Publications by authors named "Amartya Kundu"
Article Synopsis
- * A meta-analysis of 6 randomized controlled trials (RCTs) involving 1,343 patients found that PCBs significantly reduced target lesion revascularization (TLR) and major adverse cardiovascular events (MACEs) compared to BA after 6-12 months.
- * While PCBs showed better outcomes in TLR and MACEs, there was no significant difference in all-cause mortality, cardiovascular mortality, myocardial infarction, or stent thrombosis between PCBs and
Article Synopsis
- Non-bacterial thrombotic endocarditis often occurs in patients with systemic lupus erythematosus and can lead to serious complications like cerebrovascular diseases.
- Cases of myocardial infarction due to this condition are rare, exemplified by a report involving a patient who experienced ventricular fibrillation arrest likely caused by coronary embolization.
- There are no established guidelines for treating embolic myocardial infarction in endocarditis, necessitating a tailored multi-disciplinary approach for each individual case.
Background: Bivalirudin is an alternative accepted therapy to unfractionated heparin for patients with myocardial infarction (MI) undergoing percutaneous coronary intervention (PCI). We aimed in this meta-analysis to compare bivalirudin versus unfractionated heparin in patients with MI undergoing PCI.
Methods: We have screened PubMed/MEDLINE, Cochrane Library, and ClinicalTrials.
Vas deferens calcification is a chronic arterio-sclerotic process that develops over many years and is strongly associated with infertility. Incidental findings on imaging are the most common means of diagnosing this condition. We report a case of a 56-year man who likely has male factor infertility and was found to have bilateral vas deferens calcification on CT imaging.
View Article and Find Full Text PDFMeta-analysis of minimalist versus standard care approach for transcatheter aortic valve replacement.
Expert Rev Cardiovasc Ther
June 2021
Article Synopsis
- A meta-analysis was conducted to compare the minimalist and standard approaches to transcatheter aortic valve replacement (TAVR) using studies up to September 2020.
- The analysis included 9 studies with 2,880 patients and found that the minimalist approach showed reduced risks for complications such as acute kidney injury, major bleeding, and major vascular issues.
- Although there were no significant differences in mortality or readmission rates, the minimalist approach resulted in shorter hospital stays, less procedural time, and lower contrast volume used.
Background And Aims: Complications of bicuspid aortic valve commonly include aortic stenosis, aortic regurgitation, and ascending aortic dilation. The progression of these lesions is not well described.
Materials And Methods: We reviewed 249 bicuspid aortic valve patients with at least two echocardiograms from 2006 to 2016.
Article Synopsis
- A 61-year-old male with NSTEMI had a challenging subacute total occlusion in his tortuous mid right coronary artery (RCA) due to atherosclerosis.
- To navigate the tortuous anatomy, an angled SuperCross™ microcatheter was used after the initial Corsair microcatheter failed to guide the wire correctly into the lumen.
- The successful deployment of drug eluting stents demonstrates the effectiveness of this SuperCross™ microcatheter technique for treating complex occlusions in difficult vascular conditions.
Background: Transcatheter aortic valve replacement (TAVR) procedural success relies heavily on volumetric reconstruction imaging, particularly ECG-gated multi-detector row computed tomography. We postulated that single examination using fast low-angle shot (FLASH) dual source CT scanning (DS-CTA) could provide lower dose than ECG-gated CTA while maintaining the image quality.
Methods: In this single-centre cohort study, all patients who underwent ECG-gated and FLASH DS-CTA were evaluated.
Article Synopsis
- The report discusses 4 cases of complications following heart attacks that occurred because patients delayed seeking medical help during the COVID-19 pandemic.
- It emphasizes the importance of listening to the heart (auscultation) for quicker diagnosis of such complications.
- The authors call for increased awareness among heart patients to seek healthcare services, urging them not to let the fear of COVID-19 prevent them from accessing necessary medical care.
Article Synopsis
- - The study analyzed the effectiveness and safety of transcatheter aortic valve replacement (TAVR) compared to surgical aortic valve replacement (SAVR) in low-risk patients with severe aortic stenosis (AS) by reviewing data from five randomized controlled trials involving 2,953 patients.
- - Results indicated that TAVR had similar mid-term and short-term mortality rates compared to SAVR, but it significantly reduced the risk of acute kidney injury, major bleeding, and new-onset atrial fibrillation.
- - However, TAVR patients experienced a higher risk of needing permanent pacemaker implantation, yet overall, TAVR demonstrated similar clinical efficacy to SAVR while offering a better safety profile for low-risk individuals
Article Synopsis
- Access to big data and supercomputers has led to significant advancements in artificial intelligence (AI), particularly in enhancing cognitive tasks like medical imaging interpretation.
- AI shows great promise in transforming medicine, especially in areas like automated clinical decision-making and medical imaging, which could greatly impact interventional cardiology.
- The review discusses how AI can improve real-time decision-making and workflows in interventional cardiology through technologies like advanced robotics, while also addressing its potential applications and limitations.
Article Synopsis
- The study aimed to assess the evidence backing the American Heart Association and American College of Cardiology guidelines on peripheral vascular interventions.
- It found that out of 134 recommendations across five guidelines, only 13% were supported by high-quality evidence (Level of Evidence A), while most were rated lower (Class II – 54% and Class I – 35%).
- The study concludes that there is considerable inconsistency in the quality of evidence for these interventions, indicating a need for better data to inform guideline recommendations and potential updates.
Objectives: This updated meta-analysis evaluated outcomes with multi-vessel (MV-PCI) vs culprit lesion-only percutaneous coronary intervention (CL-PCI), in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS).
Background: There is considerable debate regarding the optimal revascularization strategy in patients with AMI and CS, particularly regarding management of non-culprit lesions.
Methods: Databases were searched for studies comparing MV-PCI and CL-PCI in patients with AMI and CS.
Background: Patients with atrial fibrillation (AF) are at risk for both thromboembolic and bleeding complications. While the risk for thromboembolism is higher among women with AF than men, the sex-related differences in post-discharge outcomes after hospitalization is not clearly understood.
Hypothesis: Compared to men, women hospitalized for AF are at a higher risk of both thromboembolic and bleeding complications.
Background: Atrial fibrillation (AF) is a common complication of acute myocardial infarction (AMI).The CHA2DS2VAScand CHADS2risk scoresare used to identifypatients with AF at risk for strokeand to guide oral anticoagulants (OAC) use, including patients with AMI. However, the epidemiology of AF, further stratifiedaccording to patients' risk of stroke, has not been wellcharacterized among those hospitalized for AMI.
View Article and Find Full Text PDF