<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702021000300002</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00193</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Justificación y diseño del estudio multicéntrico prospectivo de cohortes para evaluar los resultados del cierre percutáneo en procedimientos de reparación aórtica endovascular. Registro SPAIN]]></article-title>
<article-title xml:lang="en"><![CDATA[Justification and design of the prospective multicentre cohort study to evaluate the results of percutaneous closure in endovascular aortic repair procedures. SPAIN Registry]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Carbonell]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina Maldonado]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zanabili Al-Sibbai]]></surname>
<given-names><![CDATA[Amer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ros Vidal]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loyola Agúndez Gómez]]></surname>
<given-names><![CDATA[Ignacio de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Quirónsalud Marbella  ]]></institution>
<addr-line><![CDATA[Marbella ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de Burgos  ]]></institution>
<addr-line><![CDATA[Burgos ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Central de Asturias  ]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario Clínico San Cecilio  ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>73</volume>
<numero>3</numero>
<fpage>119</fpage>
<lpage>124</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702021000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702021000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702021000300002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: el cierre percutáneo es una herramienta esencial en el tratamiento endovascular actual. Los procedimientos de patología aórtica precisan abordajes arteriales de gran calibre a nivel inguinal, lo que conlleva mayor posibilidad de complicaciones en el cierre. Es por esto que actualmente continúan conviviendo la técnica quirúrgica abierta y el abordaje percutáneo, siendo también así en el territorio nacional, con resultados a día de hoy no cuantificados. La literatura actual aporta buenos resultados para la técnica de presutura en patología aórtica, sin embargo aún existen dudas respecto a determinados factores de riesgo como la obesidad, calcificación severa o arterias de pequeño calibre. Tampoco existen suficientes datos que estudien cómo afecta este procedimiento a la calidad de vida, lo cual es un punto esencial, especialmente en pacientes mayores. Dado que un alto porcentaje de los pacientes que se someten a estas intervenciones son ancianos con patologías concomitantes (los llamados pacientes frágiles), minimizar la agresión quirúrgica y mejorar su calidad de vida inmediata post-procedimiento puede ser determinante.  Objetivos: primarios: estimar la tasa de éxito técnico del procedimiento de cierre percutáneo en intervenciones aórticas, estimación del impacto en la calidad de vida así como encontrar posibles diferencias en la morbimortalidad a 30 días en relación a la puntuación de cada paciente en la escala de fragilidad modificada; secundarios: evaluar el tiempo de presutura, tiempo de hemostasia, complicaciones derivadas del cierre, estancia hospitalaria y el dolor posoperatorio.  Material y métodos: el Registro SPAIN es un estudio multicéntrico prospectivo de pacientes sometidos a procedimientos percutáneos sobre la aorta y sus ramas con dispositivos &#8805; 10 French (F), en el que serán recogidas variables relacionadas con el cierre de sus accesos inguinales. El periodo de seguimiento será de 30 días. La duración del periodo de reclutamiento será de un año inicialmente. Los participantes deben acreditar haber realizado el cierre de al menos 10 abordajes percutáneos de gran calibre (&#8805; 10 F) en unidades de ámbito nacional de las especialidades de Angiología y Cirugía Vascular y Cardiología.  Conclusión: el Registro SPAIN pretende poner en valor toda la evidencia actual y determinar uniformemente mediante el análisis de los datos de una cohorte prospectiva, estandarizada y validada, las variables que influyen en el éxito de la técnica. Pretende obtener datos estandarizados del mayor número posible de centros en España para mostrar cuál es la tasa de éxito y el impacto en la calidad de vida del paciente, especialmente el frágil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: percutaneous closure is an essential tool in current endovascular treatment. Aortic pathology procedures require large-caliber arterial approaches, leading to a greater possibility of closure complications. For this reason, nowadays, both open surgical and the preclose technique coexist in almost every center worldwide, as it does in Spain with no contrasted results. The current literature provides good results for the pre-closing technique in aortic pathology, however there are still doubts regarding certain risk factors such as obesity, severe calcification or small-caliber arteries. There is not enough data to study how this procedure affects quality of life, an essential point, especially in older patients. Minimizing surgical aggression and improving their immediate post-procedure quality of life can be decisive because most of the patients are elderly with concomitant pathologies (fragile patients).  Objetives: primary objectives: to estimate the technical success rate of the percutaneous closure procedure in aortic interventions, estimate the impact on quality of life and find possible differences in morbidity and mortality at 30 days in relation to the score of each patient on the frailty scale; secondary objectives: To evaluate the pre-suture time, hemostasis time, complications derived from closure, hospital stay and post-operative pain.  Material and methods: the SPAIN Registry is a prospective multicenter study of patients undergoing percutaneous procedures on the aorta and its branches with &#8805; 10 French (F) devices. Variables related to the closure of their inguinal access will be collected. The follow-up period will be 30 days. The duration of the recruitment period will be one year initially. Participants must certify that they have performed the closure of at least 10 large caliber percutaneous approaches (&#8805; 10 F) in national units of the specialties of Angiology and Vascular Surgery and Cardiology.  Conclusion: the SPAIN Registry aims to value all current evidence and uniformly state, through the analysis of data from a prospective, standardized and validated cohort, the variables that influences the success of the technique. It aims to standardize the expected results of the technique in the majority of possible centers in Spain to finally show what are the success rates and the effect on the quality of life of the patient, especially the fragile one.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pEVAR]]></kwd>
<kwd lng="es"><![CDATA[TAV]]></kwd>
<kwd lng="es"><![CDATA[Técnica &#8220;preclose&#8221;]]></kwd>
<kwd lng="es"><![CDATA[ProGlide]]></kwd>
<kwd lng="es"><![CDATA[Fragilidad]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad aórtica]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones percutáneas]]></kwd>
<kwd lng="en"><![CDATA[pEVAR]]></kwd>
<kwd lng="en"><![CDATA[TAVI]]></kwd>
<kwd lng="en"><![CDATA[Preclose technique]]></kwd>
<kwd lng="en"><![CDATA[ProGlide]]></kwd>
<kwd lng="en"><![CDATA[Fragility]]></kwd>
<kwd lng="en"><![CDATA[Aortic disease]]></kwd>
<kwd lng="en"><![CDATA[Percutaneous complications]]></kwd>
</kwd-group>
</article-meta>
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