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Endoscopic versus open radial artery harvesting: A meta‐analysis of randomized controlled and propensity matched studies

机译:内窥镜与开放式径向动脉收割:随机控制和倾向匹配研究的荟萃分析

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Abstract Background We 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. Methods A 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. Results Six 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. Conclusion ERAH reduces wound complications and does not affect graft patency, or short‐ and long‐term mortality compared to ORAH.
机译:摘要背景,我们试图研究采用荟萃分析方法对临床结果对临床结果的影响,限于随机对照试验和对临床结果的倾向匹配研究,分析接枝通畅。方法使用PubMed和Medline进行系统文献综述,以识别包含内窥镜桡动脉收获(ERAH)与开放收获(ORAH)之间的比较的出版物。仅包括随机对照试验和匹配系列。用Revman提取和分析数据。初级终点是伤口并发症率,而次要终点是通用率,早期死亡率和长期心脏死亡率。结果六项研究包括743名患者的介质分析。其中324(43.6%)接受了ERAH和419(56.4%)的奥拉。 ERAH与伤口并发症的发生率较低(差距:0.33,置信区间0.14-0.77; p?= 0.01)。移植物通畅和两种技术之间的早期和长期心脏病死亡率没有差异。结论ERAH减少伤口并发症,与orah相比,不影响移植物通畅,或短期和长期死亡率。

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