Influence of Previous Coronary Artery Bypass Grafting on Clinical Outcomes After Percutaneous Coronary Intervention: A Meta-Analysis of 250 684 Patients

Autor: Muhammad Omar Larik, Ayesha Ahmed, Abdul Rehman Shahid, Hamza Irfan, Areeka Irfan, Muhammad Jibran
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical Medicine Insights: Cardiology, Vol 18 (2024)
Druh dokumentu: article
ISSN: 1179-5468
11795468
DOI: 10.1177/11795468241274588
Popis: Background: Percutaneous coronary intervention (PCI), also known as coronary angioplasty, is the preferred strategy for treating obstructive coronary artery disease. Existing literature suggests the worsening of clinical outcomes in patients with previous coronary artery bypass grafting (CABG) history. In light of this, a comprehensive systematic review and meta-analysis was performed. Methods: Databases including PubMed, Cochrane Library, and ScienceDirect were utilized for the inclusive systematic search dating from inception to September 01, 2023. The risk of bias assessment was performed using the Newcastle-Ottawa scale for cohort studies, and the Cochrane Risk of Bias Tool for randomized controlled trials. Results: Ultimately, there were 16 eligible studies pooled together, involving a total of 250 684 patients, including 231 552 CABG-naïve patients, and 19 132 patients with a prior history of CABG. Overall, patients with CABG history were associated with significantly greater short-term mortality ( P = .004), long-term mortality ( P = .005), myocardial infarction ( P
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