Evidence map›Paper›PMID 38392257›Full record

ReviewJournal of cardiovascular development and disease2024

Efficacy and Safety of Thirty-Day Dual-Antiplatelet Therapy Following Complex Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.

Anastasios Apostolos, David-Dimitris Chlorogiannis, Grigorios Chrysostomidis, Maria Bozika, Filippos Timpilis, Angelos Kramvis, Grigoris V Karamasis, Georgios Leventopoulos, Periklis Davlouros, Grigorios Tsigkas

Open access · goldAbstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 98% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. [Efficacy and safety of dual anti-platelet aggregation short post-pharmacologic stent].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Pooled it
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

10 authors at 4 institutions in 2 countries.

Anastasios ApostolosFirst Department of Cardiology, Hippocration General Hospital, National and Kapodistrian University of Athens, 157 72 Athens, Greece.ORCID 0000-0003-2616-7952
David-Dimitris ChlorogiannisDepartment of Radiology, Brigham and Women's Hospital, Boston, MA 02115, USA.ORCID 0000-0003-1596-9466
Grigorios ChrysostomidisDepartment of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, 176 74 Athens, Greece.
Maria BozikaDepartment of Cardiology, University Hospital of Patras, 265 04 Patras, Greece.
Filippos TimpilisDepartment of Cardiology, University Hospital of Patras, 265 04 Patras, Greece.
Angelos KramvisDepartment of Cardiology, University Hospital of Patras, 265 04 Patras, Greece.
Grigoris V KaramasisSecond Cardiology Department, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Rimini 1, Chaidari, 124 62 Athens, Greece.ORCID 0000-0002-4560-7629
Georgios LeventopoulosDepartment of Cardiology, University Hospital of Patras, 265 04 Patras, Greece.
Periklis DavlourosDepartment of Cardiology, University Hospital of Patras, 265 04 Patras, Greece.
Grigorios TsigkasDepartment of Cardiology, University Hospital of Patras, 265 04 Patras, Greece.ORCID 0000-0002-2779-0765
General University Hospital of Patras · GRNational and Kapodistrian University of Athens · GRBrigham and Women's Hospital · USOnassis Cardiac Surgery Center · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal duration of DAPT after complex PCI remains under investigation. The purpose of this systematic review and meta-analysis was to explore the safety and efficacy of a one-month therapy period versus a longer duration of DAPT after complex PCI. We systematically screened three major databases, searching for randomized controlled trials or sub-analyses of them, which compared shortened DAPT (S-DAPT), namely, one month, and longer DAPT (L-DAPT), namely, more than three months. The primary endpoint was any Net Adverse Clinical Event (NACE), and the secondary was any MACE (Major Adverse Cardiac Event), its components (mortality, myocardial infarction, stroke, and stent thrombosis), and major bleeding events. Three studies were included in the analysis, with a total of 6275 patients. Shortening DAPT to 30 days after complex PCI did not increase the risk of NACEs (OR: 0.77, 95% CI: 0.52-1.14), MACEs, mortality, myocardial infractions, stroke, or stent thrombosis. Pooled major bleeding incidence was reduced, but this finding was not statistically significant. This systematic review and meta-analysis showed that one-month DAPT did not differ compared to a longer duration of DAPT after complex PCI in terms of safety and efficacy endpoints. Further studies are still required to confirm these findings.

Indexed as

bifurcationschronic total occlusioncomplex percutaneous coronary interventionsdual-antiplatelet therapyPCI

Identifiers

PMID38392257
PMCPMC10889500
OpenAlexW4391307936

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.