Research Article

Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study

Volume: 9 Number: 6 October 25, 2026

Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study

Abstract

Aims: This study aimed to evaluate vascular complications associated with the use of the ProGlide device by comparing the cross-suture technique (CST) and the parallel suture technique (PST). Methods: A total of 119 consecutive patients with severe symptomatic aortic stenosis who underwent transfemoral transcatheter aortic valve implantation (TF-TAVI) were included in this study. CST was applied by placing the sutures at the 10 and 2 o’clock positions as described by the manufacturer, whereas PST was applied at the medial and lateral positions. Vascular complications (VCs) and bleeding complications (BCs) were classified according to the Valve Academic Research Consortium-3 (VARC-3) criteria. Results: Minor VCs were significantly more frequent in the CST group than in the PST group (p=0.001). Regardless of the degree of vascular obstruction, the incidence was significantly lower in the PST group than in the CST group (p=0.012). Conclusion: In this single-center retrospective cohort, PST was associated with fewer minor vascular complications and less angiographic vascular obstruction compared to CST. These findings should be considered hypothesis-generating and require confirmation in larger prospective studies.

Keywords

Supporting Institution

The authors declared that this study has received no financial support.

Ethical Statement

This study was approved by the University of Health Sciences Antalya Training and Research Hospital Clinical Researchs Ethics Committee (Date: 11.07.2024, Decision No: 10/30).

References

  1. Pascual I, Carro A, Avanzas P, et al. Vascular approaches for transcatheter aortic valve implantation. J Thorac Dis. 2017;9(Suppl 6): S478-S487. doi:10.21037/jtd.2017.05.73
  2. Sherwood MW, Xiang K, Matsouaka R, et al. Incidence, temporal trends, and associated outcomes of vascular and bleeding complications in patients undergoing transfemoral transcatheter aortic valve replacement: insights from the Society of Thoracic Surgeons/American College of Cardiology transcatheter valve therapies registry. Circ Cardiovasc Interv. 2020;13(1):e008227. doi:10.1161/CIRCINTERVENTIONS.119.008227
  3. Barbash IM, Barbanti M, Webb J, et al. Comparison of vascular closure devices for access site closure after transfemoral aortic valve implantation. Eur Heart J. 2015;36(47):3370-3379. doi:10.1093/eurheartj/ehv417
  4. Berti S, Bedogni F, Giordano A, et al. Efficacy and safety of ProGlide versus Prostar XL vascular closure devices in transcatheter aortic valve replacement: the RISPEVA registry. J Am Heart Assoc. 2020;9(21): e018042. doi:10.1161/JAHA.120.018042
  5. Seeger J, Gonska B, Rodewald C, Rottbauer W, Wohrle J. Impact of suture mediated femoral access site closure with the Prostar XL compared to the ProGlide system on outcome in transfemoral aortic valve implantation. Int J Cardiol. 2016;223:564-567. doi:10.1016/j.ijcard.2016.08.193
  6. Ott I, Shivaraju A, Schaffer NR, et al. Parallel suture technique with ProGlide: a novel method for management of vascular access during transcatheter aortic valve implantation (TAVI). EuroIntervention. 2017; 13(8):928-934. doi:10.4244/EIJ-D-16-01036
  7. Marcusohn E, Qasum M, Epstein D, et al. Vascular complications among patients undergoing trans-femoral transcatheter aortic valve implantation: Prostar vs ProGlide parallel technique. Angiology. 2022; 73(7):635-642. doi:10.1177/00033197211058498
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Details

Primary Language

English

Subjects

Cardiology

Journal Section

Research Article

Publication Date

October 25, 2026

Submission Date

July 8, 2026

Acceptance Date

September 20, 2026

Published in Issue

Year 2026 Volume: 9 Number: 6

APA
Uslu, Ş., Yılmaz Öztekin, G. M., Ersoysal, M. R., Kuş, G., Bayar, N., & Arslan, Ş. (2026). Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study. Journal of Health Sciences and Medicine, 9(6), 1682-1688. https://doi.org/10.32322/jhsm.1990119
AMA
1.Uslu Ş, Yılmaz Öztekin GM, Ersoysal MR, Kuş G, Bayar N, Arslan Ş. Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study. J Health Sci Med / JHSM. 2026;9(6):1682-1688. doi:10.32322/jhsm.1990119
Chicago
Uslu, Şükriye, Gülsüm Meral Yılmaz Öztekin, Muhammed Rıdvan Ersoysal, Görkem Kuş, Nermin Bayar, and Şakir Arslan. 2026. “Comparison of the Cross-Suture and Parallel Suture Techniques With Proglide in Transfemoral TAVI: A Single-Center Retrospective Study”. Journal of Health Sciences and Medicine 9 (6): 1682-88. https://doi.org/10.32322/jhsm.1990119.
EndNote
Uslu Ş, Yılmaz Öztekin GM, Ersoysal MR, Kuş G, Bayar N, Arslan Ş (October 1, 2026) Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study. Journal of Health Sciences and Medicine 9 6 1682–1688.
IEEE
[1]Ş. Uslu, G. M. Yılmaz Öztekin, M. R. Ersoysal, G. Kuş, N. Bayar, and Ş. Arslan, “Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study”, J Health Sci Med / JHSM, vol. 9, no. 6, pp. 1682–1688, Oct. 2026, doi: 10.32322/jhsm.1990119.
ISNAD
Uslu, Şükriye - Yılmaz Öztekin, Gülsüm Meral - Ersoysal, Muhammed Rıdvan - Kuş, Görkem - Bayar, Nermin - Arslan, Şakir. “Comparison of the Cross-Suture and Parallel Suture Techniques With Proglide in Transfemoral TAVI: A Single-Center Retrospective Study”. Journal of Health Sciences and Medicine 9/6 (October 1, 2026): 1682-1688. https://doi.org/10.32322/jhsm.1990119.
JAMA
1.Uslu Ş, Yılmaz Öztekin GM, Ersoysal MR, Kuş G, Bayar N, Arslan Ş. Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study. J Health Sci Med / JHSM. 2026;9:1682–1688.
MLA
Uslu, Şükriye, et al. “Comparison of the Cross-Suture and Parallel Suture Techniques With Proglide in Transfemoral TAVI: A Single-Center Retrospective Study”. Journal of Health Sciences and Medicine, vol. 9, no. 6, Oct. 2026, pp. 1682-8, doi:10.32322/jhsm.1990119.
Vancouver
1.Şükriye Uslu, Gülsüm Meral Yılmaz Öztekin, Muhammed Rıdvan Ersoysal, Görkem Kuş, Nermin Bayar, Şakir Arslan. Comparison of the cross-suture and parallel suture techniques with proglide in transfemoral TAVI: a single-center retrospective study. J Health Sci Med / JHSM. 2026 Oct. 1;9(6):1682-8. doi:10.32322/jhsm.1990119

 

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