Clinical experience with a novel large bore vascular closure device after transfemoral transcatheter aortic valve replacement

Introduction

Utilisation of transcatheter aortic valve replacement (TAVR) is increasing. Vascular complications after transfemoral TAVR are still of concern. The majority are related to the large bore puncture site1. Currently, large bore arteriotomy closure relies on suture-based techniques, such as the Perclose ProGlide® or Prostar® XL devices (Abbott Vascular, Santa Clara, CA, USA). Closure devices such as MANTA® (Teleflex, Wayne, PA, USA) or PerQSeal® (Vivasure Medical, Galway, Ireland) are designed to seal large bore arteriotomies and have recently become available. The novel InClosure® vascular closure device (VCD) (InSeal Medical, Caesarea, Israel) provides haemostasis ...