Publications by authors named "Kunal Nitinkumar Patel"
Article Synopsis
- The study aimed to compare the outcomes of transcatheter mitral valve repair (TMVr) and surgical mitral valve repair (SMVr) in patients with primary mitral regurgitation (MR) and MR with heart failure with reduced ejection fraction (HFrEF).
- Using data from the Nationwide Readmission Database, researchers matched pairs of patients who underwent either procedure between 2016 and 2019 and assessed the rate of major adverse cardiovascular events (MACE) and in-hospital mortality.
- Results showed that while TMVr had better short-term outcomes, it resulted in significantly higher medium-term MACE compared to SMVr, indicating the need for careful discussion of risks and benefits before choosing TMVr for eligible patients
Objective: A recently published randomized control trial showed different results with suture-based vascular closure device (VCD) than plug-based VCD in patients undergoing transfemoral transcatheter aortic valve replacement (TAVR). The learning curve for MANTA device is steep, while the learning curve for suture based VCD is shallow as the devices are quite different. In this meta-analysis, we have compared suture-based (ProGlide and Prostar XL) vs plug-based VCDs (MANTA).
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