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Start Over Author "Shun-Yi Shi" Publisher biomed central
2 results on '"Shun-Yi Shi"'

1. Comparison of intravascular ultrasound guided versus angiography guided drug eluting stent implantation: a systematic review and meta-analysis

Author

Hao Zhu, Christos V. Bourantas, Bill D. Gogas, Dao-Rong Pan, Sheng-Jie Dong, Bo Xu, Shun-Yi Shi, Shao-Liang Chen, Xiao-Yun Chen, Javaid Iqbal, Si Pang, Yao-Jun Zhang, Wen Wu, and Xiao-Min Ren

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Coronary Artery Disease, Coronary Angiography, Risk Assessment, Severity of Illness Index, law.invention, Coronary artery disease, Percutaneous Coronary Intervention, Randomized controlled trial, law, Predictive Value of Tests, Risk Factors, Intravascular ultrasound, Severity of illness, Odds Ratio, Medicine, Humans, cardiovascular diseases, Propensity Score, Ultrasonography, Interventional, Aged, medicine.diagnostic_test, business.industry, Angiography, Percutaneous coronary intervention, Drug-Eluting Stents, Odds ratio, Middle Aged, medicine.disease, Coronary Vessels, Meta-analysis, Treatment Outcome, Drug-eluting stent, Female, Radiology, business, Cardiology and Cardiovascular Medicine, Mace, Research Article
Abstract

Background Intravascular ultrasound (IVUS) can be a useful tool during drug-eluting stents (DES) implantation as it allows accurate assessment of lesion severity and optimal treatment planning. However, numerous reports have shown that IVUS guided percutaneous coronary intervention is not associated with improved clinical outcomes, especially in non-complex patients and lesions. Methods We searched the literature in Medline, the Cochrane Library, and other internet sources to identify studies that compare clinical outcomes between IVUS-guided and angiography-guided DES implantation. Random-effects model was used to assess treatment effect. Results Twenty eligible studies with a total of 29,068 patients were included in this meta-analysis. The use of IVUS was associated with significant reductions in major adverse cardiovascular events (MACE, odds ratios [OR] 0.77, 95 % confidence intervals [CI] 0.71-0.83, P

Published
2015

2. Comparison of intravascular ultrasound guided versus angiography guided drug eluting stent implantation: a systematic review and meta-analysis.

Author

Yao-Jun Zhang, Si Pang, Xiao-Yun Chen, Bourantas, Christos V., Dao-Rong Pan, Sheng-Jie Dong, Wen Wu, Xiao-Min Ren, Hao Zhu, Shun-Yi Shi, Iqbal, Javaid, Gogas, Bill D., Bo Xu, Shao-Liang Chen, Zhang, Yao-Jun, Pang, Si, Chen, Xiao-Yun, Pan, Dao-Rong, Dong, Sheng-Jie, and Wu, Wen

Subjects
INTRAVASCULAR ultrasonography, ANGIOGRAPHY, SURGICAL stents, RANDOM effects model, META-analysis, SYSTEMATIC reviews, ACUTE coronary syndrome
Abstract

Background: Intravascular ultrasound (IVUS) can be a useful tool during drug-eluting stents (DES) implantation as it allows accurate assessment of lesion severity and optimal treatment planning. However, numerous reports have shown that IVUS guided percutaneous coronary intervention is not associated with improved clinical outcomes, especially in non-complex patients and lesions.Methods: We searched the literature in Medline, the Cochrane Library, and other internet sources to identify studies that compare clinical outcomes between IVUS-guided and angiography-guided DES implantation. Random-effects model was used to assess treatment effect.Results: Twenty eligible studies with a total of 29,068 patients were included in this meta-analysis. The use of IVUS was associated with significant reductions in major adverse cardiovascular events (MACE, odds ratios [OR] 0.77, 95 % confidence intervals [CI] 0.71-0.83, P < 0.001), death (OR 0.62, 95 % CI 0.54-0.71, p < 0.001), and stent thrombosis (OR 0.59, 95 % CI: 0.47-0.73, P < 0.001). The benefit was also seen in the repeated analysis of matched and randomized studies. In stratified analysis, IVUS guidance appeared to be beneficial not only in patients with complex lesions or acute coronary syndromes (ACS) but also patients with mixed lesions or presentations (MACE: OR 0.69, 95 % CI: 0.60-0.79, p < 0.001, OR 0.81, 95 % CI 0.74-0.90, p < 0.001, respectively). By employing meta-regression analysis, the benefit of IVUS is significantly pronounced in patients with complex lesions or ACS with respect to death (p = 0.048).Conclusions: IVUS guidance was associated with improved clinical outcomes, especially in patients with complex lesions admitted with ACS. Large, randomized clinical trials are warranted to identify populations and lesion characteristics where IVUS guidance would be associated with better outcomes. [ABSTRACT FROM AUTHOR]

Published
2015
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