Meta-Analysis Investigating the Efficacy and Safety of the MANTA Versus ProGlide Vascular Closure Devices After Transcatheter Aortic Valve Implantation

Al-abcha, Abdullah; Saleh, Yehia; Halboni, Adnan; Wang, Enhua; Salam, Mohammad Fahad; Abela, George S.

doi:10.1016/j.amjcard.2022.01.010

Cited by 2 publications

(5 citation statements)

References 5 publications

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“…We can speculate that this higher rate of bleeding complications in our study was related to higher immediate closure failure in the Prostar group (13.6% versus 4.5% in the Manta group, p = 0.01), which is in line with the literature with suture-based devices [29][30][31][32] and required more frequent use of covered stents.…”

Section: Bleeding Complicationssupporting

confidence: 90%

“…The data from this study are consistent with the literature in terms of vascular complications, with no significant differences between MANTA and suture-based devices [9][10][11][12]25,[29][30][31][32].…”

Section: Vascular Complicationssupporting

confidence: 89%

“…In terms of specific complications, there was a higher rate of femoral stenosis in the Manta group, with no difference in terms of clinical impact or need for surgery. Moccetti et al [21] report this same difference, although this was not found in the most recent meta-analysis [29][30][31][32]. Femoral stenosis can be due to poor toggle positioning of the anchor on the internal side of the artery, especially in the presence of calcifications and in small femoral arteries, and this could be an explanation for the higher rate of femoral stenosis in our study.…”

Section: Vascular Complicationssupporting

confidence: 57%

“…These results are in line with the Moriyama study [9], where the bleeding complication rate was 18% in the MANTA group versus 33% in the ProGlide group (OR = 0.44, CI 95 0.23-0.83, p = 0.01). However, this difference was not found in the most recent meta-analysis in terms of major and minor bleeding complications [29][30][31][32].…”

Section: Bleeding Complicationsmentioning

confidence: 83%

See 3 more Smart Citations

Vascular Complications Following Transcatheter Aortic Valve Implantation, Using MANTA (Collagen Plug-Based) versus PROSTAR (Suture-Based), from a French Single-Center Retrospective Registry

Benic,

Nicol,

Hannachi

et al. 2023

JCM

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TAVI requires a large-bore arteriotomy. Closure is usually performed by the suture system. Some studies report a vascular complication rate of up to 21%. MANTA is a recently developed percutaneous closure system dedicated to large caliber vessels based on an anchoring system. Early studies report a lower rate of vascular complications with MANTA devices. This single-center retrospective study included all patients who underwent femoral TAVI at the Brest University Hospital from 20 November 2019 to 31 March 2021. The primary endpoint is the rate of vascular complications (major and minor) pre and post-TAVI procedure. In total, 264 patients were included. There were no significant differences in vascular complications (major and minor) between the two groups (13.6% in the MANTA group versus 21.2% in the PROSTAR group; p = 0.105), although there was a tendency to have fewer minor vascular complications in the Manta group (12.1% versus 20.5%; p = 0.067). Manta was associated with a lower rate of bleeding complications (3.8% versus 15.2%; p = 0.002), predominantly minor complications with fewer closure failures (4.5% versus 13.6%; p = 0.01), less use of covered stents (4.5% versus 12.9%; p = 0.016), and with no difference in the need for vascular surgery compared to the Prostar group (1.5% versus 2.3%; p = 0.652). On the other hand, Manta was associated with a higher rate of femoral stenosis (4.5% versus 0%; p = 0.013) without clinical significance (1.5% versus 0%; p = 0.156). The Manta and Prostar devices are equivalent in terms of vascular complications. The Manta, compared to the Prostar, is associated with fewer bleeding complications.

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Section: Bleeding Complicationssupporting

confidence: 90%

Section: Vascular Complicationssupporting

confidence: 89%

Section: Vascular Complicationssupporting

confidence: 57%

Section: Bleeding Complicationsmentioning

confidence: 83%

See 2 more Smart Citations

Vascular Complications Following Transcatheter Aortic Valve Implantation, Using MANTA (Collagen Plug-Based) versus PROSTAR (Suture-Based), from a French Single-Center Retrospective Registry

Benic,

Nicol,

Hannachi

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…This result is in congruence with 2 clinical trials 14 , 17 and previously published meta-analyses. 20 , 21 , 22 , 23 Two observational studies, by Moriyama et al and Dumpies et al reported a statistically significant lower risk of any bleeding in patients who received MANTA than in those who received ProGlide. 12 , 16 These discordant results can be partly explained by observational nature of both studies, use of only single device for closure in ProGlide group in the study by Dumpies et al, and absence of definite procedure-related learning curve requirement for MANTA usage.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of MANTA vs suture-based vascular closure devices after transcatheter aortic valve replacement: An updated meta-analysis

Doshi

Vasudev

Guragai

et al. 2023

Indian Heart Journal

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Meta-Analysis Investigating the Efficacy and Safety of the MANTA Versus ProGlide Vascular Closure Devices After Transcatheter Aortic Valve Implantation

Cited by 2 publications

References 5 publications

Vascular Complications Following Transcatheter Aortic Valve Implantation, Using MANTA (Collagen Plug-Based) versus PROSTAR (Suture-Based), from a French Single-Center Retrospective Registry

Vascular Complications Following Transcatheter Aortic Valve Implantation, Using MANTA (Collagen Plug-Based) versus PROSTAR (Suture-Based), from a French Single-Center Retrospective Registry

Clinical outcomes of MANTA vs suture-based vascular closure devices after transcatheter aortic valve replacement: An updated meta-analysis

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