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
Artigo
em Inglês
| LILACS
| ID: biblio-1020496
Biblioteca responsável:
BR1.1
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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
6_ODS3_enfermedades_notrasmisibles
Base de dados:
LILACS
Assunto principal:
Grau de Desobstrução Vascular
/
Ponte de Artéria Coronária
/
Isquemia Miocárdica
/
Oclusão Coronária
Tipo de estudo:
Estudo de etiologia
/
Revisão sistemática
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Ano de publicação:
2019
Tipo de documento:
Artigo
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