Risk of stroke with percutaneous coronary intervention compared with on-pump and off- pump coronary artery bypass graft surgery: Evidence from a comprehensive.

Slides:



Advertisements
Similar presentations
Date of download: 7/10/2016 Copyright © The American College of Cardiology. All rights reserved. From: Risk of Stroke With Coronary Artery Bypass Graft.
Advertisements

Downstream coronary effects of drug-eluting stents
Overview of the 2012 Food and Drug Administration Circulatory System Devices Panel of the Medical Devices Advisory Committee meeting on the Edwards SAPIEN.
Rationale and design of the Fractional Flow Reserve versus Angiography for Multivessel Evaluation (FAME) 3 Trial: A comparison of fractional flow reserve–guided.
The “occasional open heart surgeon” revisited
Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.
Prevalence and predictors of nonobstructive coronary artery disease identified with coronary angiography in contemporary clinical practice  Manesh R.
Benefits and risks of using clopidogrel before coronary artery bypass surgery: Systematic review and meta-analysis of randomized trials and observational.
Rationale and design of a randomized clinical trial to assess the safety and efficacy of frequent optimization of cardiac resynchronization therapy: The.
Comparison of Bare-Metal Stents and Drug-Eluting Stents in Coronary Ostial Lesions (from the National Heart, Lung, and Blood Institute Dynamic Registry) 
The Annals of Thoracic Surgery
The Effect of Smoking on the Risk of Sciatica: A Meta-analysis
Percutaneous coronary invervention versus coronary artery bypass grafting: A meta- analysis  Yolba Smit, MD, MSc, Joan Vlayen, MD, Hetty Koppenaal, MD,
Technological innovation in cardiothoracic surgery: A pragmatist's approach  Pedro J. del Nido, MD  The Journal of Thoracic and Cardiovascular Surgery 
The prevalence of abdominal aortic aneurysm is consistently high among patients with coronary artery disease  Jussi A. Hernesniemi, MD, PhD, Ville Vänni,
Development of Clinical Practice Guidelines in the Care of People With Kidney Disease: Core Curriculum 2016  Angela C. Webster, PhD, Evi V. Nagler, MD,
Cyrus J. Parsa, MD, Linda K. Shaw, MS, J. Scott Rankin, MD, Mani A
Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing.
The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting  Danny Chu, MD, Faisal.
Intramyocardial bone marrow stem cell transplantation during coronary artery bypass surgery: A meta-analysis  Peter Donndorf, MD, Guenther Kundt, PhD,
Regional use of combined carotid endarterectomy/coronary artery bypass graft and the effect of patient risk  Douglas W. Jones, MD, David H. Stone, MD,
Do higher-risk patients benefit from off-pump coronary artery bypass grafting? Evidence from an ecologic analysis of randomized trials  Oliver Kuss, PhD,
Damien J. LaPar, MD, MSc, Carlos M. Mery, MD, MPH, Benjamin D
Stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: A meta-analysis of comparative studies  Hisato Takagi,
Aortic valve replacement in patients with mild or moderate aortic stenosis and coronary bypass surgery  Jeremy J. Pereira, MB, Krzysztof Balaban, MD,
The surgical and interventional hybrid era: Experiences from China
Myocardial Revascularization for Patients With Diabetes: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention?  Serenella Castelvecchio,
Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies 
The prevalence of abdominal aortic aneurysm is consistently high among patients with coronary artery disease  Jussi A. Hernesniemi, MD, PhD, Ville Vänni,
Off-Pump Coronary Artery Bypass Surgery Versus Percutaneous Coronary Intervention: A Meta-Analysis of Randomized and Nonrandomized Studies  J. James Edelman,
Coronary artery bypass grafting is superior to first-generation drug-eluting stents for unprotected left main coronary artery disease: An updated meta-analysis.
Assessment of statin therapy, LDL-C levels, and cardiovascular events among high-risk patients in the United States  Sudhir K. Unni, PhD, MBA, Ruben G.W.
Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials  Hisato Takagi, MD, PhD,
Three-Year Outcomes of Multivessel Revascularization in Very Elderly Acute Coronary Syndrome Patients  Brett C. Sheridan, MD, Sally C. Stearns, PhD, Joseph.
Defining operative mortality: Impact on outcome reporting
Why surgery won the SYNTAX trial and why it matters
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Zhe Zheng, MD, PhD, Heng Zhang, MD, PhD, Bo Xu, MBBS 
Michael E. Halkos, MD, MSc, Henry A
Coronary artery bypass in patients with type 2 diabetes: Experience from the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial  Edward.
Steven R. Gundry, MD, Matthew A. Romano, MD, O
Off-pump versus on-pump coronary artery bypass grafting: A systematic review and meta-analysis of propensity score analyses  Oliver Kuss, PhD, Benita.
Multilevel data analysis: What? Why? How?
Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E
Early and long-term outcomes of coronary artery bypass grafting in patients with acute coronary syndrome versus stable angina pectoris  Toshihiro Fukui,
Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Takuya Umemoto, MD, PhD 
The effect of coronary angiography timing and use of cardiopulmonary bypass on acute kidney injury after coronary artery bypass graft surgery  Kyungmi.
The effect of coronary artery bypass grafting on specific causes of long-term mortality in the Bypass Angioplasty Revascularization Investigation  David.
Performance of the European System for Cardiac Operative Risk Evaluation II: A meta- analysis of 22 studies involving 145,592 cardiac surgery procedures 
Anaortic off-pump coronary artery bypass grafting: The criterion standard for minimization of neurologic injury  J. James Edelman, BSc(Hons), MBBS(Hons),
Impact of statin therapy on patients with coronary heart disease and aortic aneurysm or dissection  Junichi Tazaki, MD, Takeshi Morimoto, MD, PhD, Ryuzo.
For everything there is a season
The impact of arterial cannulation strategy on operative outcomes in aortic surgery: Evidence from a comprehensive meta-analysis of comparative studies.
Perioperative cardiac events in endovascular repair of complex aortic aneurysms and association with preoperative studies  Guilherme L. Bub, MD, Roy K.
Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass  Benjamin Medalion, MD, Michael G. Katz, MD,
Current Clinical Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting  Michael J. Mack, MD, Syma L. Prince, RN, Morley Herbert,
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Avoiding sternotomy in repeat coronary artery bypass grafting: Feasibility, safety, and mid-term outcome of the transabdominal off-pump technique using.
Shengshou Hu, MD, Xin Yuan, MD, PhD 
Glenn N. Levine et al. JACC 2011;58:e44-e122
Total Arterial Off-Pump Coronary Surgery: Time to Change Our Habits?
Comparison of 30-day outcomes of coronary artery bypass grafting surgery verus hybrid coronary revascularization stratified by SYNTAX and euroSCORE  Marzia.
Effect of one-stop hybrid coronary revascularization on postoperative renal function and bleeding: A comparison study with off-pump coronary artery bypass.
Improved quality and cost-effectiveness of coronary artery bypass grafting in the United States from 1988 to 2005  Howard K. Song, MD, PhD, Brian S. Diggs,
A personal experience with coronary artery bypass grafting, carotid patching, and other factors influencing the outcome of carotid endarterectomy  Norman.
Improved Long-Term Survival for Diabetic Patients With Surgical Versus Interventional Revascularization  Paul Kurlansky, MD, Morley Herbert, PhD, Syma.
Transatlantic editorial: A comparison between European and North American guidelines on myocardial revascularization  Philippe Kolh, MD, PhD, Paul Kurlansky,
Hisato Takagi, MD, PhD, Masafumi Matsui, MD, Takuya Umemoto, MD, PhD 
Anaesthetic drugs and survival: a Bayesian network meta-analysis of randomized trials in cardiac surgery  G. Landoni, T. Greco, G. Biondi-Zoccai, C. Nigro.
Magnus Dalén, MD, Torbjörn Ivert, MD, PhD, Martin J
Presentation transcript:

