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
Artículo
en Inglés
| LILACS
| ID: biblio-1020496
Biblioteca responsable:
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:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Enfermedad Cardiovascular
/
Isquemia Miocárdica
Base de datos:
LILACS
Asunto principal:
Grado de Desobstrucción Vascular
/
Puente de Arteria Coronaria
/
Isquemia Miocárdica
/
Oclusión Coronaria
Tipo de estudio:
Estudio de etiología
/
Revisión sistemática
Límite:
Adulto
/
Anciano
/
Anciano de 80 o más años
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Asunto de la revista:
Cardiología
/
CIRURGIA GERAL
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
China
Institución/País de afiliación:
Shandong Provincial PKUcare Luzhong Hospital/CN
/
Shandong University/CN