Evidence map›Paper›PMID 34627567›Full record

SynthesisIndian heart journal

Safety and feasibility of robotic assisted percutaneous coronary intervention compared to standard percutaneous coronary intervention- a systematic review and meta-analysis.

Byomesh Tripathi, Purnima Sharma, Shilpkumar Arora, Malik Murtaza, Aanandita Singh, Dhanshree Solanki, Saurabh Kapadia, Akshat Sharma, Ashish Pershad

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.5field-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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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 at 6 institutions in 2 countries.

Byomesh TripathiUniversity of Arizona College of Medicine, Phoenix, AZ, USA. Electronic address: vyomesh_tripathi@yahoo.com.
Purnima SharmaUniversity of Arizona College of Medicine, Phoenix, AZ, USA.
Shilpkumar AroraHarrington Heart and Vascular Institute, Case Western Reserve University, Cleveland, OH, USA.
Malik MurtazaUniversity of Arizona College of Medicine, Phoenix, AZ, USA.
Aanandita SinghSri Guru Ram Das Institute of Medical Sciences, Amritsar, Punjab, India.
Dhanshree SolankiRutgers University, New Brunswick, NJ, USA.
Saurabh KapadiaJaslok Hospital and Research Center, Mumbai, India.
Akshat SharmaFlorida State University, Tallahassee, FL, USA.
Ashish PershadUniversity of Arizona College of Medicine, Phoenix, AZ, USA.
University of Arizona · USCase Western Reserve University · USFlorida State University · USInstitute of Medical Sciences · INJaslok Hospital · INRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRobotically assisted PCI offers a great alternative to S-PCI. This has gained even more relevance during the COVID-19 pandemic era however safety of R-PCI compared to S-PCI has not been studied well. This study explores the safety and efficacy of robotically assisted PCI (R-PCI) compared to standard PCI (S-PCI) for the treatment of coronary artery disease (CAD).

methodsPubMed, Scopus, Ovid, and Google scholar databases were searched for studies comparing R-PCI to S-PCI. Outcomes included clinical success, procedure time, fluoroscopy time, contrast use and radiation exposure.

resultsTheauthors included 5 studies comprising 1555 patients in this meta-analysis. Clinical success was comparable in both arms (p = 0.91). Procedure time was significantly longer in R-PCI group (risk ratio: 5.52, 95% confidence interval: 1.85 to 9.91, p = 0.003). Compared to S-PCI, patients in R-PCI group had lower contrast use (meandifference: -19.88, 95% confidence interval: -21.43 to -18.33, p < 0.001), fluoroscopy time (mean difference:-1.82, 95% confidence interval: -3.64 to -0.00, p = 0.05) and radiation exposure (mean difference:-457.8, 95% confidence interval: -707.14 to -208.14, p < 0.001).

conclusionR-PCI can achieve similar success as S-PCI at the expense of longer procedural times. However, radiation exposure and contrast exposure were lower in the R-PCI arm.

Indexed as

Coronary Artery DiseaseCOVID-19Percutaneous Coronary InterventionRobotic Surgical ProceduresCoronary AngiographyFeasibility StudiesHumansPandemicsSARS-CoV-2Treatment OutcomeCorePathCoronary angiographyCoronary artery diseaseCOVID-19Radiation exposureRobotic assisted PCIRobotic PCI

Identifiers

PMID34627567
PMCPMC8514414
OpenAlexW3194623376

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.