Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Artículo científico |
| Sprache: | en |
| Veröffentlicht: |
Sociedade Brasileira de Cirurgia Cardiovascular
2019
|
| Schlagworte: | |
| Online-Zugang: | https://www.redalyc.org/articulo.oa?id=398966769006 https://www.redalyc.org/journal/3989/398966769006/ https://www.redalyc.org/journal/3989/398966769006/html/ https://www.redalyc.org/journal/3989/398966769006/398966769006.epub https://www.redalyc.org/journal/3989/398966769006/movil |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
Inhaltsangabe:
- Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta-Analysis With 54,173 Patients Michel Pompeu Barros Oliveira Sá Álvaro Monteiro Perazzo Felipe Augusto Santos Saragiotto Luiz Rafael Pereira Cavalcanti Antônio Carlos Escorel Almeida Jéssica Cordeiro Siqueira Campos Paulo Guilherme Bezerra Braga Sérgio da Costa Rayol Roberto Gouvea Silva Diniz Frederico Browne Correia Araújo Sá Ricardo Carvalho Lima Medicina Meta Stents Analysis Heart Failure Coronary Artery Bypass Objective: To evaluate whether there is any difference on the results of patients treated with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) in the setting of ischemic heart failure (HF).Methods: Databases (MEDLINE, Embase, Cochrane Controlled Trials Register CENTRAL/CCTR, ClinicalTrials.gov, Scientific Electronic Library Online SciELO, Literatura Latino-americana e do Caribe em Ciências da Saúde LILACS, and Google Scholar) were searched for studies published until February 2019. Main outcomes of interest were mortality, myocardial infarction, repeat revascularization, and stroke.Results: The search yielded 5,775 studies for inclusion. Of these, 20 articles were analyzed, and their data were extracted. The total number of patients included was 54,173, and those underwent CABG (N=29,075) or PCI (N=25098). The hazard ratios (HRs) for mortality (HR 0.763; 95% confidence interval CI 0.678-0.859; P<0.001), myocardial infarction (HR 0.481; 95% CI 0.365-0.633; P<0.001), and repeat revascularization (HR 0.321; 95% CI 0.241-0.428; P<0.001) were lower in the CABG group than in the PCI group. The HR for stroke showed no statistically significant difference between the groups (random effect model: HR 0.879; 95% CI 0.625-1.237; P=0.459).Conclusion: This meta-analysis found that CABG surgery remains the best option for patients with ischemic HF, without increase in the risk of stroke. 2019 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398966769006 https://www.redalyc.org/journal/3989/398966769006/ https://www.redalyc.org/journal/3989/398966769006/html/ https://www.redalyc.org/journal/3989/398966769006/398966769006.epub https://www.redalyc.org/journal/3989/398966769006/movil 10.21470/1678-9741-2019-0170 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.34