Evidence map›Paper›PMID 33347739›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2021

Dedicated plug based closure for large bore access -The MARVEL prospective registry.

Herbert G Kroon, Pim A L Tonino, Mikko Savontaus, Giovanni Amoroso, Mika Laine, Evald H Christiansen, Stefan Toggweiler, Jur Ten Berg, Janarthanan Sathananthan, Joost Daemen and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Ultrasound-Guided vs Non-Ultrasound-Guided Angio-Seal Vascular Hemosasis After Endovascular Treatment for Peripheral Artery Disease: An Observational Study.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2026
    Observational
  2. Article
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  4. A propensity-matched comparison of plug- versus suture-based vascular closure after TAVI.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  5. Ipsilateral Safety Wire as Bailout for MANTA Failure in Patients Undergoing Transcatheter Aortic Valve Replacement.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  6. Impact of Sheath Type on Vascular and Bleeding Complications After Transcatheter Aortic Valve Replacement: A Post Hoc Analysis From the MARVEL Registry Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Observational
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  14. Incidence and Predictors of Access Site Vascular Complications Following Ultrasound-Guided MANTA Closure Deployment.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2022
    Article
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  18. Dedicated plug based closure for large bore access -The MARVEL prospective registry.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 9 institutions in 5 countries.

Herbert G KroonDepartment of Cardiology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-1866-5855
Pim A L ToninoDepartment of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
Mikko SavontausDepartment of Cardiology, Turku University Hospital, Turku, Finland.
Giovanni AmorosoDepartment of Cardiology, Onze Lieve Vrouwe Hospital, Amsterdam, The Netherlands.
Mika LaineDepartment of Cardiology, Helsinki University Hospital, Helsinki, Finland.
Evald H ChristiansenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Stefan ToggweilerDepartment of Cardiology, Luzern Kantonsspital, Luzern, Switzerland.
Jur Ten BergDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
Janarthanan SathananthanCentre for Cardiovascular and Heart Valve Innovation, St. Paul's and Vancouver General Hospital, Vancouver, Canada.ORCID 0000-0001-9513-9440
Joost DaemenDepartment of Cardiology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-8628-1410
Peter P de JaegereDepartment of Cardiology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Guus B R G BruerenDepartment of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
Markus MalmbergDepartment of Cardiology, Turku University Hospital, Turku, Finland.
Ton SlagboomDepartment of Cardiology, Onze Lieve Vrouwe Hospital, Amsterdam, The Netherlands.
Noriaki MoriyamaDepartment of Cardiology, Helsinki University Hospital, Helsinki, Finland.
Christian J TerkelsenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Federico MoccettiDepartment of Cardiology, Luzern Kantonsspital, Luzern, Switzerland.ORCID 0000-0002-5794-5676
Livia GheorgheDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
John WebbCentre for Cardiovascular and Heart Valve Innovation, St. Paul's and Vancouver General Hospital, Vancouver, Canada.
David WoodCentre for Cardiovascular and Heart Valve Innovation, St. Paul's and Vancouver General Hospital, Vancouver, Canada.
Nicolas M Van MieghemDepartment of Cardiology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Erasmus MC · NLSt. Paul's Hospital · CAAarhus University Hospital · DKHelsinki University Hospital · FILuzerner Kantonsspital · CHOLVG · NLRadboud University Nijmegen · NLSt. Antonius Ziekenhuis · NLTurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study safety and performance of the MANTA Vascular closure device (VCD) under real world conditions in 10 centers.

backgroundThe MANTA is a novel plug-based device for large bore arteriotomy closure.

methodsWe included all eligible patients who underwent transfemoral large bore percutaneous procedures. Exclusion criteria were per operator's discretion and included severe calcification or marked tortuosity of the access vessel, presence of marked obesity/cachexia or a systolic blood pressure above 180 mmHg. The primary performance endpoint was time to hemostasis. Primary and secondary safety endpoints were major and minor access site related vascular complications up to 30 days, respectively. Vascular complications were adjudicated by an independent clinical event committee according to VARC-2 criteria. We performed multivariable logistic regression to estimate the effect of baseline and procedural characteristics on any and major vascular complications.

resultsBetween February 2018 and July 2019 500 patients were enrolled undergoing Transcatheter aortic valve replacement (TAVR, N = 496), Balloon aortic valvuloplasty (BAV, N = 2), Mechanical circulatory support (MCS, N = 1) or Endovascular aneurysm repair (EVAR, N = 1). Mean age was 80.8 ± 6.6 years with a median STS-score of 2.7 [IQR 2.0-4.3] %. MANTA access site complications were major in 20 (4%) and minor in 28 patients (5.6%). Median time to hemostasis was 50 [IQR 20-120] sec. Severe femoral artery calcification, scar presence in groin, longer procedure duration, female gender and history of hypertension were independent predictors for vascular complications.

conclusionIn this study, MANTA appeared to be a safe and effective device for large bore access closure under real-world conditions.

Indexed as

Aortic Aneurysm, AbdominalAortic Valve StenosisBlood Vessel Prosthesis ImplantationCatheterization, PeripheralEndovascular ProceduresTranscatheter Aortic Valve ReplacementVascular Closure DevicesAgedAged, 80 and overFemaleFemoral ArteryHemorrhageHemostatic TechniquesHumansRegistriesTreatment Outcometranscatheter valve implantationvascular closurevascular complications

Identifiers

PMID33347739
PMCPMC8246962
OpenAlexW3116732579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.