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Endoscopic versus open radial artery harvesting: A meta-analysis of randomized controlled and propensity matched studies
- Source :
- Rahouma, M, Kamel, M, Benedetto, U, Ohmes, L B, Di Franco, A, Lau, C, Girardi, L, Tranbaugh, R F, Barili, F & Gaudino, M 2017, ' Endoscopic Versus Open Radial Artery Harvesting : A Meta-Analysis of Randomized Controlled and Propensity Matched Studies ', Journal of Cardiac Surgery, vol. 32, no. 6, pp. 334-341 . https://doi.org/10.1111/jocs.13148
- Publication Year :
- 2017
- Publisher :
- Hindawi Limited, 2017.
-
Abstract
- BackgroundWe sought to investigate the impact of radial artery harvesting techniques on clinical outcomes using a meta‐analytic approach limited to randomized controlled trials and propensity‐matched studies for clinical outcomes, in which graft patency was analyzed.MethodsA systematic literature review was conducted using PubMed and MEDLINE to identify publications containing comparisons between endoscopic radial artery harvesting (ERAH) and open harvesting (ORAH). Only randomized controlled trials and propensity‐matched series were included. Data were extracted and analyzed with RevMan. The primary endpoint was wound complication rate, while secondary endpoints were patency rate, early mortality, and long‐term cardiac mortality.ResultsSix studies comprising 743 patients were included in the meta‐analysis. Of them 324 (43.6%) underwent ERAH and 419 (56.4%) ORAH. ERAH was associated with a lower incidence of wound complications (odds ratio: 0.33, confidence interval 0.14‐0.77; p = 0.01). There were no differences in graft patency, and early and long‐term cardiac mortality between the two techniques.ConclusionERAH reduces wound complications and does not affect graft patency, or short‐ and long‐term mortality compared to ORAH.
- Subjects :
- coronary artery surgery
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Time Factors
MEDLINE
030204 cardiovascular system & hematology
law.invention
wound complication
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine.artery
Surgical Wound Dehiscence
medicine
Clinical endpoint
Humans
Surgical Wound Infection
Radial artery
Propensity Score
Randomized Controlled Trials as Topic
radial artery harvesting
business.industry
Graft Survival
Endoscopy
Odds ratio
Prognosis
Databases, Bibliographic
Confidence interval
Surgery
meta-analysis
patency rate
Systematic review
030228 respiratory system
Meta-analysis
Radial Artery
endoscopic radial artery harvesting
Tissue and Organ Harvesting
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 08860440
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiac Surgery
- Accession number :
- edsair.doi.dedup.....a44da9de9059d0d590befde7c9f1d890