MARC details
000 -LEADER |
fixed length control field |
03201nam a22004097a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
221027s20222022 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0002-9149 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.amjcard.2022.09.012 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S0002-9149(22)01003-7 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
36243567 |
245 ## - TITLE STATEMENT |
Title |
Provisional Versus Dual Stenting of Left Main Coronary Artery Bifurcation Lesions (from a Comprehensive Meta-Analysis). |
251 ## - Source |
Source |
American Journal of Cardiology. 2022 Oct 12 |
252 ## - Abbreviated Source |
Abbreviated source |
Am J Cardiol. 2022 Oct 12 |
253 ## - Journal Name |
Journal name |
The American journal of cardiology |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2023 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2022 Oct 12 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2022-10-27 |
520 ## - SUMMARY, ETC. |
Abstract |
The optimal technique for bifurcation of left main coronary artery (LMCA) stenting has been a subject of controversy since the inception of drug-eluting stents. We searched PubMed, Clinical Trials Registry, and the Cochrane Central Register of Controlled Trials from January 2002 through October 2021. A total of 13 studies comparing the use of provisional versus dual stenting in patients with LMCA bifurcation lesions were included. Any major adverse cardiac event (MACE) was considered the primary composite end point. The secondary end points included individual components of MACE, including death, myocardial infarction, and target lesion revascularization. The treatment effect was defined as the log odds ratio (OR) of provisional over dual stenting for cumulative event rate at 3 years. In 12 studies with 8,377 patients included for MACE, the use of a provisional-stenting strategy was associated with a significant reduction of 3-year MACE (OR 0.64, 95% confidence interval [CI] 0.46 to 0.88) compared with a dual-stenting strategy, primarily driven by target lesion revascularization (OR 0.51, 95% CI 0.36 to 0.73). No significant difference was found regarding death (OR 0.88; 95% CI 0.65 to 1.21) or myocardial infarction (OR 0.97, 95% Cl 0.61 to 1.54). In conclusion, our meta-analysis suggests that provisional stenting should be the preferred technique over dual stenting when treating LMCA bifurcation lesions with drug-eluting stents. Further randomized controlled studies compounded with intracoronary imaging comparing the 2 strategies are warranted. Copyright © 2022 Elsevier Inc. All rights reserved. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Advanced Cardiac Catheterization Research Fellowship |
656 ## - INDEX TERM--OCCUPATION |
Department |
Interventional Cardiology Fellowship |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Aladin, Amer |
Institution Code |
MWHC |
Program |
Advanced Cardiac Catheterization Research Fellowship |
Degree |
MBChB |
Resident year |
Fellow PGY 8 |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Bhogal, Sukhdeep |
Institution Code |
MWHC |
Program |
Interventional Cardiology Fellowship |
Degree |
MBBS |
Resident year |
Fellow PGY 8 |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Mintz, Gary S |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Waksman, Ron |
Institution Code |
MHVI |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Zhang, Cheng |
Institution Code |
MHVI |
790 ## - Authors |
All authors |
Aladin AI, Bhogal S, Mintz GS, Waksman R, Zhang C |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.amjcard.2022.09.012">https://dx.doi.org/10.1016/j.amjcard.2022.09.012</a> |
Public note |
https://dx.doi.org/10.1016/j.amjcard.2022.09.012 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |