Systematic review and meta-analysis of in situ versus composite bimammary coronary artery bypass grafting: immediate outcomes and 30-day mortality

Autor: S. T. Enginoev, D. A. Kondratyev, G. M. Magomedov, S. S. Ekimov, A. A. Zenkov, А. P. Motreva, B. K. Kadyraliev, I. I. Chernov, D. G. Tarasov
Jazyk: ruština
Rok vydání: 2021
Předmět:
Zdroj: Российский кардиологический журнал, Vol 26, Iss 2S (2021)
Druh dokumentu: article
ISSN: 1560-4071
2618-7620
DOI: 10.15829/1560-4071-2021-4504
Popis: Aim. To compare the immediate outcomes and 30-day mortality of in situ bimammary coronary artery bypass grafting (CABG) using two internal thoracic arteries (ITAs) versus a composite grafting.Material and methods. We searched PubMed, Google Scholar, and Web of Science databases for a period from 1990 to 2020 for studies comparing in situ bimammary CABG versus composite grafts. The PICO search model was used as follows: patient, intervention, comparison, outcomes. The data were derived by two independent researchers and subjected to a meta-analysis using a random effect.Results. A total of 10 studies were selected for this meta-analysis. Of these, there were 2 randomized controlled trials (n=705), 4 observational propensity score matching studies (n=4267) and 4 unadjusted observational studies (n=3517). With both ITA in situ surgery, fewer distal anastomoses are applied (MD=0,23; 95% confidence interval (CI), 0,15-0,32; p
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