Evidence map›Paper›PMID 33843041›Full record

SynthesisCardiology journal2022

Efficacy and safety of bioresorbable scaffolds in patients with coronary bifurcation lesions: A systematic review and meta-analysis.

Xi-Ying Liang, Yan Li, Wen-Jiao Zhang, Xuan Qiao, Rong-Rong Yang, Zhi-Lu Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cardiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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

6 authors.

Xi-Ying LiangDepartment of Cardiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Yan LiDepartment of Cardiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Wen-Jiao ZhangDepartment of Cardiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.ORCID 0000-0002-3947-2262
Xuan QiaoDepartment of Cardiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Rong-Rong YangDepartment of Cardiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Zhi-Lu WangDepartment of Cardiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China. wangzhl@lzu.edu.cn.ORCID 0000-0002-3628-4864

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBioresorbable scaffolds (BRS) were considered to be beneficial for coronary bifurcation lesions regarding the avoidance of lateral branch opening incarceration after complete absorption. However, data is limited in this setting. The aim of this meta-analysis was to evaluate the short (6-month) and medium-term (1-year) outcomes of BRS in patients with coronary bifurcation lesions.

methodsPubMed, EMBASE, Web of Science, Cochrane library databases were searched to find the studies of BRS implantation in patients with coronary bifurcation lesions. The effective outcome was target lesion revascularization. The safety outcomes included major adverse cardiovascular events, target vessel revascularization, myocardial infarction, definite or probable scaffold thrombosis, and cardiac death.

resultsA total of 1204 patients involved in 12 studies were included. The pooled estimate rate of target lesion revascularization as efficacy outcome was highly consistent between 6-month and 1-year follow-up, which was 4.74% (95% CI 2.36-9.54%, I² = 41.5%, p = 0.14) and 4.37% (95% CI 3.05-5.69%, I² = 4.6%, P = 0.39). The pooled estimated rate of major adverse cardiovascular events as safety outcome was 5.50% and 7.31% for both 6-month and 1-year follow-up. The pooled estimated rate of target vessel revascularization, myocardial infarction, definite or probable scaffold thrombosis, and cardiac death at 1-year follow-up was 5.92%, 2.52%, 1.69%, and 0.42%.

conclusionsThe application of BRS for coronary bifurcation lesions is acceptable in efficacy outcome, but the high rate of scaffold thrombosis remains of concern (Registered by PROSPERO, CRD42019140341).

Indexed as

Coronary Artery DiseaseMyocardial InfarctionPercutaneous Coronary InterventionAbsorbable ImplantsCoronary VesselsDeathHumansProsthesis DesignTreatment Outcomebioresorbable scaffoldscoronary bifurcation lesionsmeta-analysispercutaneous coronary intervention

Identifiers

PMID33843041
PMCPMC9273238

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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.