Meta-Analysis Comparing Outcomes in Patients Undergoing Transcatheter Aortic Valve Implantation With Versus Without Percutaneous Coronary Intervention.


Journal

The American journal of cardiology
ISSN: 1879-1913
Titre abrégé: Am J Cardiol
Pays: United States
ID NLM: 0207277

Informations de publication

Date de publication:
01 12 2019
Historique:
received: 11 08 2019
revised: 27 08 2019
accepted: 29 08 2019
pubmed: 3 10 2019
medline: 27 3 2020
entrez: 3 10 2019
Statut: ppublish

Résumé

Patients having transcatheter aortic valve implantation (TAVI) routinely undergo coronary angiography before the procedure to define the coronary anatomy and to evaluate the extend of coronary artery disease (CAD). Whether percutaneous coronary intervention (PCI) prior/concomitant with TAVI confers any additional clinical benefit in patients with CAD remains unclear. Literature search was performed using Medline, Embase, Google Scholar, and Scopus from inception of these databases till April 2019. Included outcomes were 30-day all-cause mortality, stroke, myocardial infarction (MI), acute kidney injury, and 1-year mortality. The main summary estimate was random effects odds ratio (OR) with 95% confidence intervals (CIs). Eleven cohort studies enrolling 5,580 patients (mean age 82.4 years and 52.6% females) were included. Our study found no difference in effect estimates for 30-day all-cause mortality (OR 1.30 [0.85 to 1.98], p = 0.22, I

Identifiants

pubmed: 31575422
pii: S0002-9149(19)30990-7
doi: 10.1016/j.amjcard.2019.08.024
pmc: PMC7453960
mid: NIHMS1621049
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1757-1764

Subventions

Organisme : NIGMS NIH HHS
ID : U54 GM104942
Pays : United States

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

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Auteurs

Noman Lateef (N)

Department of Medicine, Creighton University Medical Center, Omaha, Nebraska.

Muhammad Shahzeb Khan (MS)

Department of Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois.

Salil V Deo (SV)

Department of Cardiovascular Surgery, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio.

Naser Yamani (N)

Department of Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois.

Haris Riaz (H)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Hafeez Ul Hassan Virk (HUH)

Department of Cardiovascular Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania.

Safi U Khan (SU)

West Virginia University, Morgantown, West Virginia.

David P Hedrick (DP)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio; Heart and Vascular Center, Cleveland Clinic Akron General, Akron, Ohio.

Anmar Kanaan (A)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio; Heart and Vascular Center, Cleveland Clinic Akron General, Akron, Ohio.

Grant W Reed (GW)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Amar Krishnaswamy (A)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Rishi Puri (R)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Samir R Kapadia (SR)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Ankur Kalra (A)

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio; Heart and Vascular Center, Cleveland Clinic Akron General, Akron, Ohio. Electronic address: kalramd.ankur@gmail.com.

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