TY - JOUR
T1 - Performance of the MANTA Vascular Closure Device in Endovascular Aortic Procedures
T2 - A Single-Center Experience
AU - Katelenets, Maksym
AU - Leytsin, Anatoly
AU - Shepovalov, Dmitry
AU - Kush, Nahel Abu
AU - Majdalani, Pierre
AU - George, Greenberg
N1 - Publisher Copyright:
© 2025 Elsevier Inc.
PY - 2026/2/1
Y1 - 2026/2/1
N2 - Background Endovascular procedures requiring large-bore access demand reliable closure methods. The MANTA device offers an alternative to surgical cut-downs and suture-based techniques, with growing evidence of efficacy. Methods We retrospectively analyzed 128 patients undergoing aortic endovascular repair using the MANTA device between June 2020 and November 2024. Device selection, anatomical data, perioperative technique, and outcomes were reviewed. Primary endpoints included technical success and perioperative complications; secondary endpoints assessed 30-day access-related events. Results Across 228 deployments, the technical success rate was 93.9%. Perioperative complication rate was 6.6%, with major events comprising 1.8%. Bleeding and limb ischemia were the most frequent issues. False aneurysm formation occurred in 3% of cases; spontaneous thrombosis was seen in most. Conclusion The MANTA device exhibits high technical success with an acceptable safety profile, supporting its use in aortic interventions and compatibility with early discharge protocols.
AB - Background Endovascular procedures requiring large-bore access demand reliable closure methods. The MANTA device offers an alternative to surgical cut-downs and suture-based techniques, with growing evidence of efficacy. Methods We retrospectively analyzed 128 patients undergoing aortic endovascular repair using the MANTA device between June 2020 and November 2024. Device selection, anatomical data, perioperative technique, and outcomes were reviewed. Primary endpoints included technical success and perioperative complications; secondary endpoints assessed 30-day access-related events. Results Across 228 deployments, the technical success rate was 93.9%. Perioperative complication rate was 6.6%, with major events comprising 1.8%. Bleeding and limb ischemia were the most frequent issues. False aneurysm formation occurred in 3% of cases; spontaneous thrombosis was seen in most. Conclusion The MANTA device exhibits high technical success with an acceptable safety profile, supporting its use in aortic interventions and compatibility with early discharge protocols.
UR - https://www.scopus.com/pages/publications/105021106231
U2 - 10.1016/j.avsg.2025.10.003
DO - 10.1016/j.avsg.2025.10.003
M3 - Article
C2 - 41110762
AN - SCOPUS:105021106231
SN - 0890-5096
VL - 123
SP - 295
EP - 301
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
ER -