Intravascular ultrasound-guided drug-eluting stent implantation: An updated meta-analysis of randomized control trials and observational studies. [Review] (Record no. 2562)

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
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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.
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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.
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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
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Local Authors Garcia-Garcia, Hector M
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Local Authors Lee, Sang Yeub
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Local Authors Steinvil, Arie
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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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Date last checked out Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/24/2017 1 27153138 27153138 09/26/2017 09/26/2017 05/24/2017 Journal Article

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