Evidence map›Paper›PMID 33942478›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

Outcomes following PCI in CABG candidates during the COVID-19 pandemic: The prospective multicentre UK-ReVasc registry.

Thomas A Kite, Andrew Ladwiniec, Colum G Owens, Alexander Chase, Aadil Shaukat, Abdul M Mozid, Peter O'Kane, Helen Routledge, Divaka Perera, Ajay K Jain and 18 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  11. Outcomes following PCI in CABG candidates during the COVID-19 pandemic: The prospective multicentre UK-ReVasc registry.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Article
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

28 authors at 20 institutions in 2 countries.

Thomas A KiteDepartment of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.ORCID 0000-0002-6021-5738
Andrew LadwiniecDepartment of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Colum G OwensDepartment of Cardiology, Royal Victoria Hospital, Belfast, UK.
Alexander ChaseMorriston Regional Heart Centre, College of Medicine, Swansea University, Swansea, UK.
Aadil ShaukatWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, UK.
Abdul M MozidLeeds General Infirmary, Leeds, UK.
Peter O'KaneDorset Heart Centre, Royal Bournemouth Hospital, Bournemouth, UK.
Helen RoutledgeWorcestershire Royal Hospital, Worcester, UK.
Divaka PereraBHF Centre of Research Excellence and NIHR Biomedical Research Centre at King's College London, London, UK.ORCID 0000-0001-6362-1291
Ajay K JainBarts Heart Centre St Bartholomew's Hospital, Barts and the London School of Medicine and Dentistry, London, UK.
Nick PalmerLiverpool Heart and Chest Hospital, Liverpool, UK.
Stephen P HooleDepartment of Cardiology, Royal Papworth Hospital, Cambridge, UK.
Mohaned EgredFreeman Hospital, Newcastle University, Translational and Clinical Research Institute, Newcastle, UK.ORCID 0000-0003-3642-318X
Manas K SinhaSalisbury NHS Foundation Trust, Salisbury, UK.
Thomas J CahillOxford Heart Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Luciano CandilioRoyal Free London NHS Foundation Trust, London, UK.ORCID 0000-0002-1886-0119
Brijesh AnantharamPortsmouth Hospitals University NHS Trust, Portsmouth, UK.
Jonathan ByrneDepartment of Cardiology, King's College NHS Foundation Trust, London, UK.
Simon J WalshDepartment of Cardiology, Royal Victoria Hospital, Belfast, UK.ORCID 0000-0001-9787-6524
Margaret McEntegartWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, UK.ORCID 0000-0001-5135-3322
Sharon KeanRobertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Laraib SiddiqueDepartment of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Charley BudgeonSchool of Population and Global Health, University of Western Australia, Perth, Australia; Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Nick CurzenFaculty of Medicine, University of Southampton & Wessex Cardiac Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Colin BerryBHF Glasgow Cardiovascular Research Centre, University of Glasgow, Clydebank, UK.
Peter LudmanInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK.
Anthony H GershlickDepartment of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
UK-ReVasc Registry Investigators
University of Leicester · GBGolden Jubilee National Hospital · GBUniversity of Ulster · GBFreeman Hospital · GBKing's College Hospital NHS Foundation Trust · GBLeeds General Infirmary · GBOxford University Hospitals NHS Trust · GBPapworth Hospital · GBPortsmouth Hospitals NHS Trust · GBRoyal Bournemouth Hospital · GBRoyal Free London NHS Foundation Trust · GBSalisbury NHS Foundation Trust · GBSt Bartholomew's Hospital · GBSt Thomas' Hospital · GBSwansea University · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Birmingham · GBUniversity of Glasgow · GBUniversity of Liverpool · GBWorcestershire Royal Hospital · GB

Funding

Medical Research Council MR/N003403/1Robertson Centre for Biostatistics at the University of Glasgow
6 · The paper itself

Abstract

objectivesTo describe outcomes following percutaneous coronary intervention (PCI) in patients who would usually have undergone coronary artery bypass grafting (CABG).

backgroundIn the United Kingdom, cardiac surgery for coronary artery disease (CAD) was dramatically reduced during the first wave of the COVID-19 pandemic. Many patients with "surgical disease" instead underwent PCI.

methodsBetween 1 March 2020 and 31 July 2020, 215 patients with recognized "surgical" CAD who underwent PCI were enrolled in the prospective UK-ReVasc Registry (ReVR). 30-day major cardiovascular event outcomes were collected. Findings in ReVR patients were directly compared to reference PCI and isolated CABG pre-COVID-19 data from British Cardiovascular Intervention Society (BCIS) and National Cardiac Audit Programme (NCAP) databases.

resultsReVR patients had higher incidence of diabetes (34.4% vs 26.4%, P = .008), multi-vessel disease with left main stem disease (51.4% vs 3.0%, P < .001) and left anterior descending artery involvement (94.8% vs 67.2%, P < .001) compared to BCIS data. SYNTAX Score in ReVR was high (mean 28.0). Increased use of transradial access (93.3% vs 88.6%, P = .03), intracoronary imaging (43.6% vs 14.4%, P < .001) and calcium modification (23.6% vs 3.5%, P < .001) was observed. No difference in in-hospital mortality was demonstrated compared to PCI and CABG data (ReVR 1.4% vs BCIS 0.7%, P = .19; vs NCAP 1.0%, P = .48). Inpatient stay was half compared to CABG (3.0 vs 6.0 days). Low-event rates in ReVR were maintained to 30-day follow-up.

conclusionsPCI undertaken using contemporary techniques produces excellent short-term results in patients who would be otherwise CABG candidates. Longer-term follow-up is essential to determine whether these outcomes are maintained over time.

Indexed as

Coronary Artery DiseaseCOVID-19Percutaneous Coronary InterventionCoronary Artery BypassHirudinsHumansPandemicsProspective StudiesRecombinant ProteinsRegistriesSARS-CoV-2Treatment OutcomedesirudinHirudinsRecombinant Proteinscoronary artery bypass graftingCOVID-19percutaneous coronary intervention

Identifiers

PMID33942478
PMCPMC8239910
OpenAlexW3157835406

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.