Patency of individual and sequential coronary artery bypass in patients with ischemic heart disease: a meta-analysis
Rev. bras. cir. cardiovasc
;
34(4): 420-427, July-Aug. 2019. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-1020496
ABSTRACT
Abstract Objective:
To evaluate the patency of individual and sequential coronary artery bypass in patients with ischemic heart disease.Methods:
We searched PubMed, Cochrane Library, Excerpta Medica Database, and ClinicalTrials.gov databases for controlled trials. Endpoints included graft patency, anastomosis patency, occluded rates in left anterior descending (LAD) system and right coronary artery (RCA) system, in-hospital mortality, and follow-up mortality. Pooled risk ratios (RRs) and standardized mean difference (SMD) were used to assess the relative data.Results:
Nine cohorts, including 7100 patients and 1440 grafts under individual or sequential coronary artery bypass. There were no significant differences between individual and sequential coronary artery bypass in the graft patency (RR=0.96; 95% CI=0.91-1.02; P=0.16; I2=87%), anastomosis patency (RR=0.95; 95% CI=0.91-1.00; P=0.05; I2=70%), occluded rate in LAD system (RR=1.03; 95% CI=0.92-1.16; P=0.58; I2=37%), occluded rate in RCA system (RR=1.36; 95% CI=0.72-2.57; P=0.35; I2=95%), in-hospital mortality (RR=1.57; 95% CI=0.92-2.69; P=0.10; I2=0%), and follow-up mortality (RR=0.96; 95% CI=0.36-2.53; P=0.93; I2=0%).Conclusion:
No significant differences on clinical data were observed regarding anastomosis patency, occluded rate in LAD system, occluded rate in RCA system, in-hospital mortality, and follow-up mortality, indicating that the patency of individual and the patency of sequential coronary artery bypass are similar to each other.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Degré de perméabilité vasculaire
/
Pontage aortocoronarien
/
Ischémie myocardique
/
Occlusion coronarienne
Type d'étude:
Etude d'étiologie
/
Revues systématiques évaluées
Limites du sujet:
Adulte
/
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Rev. bras. cir. cardiovasc
Thème du journal:
Cardiologie
/
Chirurgie générale
Année:
2019
Type:
Article
Pays d'affiliation:
Chine
Institution/Pays d'affiliation:
Shandong Provincial PKUcare Luzhong Hospital/CN
/
Shandong University/CN
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