Details

Autor(en) / Beteiligte

• Abdelaziz, Ahmed
• Elsayed, Hanaa
• Hamdaalah, Aboalmagd
• Atta, Karim
• Mechi, Ahmed
• Kadhim, Hallas
• Aboutaleb, Aya Moustafa
• Elaraby, Ahmed
• Ellabban, Mohamed Hatem
• Rzk, Fayed Mohamed
• Eid, Mahmoud
• AboElfarh, Hadeer Elsaeed
• Ibrahim, Rahma AbdElfattah
• Zawaneh, Emad Addin
• Ezzat, Mahmoud
• Abdelaziz, Mohamed
• Hafez, Abdelrahman H
• Fadel, Shaimaa
• Ghaith, Hazem S
• Suppah, Mustafa

Titel

Safety and feasibility of rotational atherectomy (RA) versus conventional stenting in patients with chronic total occlusion (CTO) lesions: a systematic review and meta-analysis

Ist Teil von

• BMC cardiovascular disorders, 2024-01, Vol.24 (1), p.4-4, Article 4

Ort / Verlag

England: BioMed Central

Erscheinungsjahr

2024

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Interventional cardiologists face challenges in managing chronic total occlusion (CTO) lesions, with conflicting results when comparing rotational atherectomy (RA) to conventional PCI. This meta-analysis aims to provide a critical evaluation of the safety and feasibility of RA in CTO lesions. PubMed, Scopus, Web of Science, Ovid, and Cochrane central library until April 2023 were searched for relevant studies. MACE was our primary outcomes, other outcomes were all cause of death, cardiac death, MI, and TVR. Also, we reported angiographic outcomes as technical success, procedural success, and procedural complications in a random effect model. The pooled data was analyzed using odds ratio (OR) with its 95% CI using STATA 17 MP. Seven studies comprising 5494 patients with a mean follow-up of 43.1 months were included in this meta-analysis. Our pooled analysis showed that RA was comparable to PCI to decrease the incidence of MACE (OR = 0.98, 95% CI [0.74 to 1.3], p = 0.9). Moreover, there was no significant difference between RA and conventional PCI in terms of other clinical or angiographic outcomes. Our study showed that RA had comparable clinical and angiographic outcomes as conventional PCI in CTO lesions, which offer interventional cardiologists an expanded perspective when addressing calcified lesions. CRD42023417362.