Intravascular ultrasound-guided drug-eluting stent implantation: An updated meta-analysis of randomized control trials and observational studies
DC Field | Value | Language |
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dc.contributor.author | Steinvil, Arie | - |
dc.contributor.author | Zhang, Yao-Jun | - |
dc.contributor.author | Lee, Sang Yeub | - |
dc.contributor.author | Pang, Si | - |
dc.contributor.author | Waksman, Ron | - |
dc.contributor.author | Chen, Shao-Liang | - |
dc.contributor.author | Garcia-Garcia, Hector M. | - |
dc.date.accessioned | 2024-08-02T06:31:14Z | - |
dc.date.available | 2024-08-02T06:31:14Z | - |
dc.date.issued | 2016-08 | - |
dc.identifier.issn | 0167-5273 | - |
dc.identifier.issn | 1874-1754 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/75306 | - |
dc.description.abstract | The use of intravascular ultrasound (IVUS) guidance for drug-eluting stent (DES) optimization is limited by the number of adequately powered randomized control trials (RCTs). We performed an updated meta-analysis, including data from recently published RCTs and observational studies, by reviewing the literature in Medline and the Cochrane Library to identify studies that compared clinical outcomes between IVUS-guided and angiography-guided DES implantation from January 1995 to January 2016. This meta-analysis included 25 eligible studies, including 31,283 patients, of whom 3192 patients were enrolled in 7 RCTs. In an analysis of all 25 studies, the summary results for all the events analyzed were significantly in favor of IVUS-guided DES implantation [major adverse cardiac events (MACE, odds ratio [OR] 0.76, 95% confidence intervals [CI]: 0.70-0.82, P < 0.001); death (OR 0.62, 95% CI: 0.54-0.72, P < 0.001); myocardial infarction (OR 0.67, 95% CI: 0.56-0.80, P < 0.001); stent thrombosis (OR 0.58, 95% CI: 0.47-0.73, P < 0.001); target lesion revascularization (TLR, OR 0.77, 95% CI: 0.67-0.89, P = 0.005); target vessel revascularization (TVR, OR 0.85, 95% CI: 0.76-0.95, P < 0.001)]. However, in a separate analysis of RCTs, a favorable result for IVUS-guided DES implantation was found only for MACE (OR 0.66, 95% CI: 0.52-0.84, P = 0.001), TLR (OR 0.61, 95% CI: 0.43-0.87, P = 0.006), and TVR (OR 0.61, 95% CI: 0.41-0.90, P = 0.013). IVUS-guided percutaneous coronary intervention was associated with better overall clinical outcomes than angiography-guided DES implantation. However, in a solely RCT meta-analysis, this benefit was mainly driven by reduced rates of revascularizations. (C) 2016 Elsevier Ireland Ltd. All rights reserved. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.title | Intravascular ultrasound-guided drug-eluting stent implantation: An updated meta-analysis of randomized control trials and observational studies | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.ijcard.2016.04.154 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF CARDIOLOGY, v.216, pp 133 - 139 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000376820700024 | - |
dc.identifier.scopusid | 2-s2.0-84968765194 | - |
dc.citation.endPage | 139 | - |
dc.citation.startPage | 133 | - |
dc.citation.title | INTERNATIONAL JOURNAL OF CARDIOLOGY | - |
dc.citation.volume | 216 | - |
dc.type.docType | Review | - |
dc.publisher.location | 아일랜드 | - |
dc.subject.keywordAuthor | Intravascular ultrasound | - |
dc.subject.keywordAuthor | Angiography | - |
dc.subject.keywordAuthor | Drug-eluting stent | - |
dc.subject.keywordAuthor | Meta-analysis | - |
dc.subject.keywordPlus | PERCUTANEOUS CORONARY INTERVENTION | - |
dc.subject.keywordPlus | TERM CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | BIFURCATION LESIONS | - |
dc.subject.keywordPlus | ANGIOGRAPHY | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | GUIDANCE | - |
dc.subject.keywordPlus | IVUS | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | DES | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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