Systematic review of the evaluation and management of coronary pseudoaneurysm after stent implantation

2020 ◽  
Author(s):  
Atif Hassan ◽  
Barry F. Uretsky ◽  
Andres M. Vargas Estrada ◽  
Romesa Hassan ◽  
Malek Al‐Hawwas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Stent Implantation ◽  
Coronary Pseudoaneurysm

Abstract 14575: Systematic Review and Meta-analysis of Intravascular Ultrasound-guided Percutaneous Left-main Coronary Artery Intervention

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Sameer Saleem ◽  
Shuaibahmed Arab ◽  
Waqas Ullah ◽  
Sundas Younas ◽  
Bashar Al hemyari ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Systematic Review ◽  
Coronary Artery ◽  
Stent Implantation ◽  
Cardiac Death ◽  
Left Main Coronary Artery ◽  
Meta Analysis ◽  
Ultrasound Guided ◽  
Left Main ◽  
Relative Odds

Introduction: Previous meta-analyses have reported reduced cardiovascular mortality and myocardial infarction in intravascular ultrasound-guided (IVUS) stent implantation in comparison to angiography-only approach. However, these studies have unanimously excluded patients with unprotected left-main coronary artery (LMCA) disease, questioning its widespread applicability. We performed a systematic review and meta-analysis to investigate the prognostic significance of IVUS-guided LMCA intervention. Methods: Studies comparing clinical outcomes between IVUS-guided and angiography-only percutaneous LMCA intervention were identified through PubMed, Cochrane and EMBASE databases until June, 2020. Data was analyzed using a random effect model to calculate the relative odds of all-cause death, cardiac death, left-main revascularization, myocardial infarction, stent thrombosis and stroke. Results: A total of 13 studies comprising 7680 patients were included. The odds of all-cause death (OR 0.6, 95%CI 0.47-0.78; p<0.0001), cardiac death (OR 0.37, 95%CI 0.26-0.54; p<0.00001), left-main revascularization (OR 0.63, 95%CI 0.45-0.89; p=0.009) and myocardial infarction (OR 0.77 [95%CI 0.60-0.98; p=0.04]) were significantly lower in patients who underwent IVUS-guided LMCA stent implantation compared to angiography-only approach. There was no significant difference observed in the relative odds of stent thrombosis (OR 0.57, 95%CI 0.31-1.05; p=0.07) and stroke (OR 1.7, 95%CI 0.56-5.14; p=0.35) between the two arms at least 1-year of the index procedure. A subgroup analysis based on study design and sensitivity analysis based on the characteristics of the included studies mirrored the pooled results. Conclusion: IVUS-guided LMCA intervention is associated with overall improved cardiovascular outcomes than angiography-only approach. Large scale randomized controlled trials are needed to validate our findings.

Endothelial dysfunction following drug-eluting stent implantation: A systematic review of the literature

2013 ◽  
Vol 165 (2) ◽  
pp. 222-228 ◽  
Author(s):  
Yoshiyasu Minami ◽  
Hideaki Kaneda ◽  
Masahiro Inoue ◽  
Masayasu Ikutomi ◽  
Toshihiro Morita ◽  
...  
Keyword(s):  
Systematic Review ◽  
Endothelial Dysfunction ◽  
Stent Implantation ◽  
Drug Eluting Stent ◽  
Review Of The Literature ◽  
Drug Eluting

Anastomotic leak after oesophagectomy and stent implantation: a systematic review

2010 ◽  
Vol 4 (3) ◽  
pp. 159-165 ◽  
Author(s):  
A. N. Kanatas ◽  
A. Aldouri ◽  
J. D. Hayden
Keyword(s):  
Systematic Review ◽  
Anastomotic Leak ◽  
Stent Implantation
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