Risk of stroke with percutaneous coronary intervention compared with on-pump and off- pump coronary artery bypass graft surgery: Evidence from a comprehensive network meta-analysis  Tullio Palmerini, MD, Giuseppe Biondi-Zoccai, MD, Diego Della Riva, MD, Andrea Mariani, MD, Carlo Savini, MD, Marco Di Eusanio, MD, Philippe Genereux, MD, Giacomo Frati, MD, Antonino G.M. Marullo, MD, PhD, Giovanni Landoni, MD, Teresa Greco, MSc, Angelo Branzi, MD, Stefano De Servi, MD, Germano Di Credico, MD, Nevio Taglieri, MD, Mathew R. Williams, MD, Gregg W. Stone, MD  American Heart Journal  Volume 165, Issue 6, Pages 910-917.e14 (June 2013) DOI: 10.1016/j.ahj.2013.03.011 Copyright © 2013 Mosby, Inc. Terms and Conditions

Figure 1 Flow diagram of the study. Among 2,666 potentially relevant studies, 83 RCTs were included in the final meta-analysis. American Heart Journal 2013 165, 910-917.e14DOI: (10.1016/j.ahj.2013.03.011) Copyright © 2013 Mosby, Inc. Terms and Conditions

Figure 2 Evidence network between PCI, off-pump CABG, and on-pump CABG. American Heart Journal 2013 165, 910-917.e14DOI: (10.1016/j.ahj.2013.03.011) Copyright © 2013 Mosby, Inc. Terms and Conditions

Figure 3 Comparisons of the 30-day risk of stroke between PCI, off-pump CABG, and on-pump CABG. American Heart Journal 2013 165, 910-917.e14DOI: (10.1016/j.ahj.2013.03.011) Copyright © 2013 Mosby, Inc. Terms and Conditions

Figure 4 Comparison of the 30-day risk of stroke in patients treated with off-pump CABG vs those treated with on-pump CABG in the overall cohort of patients and in sensitivity analyses. CEC, clinical events committee. American Heart Journal 2013 165, 910-917.e14DOI: (10.1016/j.ahj.2013.03.011) Copyright © 2013 Mosby, Inc. Terms and Conditions

Supplementary Figure Funnel plot of RCTs included in the meta-analysis for the 30-day risk of stroke. American Heart Journal 2013 165, 910-917.e14DOI: (10.1016/j.ahj.2013.03.011) Copyright © 2013 Mosby, Inc. Terms and Conditions