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Risk Factors for Closure Failure following Percutaneous Transfemoral Transcatheter Aortic Valve Implantation

DC FieldValueLanguage
dc.contributor.author고영국-
dc.contributor.author김병극-
dc.contributor.author김중선-
dc.contributor.author심지영-
dc.contributor.author안철민-
dc.contributor.author이삭-
dc.contributor.author이승현-
dc.contributor.author장양수-
dc.contributor.author최동훈-
dc.contributor.author홍그루-
dc.contributor.author홍명기-
dc.contributor.author홍성진-
dc.date.accessioned2020-12-01T17:09:51Z-
dc.date.available2020-12-01T17:09:51Z-
dc.date.issued2020-07-
dc.identifier.issn0890-5096-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/180151-
dc.description.abstractBackground: The percutaneous access site of transfemoral transcatheter aortic valve implantation (TAVI) procedures is commonly closed using a preclosure technique with suture-type closure devices. We sought to evaluate the predictors and outcomes of percutaneous closure device (PCD) failure during transfemoral TAVI. Methods and results: This single-center retrospective analysis included 184 patients who underwent transfemoral TAVI using 2 ProGlide sutures for severe aortic stenosis between July 2011 and September 2018. PCD failure was observed in 11.4%. The causes of PCD failure included 5 cases of insufficient hemostasis, 13 cases of arterial stenosis or occlusion, and 3 cases of dissection. Closure failures were managed by surgical repair in 10 patients and endovascular treatment in 11 patients. In a multivariate binary logistic model, a minimum lumen diameter of the common femoral artery (CFA) (odds ratio [OR] 0.35, 95% confidence interval [CI] 0.15-0.83, P = 0.017) and left femoral access (OR 2.89, 95% CI 1.01-8.30, P = 0.048) was identified as a predictor of PCD failure. PCD failure was not associated with increased mortality (0% vs. 2.5%, P = 1.000) or a major adverse cardiovascular event (MACE; 4.8% vs. 4.3%, P = 1.000) at 30 days. Conclusions: PCD failures were not uncommon in patients undergoing percutaneous transfemoral TAVI. Small CFA diameter and left femoral access are predictors of PCD failure. However, PCD failures were not associated with increased mortality or MACE.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfANNALS OF VASCULAR SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHArterial Occlusive Diseases / etiology-
dc.subject.MESHCatheterization, Peripheral / adverse effects*-
dc.subject.MESHCatheterization, Peripheral / mortality-
dc.subject.MESHEquipment Failure-
dc.subject.MESHFemale-
dc.subject.MESHFemoral Artery* / diagnostic imaging-
dc.subject.MESHFemoral Artery* / injuries-
dc.subject.MESHHemorrhage / etiology-
dc.subject.MESHHemorrhage / prevention & control*-
dc.subject.MESHHemostatic Techniques / adverse effects*-
dc.subject.MESHHemostatic Techniques / instrumentation*-
dc.subject.MESHHemostatic Techniques / mortality-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHPunctures-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHTime Factors-
dc.subject.MESHTranscatheter Aortic Valve Replacement / adverse effects*-
dc.subject.MESHTranscatheter Aortic Valve Replacement / mortality-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Closure Devices*-
dc.subject.MESHVascular System Injuries / etiology-
dc.titleRisk Factors for Closure Failure following Percutaneous Transfemoral Transcatheter Aortic Valve Implantation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorCheol Ho Lee-
dc.contributor.googleauthorYoung-Guk Ko-
dc.contributor.googleauthorYeonjeong Park-
dc.contributor.googleauthorChi Young Shim-
dc.contributor.googleauthorGeu-Ru Hong-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorSak Lee-
dc.contributor.googleauthorHae Won Jung-
dc.contributor.googleauthorSung-Jin Hong-
dc.contributor.googleauthorChul-Min Ahn-
dc.contributor.googleauthorJung-Sun Kim-
dc.contributor.googleauthorByeong-Keuk Kim-
dc.contributor.googleauthorDonghoon Choi-
dc.contributor.googleauthorMyeong-Ki Hong-
dc.contributor.googleauthorYangsoo Jang-
dc.identifier.doi10.1016/j.avsg.2019.12.034-
dc.contributor.localIdA00127-
dc.contributor.localIdA00493-
dc.contributor.localIdA00493-
dc.contributor.localIdA00961-
dc.contributor.localIdA00961-
dc.contributor.localIdA02213-
dc.contributor.localIdA02213-
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dc.contributor.localIdA02269-
dc.contributor.localIdA02807-
dc.contributor.localIdA02807-
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dc.contributor.localIdA02935-
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dc.contributor.localIdA03448-
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dc.contributor.localIdA04386-
dc.contributor.localIdA04391-
dc.contributor.localIdA04391-
dc.contributor.localIdA04403-
dc.contributor.localIdA04403-
dc.relation.journalcodeJ00185-
dc.identifier.eissn1615-5947-
dc.identifier.pmid31918036-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S089050962030011X-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.affiliatedAuthor고영국-
dc.contributor.affiliatedAuthor김병극-
dc.contributor.affiliatedAuthor김병극-
dc.contributor.affiliatedAuthor김중선-
dc.contributor.affiliatedAuthor김중선-
dc.contributor.affiliatedAuthor심지영-
dc.contributor.affiliatedAuthor심지영-
dc.contributor.affiliatedAuthor안철민-
dc.contributor.affiliatedAuthor안철민-
dc.contributor.affiliatedAuthor이삭-
dc.contributor.affiliatedAuthor이삭-
dc.contributor.affiliatedAuthor이승현-
dc.contributor.affiliatedAuthor이승현-
dc.contributor.affiliatedAuthor장양수-
dc.contributor.affiliatedAuthor장양수-
dc.contributor.affiliatedAuthor최동훈-
dc.contributor.affiliatedAuthor최동훈-
dc.contributor.affiliatedAuthor홍그루-
dc.contributor.affiliatedAuthor홍그루-
dc.contributor.affiliatedAuthor홍명기-
dc.contributor.affiliatedAuthor홍명기-
dc.contributor.affiliatedAuthor홍성진-
dc.contributor.affiliatedAuthor홍성진-
dc.citation.volume66-
dc.citation.startPage406-
dc.citation.endPage414-
dc.identifier.bibliographicCitationANNALS OF VASCULAR SURGERY, Vol.66 : 406-414, 2020-07-
dc.identifier.rimsid67114-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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