Evidence map›Paper›PMID 29802145›Full record

SynthesisJournal of the American Heart Association2018

Single- Versus 2-Stent Strategies for Coronary Bifurcation Lesions: A Systematic Review and Meta-Analysis of Randomized Trials With Long-Term Follow-up.

Thomas J Ford, Peter McCartney, David Corcoran, Damien Collison, Barry Hennigan, Margaret McEntegart, David Hildick-Smith, Keith G Oldroyd, Colin Berry

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Effect of Drug-Coated Balloon in Side Branch Protection forFrontiers in cardiovascular medicine · 2021
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Outcomes in provisional one-stent versus dedicated two-stent coronary bifurcation stenting techniques: a systematic review and meta-analysis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
  5. Article
  6. Article
  7. A Comparison of a Drug Coated Balloon With Drug Eluting Stent Strategy for Treating Coronary Bifurcation Lesions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  8. Article
  9. Article
  10. Advancements in Coronary Bifurcation Stenting Techniques: Insights From Computational and Bench Testing Studies.International journal for numerical methods in biomedical engineering · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thomas J FordWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
Peter McCartneyWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
David CorcoranWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
Damien CollisonWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
Barry HenniganWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
Margaret McEntegartWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
David Hildick-SmithDivision of Cardiology, Royal Sussex County Hospital, Brighton, United Kingdom.
Keith G OldroydWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom.
Colin BerryWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, United Kingdom colin.berry@glasgow.ac.uk.

Funding

British Heart Foundation FS/14/15/30661British Heart Foundation PG/17/25/32884British Heart Foundation RE/13/5/30177Medical Research Council MC_PC_15113
6 · The paper itself

Abstract

backgroundThe majority of coronary bifurcation lesions are treated with a provisional single-stent strategy rather than an up-front 2-stent strategy. This approach is supported by multiple randomized controlled clinical trials with short- to medium-term follow-up; however, long-term follow-up data is evolving from many data sets. METHODS AND

resultsMeta-analysis of randomized controlled trials evaluating long-term outcomes (≥1 year) according to treatment strategy for coronary bifurcation lesions. Nine randomized controlled trials with 3265 patients reported long-term clinical outcomes at mean weighted follow-up of 3.1±1.8 years. Provisional single stenting was associated with lower all-cause mortality (2.94% versus 4.23%; risk ratio: 0.69; 95% confidence interval, 0.48-1.00;

conclusionsCoronary bifurcation percutaneous coronary intervention using a provisional single-stent strategy is associated with a reduction in all-cause mortality at long-term follow-up.

Indexed as

StentsAgedCoronary Artery DiseaseFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionRandomized Controlled Trials as TopicRisk FactorsTime FactorsTreatment Outcomebifurcationbifurcation interventionbifurcation lesionprovisional stenting

Identifiers

PMID29802145
PMCPMC6015365

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.