Clinical outcomes of automated anastomotic devices: A metanalysis.
coronary artery bypass grafting
coronary artery disease
proximal anastomoses
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
pubmed:
1
9
2019
medline:
5
8
2020
entrez:
1
9
2019
Statut:
ppublish
Résumé
We investigated neurological events, graft patency, major adverse cardiovascular events (MACEs), and mortality at 1 year following coronary artery bypass grafting (CABG) surgery using automated proximal anastomotic devices (APADs) and compared the overall rates with the current literature. A systematic review of all available reports of APADs use in the literature was conducted. Cumulative incidence and 95% confidence interval (CI) were the main statistical indexes. Nine observational studies encompassing a total of 718 patients were included at the end of the selection process. The cumulative event rate of neurological complications was 4.8% (lower-upper limits: 2.8-8.0, P < .001; I APADs do not seem to be correlated with a reduction of either neurological events or mortality. By contrast, these tools showed satisfactory one-year graft patency and a low incidence of MACEs. Further research on this topic is warranted.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
We investigated neurological events, graft patency, major adverse cardiovascular events (MACEs), and mortality at 1 year following coronary artery bypass grafting (CABG) surgery using automated proximal anastomotic devices (APADs) and compared the overall rates with the current literature.
METHODS
METHODS
A systematic review of all available reports of APADs use in the literature was conducted. Cumulative incidence and 95% confidence interval (CI) were the main statistical indexes. Nine observational studies encompassing a total of 718 patients were included at the end of the selection process.
RESULTS
RESULTS
The cumulative event rate of neurological complications was 4.8% (lower-upper limits: 2.8-8.0, P < .001; I
CONCLUSIONS
CONCLUSIONS
APADs do not seem to be correlated with a reduction of either neurological events or mortality. By contrast, these tools showed satisfactory one-year graft patency and a low incidence of MACEs. Further research on this topic is warranted.
Identifiants
pubmed: 31472023
doi: 10.1111/jocs.14186
pmc: PMC6900158
doi:
Types de publication
Journal Article
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM
Pagination
1297-1304Informations de copyright
© 2019 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals, Inc.
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