MARC details
000 -LEADER |
fixed length control field |
03242nam a22003257a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
170411s20162016 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0167-5273 |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
27153138 |
245 ## - TITLE STATEMENT |
Title |
Intravascular ultrasound-guided drug-eluting stent implantation: An updated meta-analysis of randomized control trials and observational studies. [Review] |
251 ## - Source |
Source |
International Journal of Cardiology. 216:133-9, 2016 Aug 01 |
252 ## - Abbreviated Source |
Abbreviated source |
Int J Cardiol. 216:133-9, 2016 Aug 01 |
253 ## - Journal Name |
Journal name |
International journal of cardiologyMH - AgedMH - *Cardiovascular Diseases/th [Therapy]MH - Drug-Eluting StentsMH - FemaleMH - HumansMH - MaleMH - Middle AgedMH - Observational Studies as TopicMH - Odds RatioMH - *Percutaneous Coronary Intervention/is [Instrumentation]MH - Randomized Controlled Trials as TopicMH - Treatment OutcomeMH - *Ultrasonography, Interventional/mt [Methods] |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2016 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2017 |
266 ## - Date added to catalog |
Date added to catalog |
2017-05-24 |
520 ## - SUMMARY, ETC. |
Abstract |
Copyright (c) 2016. Published by Elsevier Ireland Ltd. |
520 ## - SUMMARY, ETC. |
Abstract |
The use of intravascular ultrasound (IVUS) guidance for drug-eluting stent (DES) optimization is limited by the number of adequately powered randomized control trials (RCTs). We performed an updated meta-analysis, including data from recently published RCTs and observational studies, by reviewing the literature in Medline and the Cochrane Library to identify studies that compared clinical outcomes between IVUS-guided and angiography-guided DES implantation from January 1995 to January 2016. This meta-analysis included 25 eligible studies, including 31,283 patients, of whom 3192 patients were enrolled in 7 RCTs. In an analysis of all 25 studies, the summary results for all the events analyzed were significantly in favor of IVUS-guided DES implantation [major adverse cardiac events (MACE, odds ratio [OR] 0.76, 95% confidence intervals [CI]: 0.70-0.82, P<0.001); death (OR 0.62, 95% CI: 0.54-0.72, P<0.001); myocardial infarction (OR 0.67, 95% CI: 0.56-0.80, P<0.001); stent thrombosis (OR 0.58, 95% CI: 0.47-0.73, P<0.001); target lesion revascularization (TLR, OR 0.77, 95% CI: 0.67-0.89, P=0.005); target vessel revascularization (TVR, OR 0.85, 95% CI: 0.76-0.95, P<0.001)]. However, in a separate analysis of RCTs, a favorable result for IVUS-guided DES implantation was found only for MACE (OR 0.66, 95% CI: 0.52-0.84, P=0.001), TLR (OR 0.61, 95% CI: 0.43-0.87, P=0.006), and TVR (OR 0.61, 95% CI: 0.41-0.90, P=0.013). IVUS-guided percutaneous coronary intervention was associated with better overall clinical outcomes than angiography-guided DES implantation. However, in a solely RCT meta-analysis, this benefit was mainly driven by reduced rates of revascularizations. |
546 ## - LANGUAGE NOTE |
Language note |
English |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Review |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Garcia-Garcia, Hector M |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Lee, Sang Yeub |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Steinvil, Arie |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Waksman, Ron |
790 ## - Authors |
All authors |
Chen SL, Garcia-Garcia HM, Lee SY, Pang S, Steinvil A, Waksman R, Zhang YJ |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.ijcard.2016.04.154">https://dx.doi.org/10.1016/j.ijcard.2016.04.154</a> |
Public note |
https://dx.doi.org/10.1016/j.ijcard.2016.04.154 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |