الفهرس 
AORTIC STENOSIS AND TREATMENT MODALITIESOnly 14 pages are availabe for public view
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Abstract
In the present study we aimed at comparing the vascular complications of percutaneous vascular approach followed by closure via closure device (Proglide) vs. surgical cut-down approach determining the predictors of VCs in patients undergoing TAVI.
This study included 68 patients; their age ranged from 65-97 years old. They were assessed for base line characteristics, admission data, past history, ECG (pre &post-procedural), conventional echocardiographic parameters, pre-procedural CBC They were classified into 2 groups, group I representing patients who did the procedure with percutaneous vascular approach, they were 29 patients (42.6 %) of the patients included in the study. and group II representing patients who did the procedure with surgical cutdown vascular approach; they were 39 patients (57.4 %) of the patients included in the study.
Patients who developed VCs were mostly males but age, diabetes, hypertension, CKD, IHD did not show significant difference between the 2 groups.
Conventional echocardiographic data didn’t show any significant difference between the two groups.
Minimal luminal diameter of CFA (MLD) didn’t show any significant difference in the incidence of complications.
There wasn’t a statistical difference between the 2 groups in the terms of vascular complications either major, minor or total, yet the relatively higher rate of complications in our study is mostly due to the usage of Proglide which is a closure device designed for narrower puncture site 5-8fr and the usage of 2 Proglide devices is not the optimum choice for percutaneous closure.