Academic Journal
Comparison of hybrid coronary revascularization versus coronary artery bypass grafting in patients with multivessel coronary artery disease: a meta-analysis
| Title: | Comparison of hybrid coronary revascularization versus coronary artery bypass grafting in patients with multivessel coronary artery disease: a meta-analysis |
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| Authors: | Li Yu, Keying Zhu, Nannan Du, Yuexiu Si, Jiali Liang, Ruijing Shen, Bangsheng Chen |
| Source: | Journal of Cardiothoracic Surgery, Vol 17, Iss 1, Pp 1-10 (2022) |
| Publisher Information: | BMC, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Surgery LCC:Anesthesiology |
| Subject Terms: | HCR, CABG, MACCE, MVD, Meta-analysis, Surgery, RD1-811, Anesthesiology, RD78.3-87.3 |
| More Details: | Abstract Background Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are widely used in the treatment of coronary heart disease, but the best revascularization method for multivessel coronary artery disease (MVD) patients is still controversial. Hybrid coronary revascularization (HCR), together with CABG and PCI, have been proved to be feasible methods, but the long-term effect of HCR is not as clear as CABG. Method By October 2020, we retrieved articles from PubMed, Web of science, EMBASE and Cochrane library databases. The main results are based on major adverse cardiovascular and cerebral events (MACCE). Result A total of 18 articles (3 randomized controlled trials (RCTs) and 15 observational studies) were included in this meta-analysis. The outcomes of MACCE in the HCR group at perioperative, short-term (30 days to 1 year), medium-term (1 year to 5 years) and long-term (5 years and above) follow-up period were similar to those in the CABG group. The mortality rates of patients in perioperative, short-term and medium-term follow-up were similar to those in the CABG group, but lower than that in the CABG group at long-term follow-up (OR = 0.35, 95% CI 0.18–0.69, p = 0.002). The revascularization rate was higher in the HCR group during the perioperative period (OR = 3.50, 95% CI 2.07–5.94, p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1749-8090 |
| Relation: | https://doaj.org/toc/1749-8090 |
| DOI: | 10.1186/s13019-022-01903-w |
| Access URL: | https://doaj.org/article/7281b3df4cfc41c5a1b62c7272978aa5 |
| Accession Number: | edsdoj.7281b3df4cfc41c5a1b62c7272978aa5 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 17498090 |
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| DOI: | 10.1186/s13019-022-01903-w |
| Published in: | Journal of Cardiothoracic Surgery |
| Language: | English |