensity-matched cohort, VCD patients had a significantly higher incidence of Valve Academic Research Consortium (VARC)-2 major access site vascular complications (overall cohort: 0 vs. 4.1%, p=0.013, propensity score...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
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Source: International Orthopaedics - Category: Orthopaedics Source Type: research
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Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
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Source: Medscape General Surgery Headlines - Category: Surgery Tags: General Surgery News Source Type: news
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Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
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Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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