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- W4377107914 abstract "Bleeding from large bore femoral access post TAVR is an ongoing concern. A bleeding reduction protocol (BRP) was implemented at our institution in 2021 quarter 4. We studied the efficacy of BRP after TAVR. The BRP includes modification in clinical practice and use of novel Early Bird Bleeding Monitoring System. The NCDR for our center was accessed for pre and post BRP patients’ data. Vascular complications outcomes, bleeding complications and survival status at discharge were collected. Patients’ counts were n=124 Pre and n=133 post BRP (Table 1). The prevalence of major vascular complications at any site, and blood transfusion was significantly lower after BRP implementation (1.5% vs 6.5%, p=0.040; 3.8% vs 10.5%, p=0.035 respectively). There was no difference in survival rates at discharge (96.8% vs 97%, p=0.699, Figure 1). Integrating BRP was feasible and led to a significant reduction in vascular complications after TAVR. Ongoing analyses are underway to further expand its use across other large-bore access procedures.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
- W4377107914 created "2023-05-20" @default.
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- W4377107914 date "2023-05-01" @default.
- W4377107914 modified "2023-09-27" @default.
- W4377107914 title "E-23 | TAVR Vascular Complications Outcomes Post Implementation of a Novel Bleeding Reduction Protocol" @default.
- W4377107914 doi "https://doi.org/10.1016/j.jscai.2023.100933" @default.
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