Meta-Analysis Comparing Complete or Culprit Only Revascularization in Patients With Multivessel Disease Presenting With Cardiogenic Shock

被引：8

作者：

Bertaina, Maurizio ^{[1
]}

Ferraro, Ilenia ^{[1
]}

Omede, Pierlugi ^{[1
]}

Conrotto, Federico ^{[1
]}

Saint-Hilary, Gaelle ^{[2
]}

Cavender, Matthew A. ^{[3
]}

Claessen, Bimmer E. ^{[4
]}

Henriques, Jose P. S. ^{[4
]}

Frea, Simone ^{[1
]}

Usmiani, Tullio ^{[1
]}

Marra, Walter Grosso ^{[1
]}

Pennone, Mauro ^{[1
]}

Moretti, Claudio ^{[1
]}

D'Amico, Maurizio ^{[1
]}

D'Ascenzo, Fabrizio ^{[1
]}

机构：

[1] Molinette Mauriziano Hosp, Dept Cardiol, Citta Salute & Sci, Turin, Italy

[2] GL Lagrange Politecn Torino, Dept Math Sci, Turin, Italy

[3] Univ N Carolina, Dept Med, Div Cardiol, Chapel Hill, NC 27515 USA

[4] Acad Med Ctr, Dept Cardiol, Amsterdam, Netherlands

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2018年 / 122卷 / 10期

关键词：

PERCUTANEOUS CORONARY INTERVENTION; ELEVATION MYOCARDIAL-INFARCTION; ST-SEGMENT ELEVATION; CHRONIC TOTAL OCCLUSIONS; ACUTE KIDNEY INJURY; RANDOMIZED-TRIAL; OUTCOMES; LESION; PCI; ANGIOPLASTY;

D O I：

10.1016/j.amjcard.2018.08.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The optimal strategy for patients with an acute myocardial infarction (MI) and multivessel (MV) coronary artery disease complicated by cardiogenic shock (CS) remains unknown. We conducted a meta-analysis of all randomized controlled trials and observational studies that reported adjusted effect measures to evaluate the association of MV-PCI (percutaneous coronary intervention), compared with culprit only (C)-PCI, with cardiovascular events in patients admitted for CS and MV disease. We identified 12 studies (n =1 randomized controlled trials, n = 11 observational) that included 7,417 patients (n = 1,809 treated with MV-PCI and n = 5,608 with C-PCI). When compared with C-PCI, MV-PCI was not associated with an increased risk of short-term death (odds ratio [OR] 1.14, 95% confidence interval [CI] 0.87 to 1.48, p = 0.35 and adjusted OR [ORadj] 1.00, 95% CI 0.70 to 1.43, p = 1.00). In-hospital and/or short-term mortality tended to be higher with MV-PCI, when compared with C-PCI, for CS patients needing dialysis (-0.12, 95% CI from 0.049 to 0.198; p= 0.001), whereas MV-PCI was associated with lower in-hospital and/or short-term mortality in patients with an anterior MI (-0.022, 95% CI -0.03 to -0.01; p <0.001). MV-PCI strategy was associated with a more frequent need for dialysis or contrast-induced nephropathy after revascularization (OR 1.36, 95% CI -1.06 to -1.75, p = 0.02). In conclusion, MV-PCI seems not to increase risk of death during short- or long-term follow-up when compared with C-PCI in patients admitted for MV coronary artery disease and MI complicated by CS. Furthermore, it appears a more favorable strategy in patients with anterior MI, whereas the increased risk for AKI and its negative prognostic impact should be considered in decision-making process. Further studies are needed to confirm our hypothesis on in these subpopulations of CS patients. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：1661 / 1669

页数：9

共 34 条

[11] What Can We Do About Cardiogenic Shock? [J].

Gershlick, Anthony H. ;

Banning, Amerjeet S. .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2017, 10 (11)

[12] Randomized Trial of Complete Versus Lesion-Only Revascularization in Patients Undergoing Primary Percutaneous Coronary Intervention for STEMI and Multivessel Disease [J].

Gershlick, Anthony H. ;

Khan, Jamal Nasir ;

Kelly, Damian J. ;

Greenwood, John P. ;

Sasikaran, Thiagarajah ;

Curzen, Nick ;

Blackman, Daniel J. ;

Dalby, Miles ;

Fairbrother, Kathryn L. ;

Banya, Winston ;

Wang, Duolao ;

Flather, Marcus ;

Hetherington, Simon L. ;

Kelion, Andrew D. ;

Talwar, Suneel ;

Gunning, Mark ;

Hall, Roger ;

Swanton, Howard ;

McCann, Gerry P. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2015, 65 (10) :963-972

[13] Percutaneous Intervention for Concurrent Chronic Total Occlusions in Patients With STEMI The EXPLORE Trial [J].

Henriques, Jose P. S. ;

Hoebers, Loes P. ;

Ramunddal, Truls ;

Laanmets, Peep ;

Eriksen, Erlend ;

Bax, Matthijs ;

Ioanes, Dan ;

Suttorp, Maarten J. ;

Strauss, Bradley H. ;

Barbato, Emanuele ;

Nijveldt, Robin ;

van Rossum, Albert C. ;

Marques, Koen M. ;

Elias, Joelle ;

van Dongen, Ivo M. ;

Claessen, Bimmer E. P. M. ;

Tijssen, Jan G. ;

van der Schaaf, Rene J. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (15) :1622-1632

[14] Meta-analysis on the impact of percutaneous coronary intervention of chronic total occlusions on left ventricular function and clinical outcome [J].

Hoebers, Loes P. ;

Claessen, Bimmer E. ;

Elias, Joelle ;

Dangas, George D. ;

Mehran, Roxana ;

Henriques, Jose P. S. .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2015, 187 :90-96

[15] 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) [J].

Ibanez, Borja ;

James, Stefan ;

Agewall, Stefan ;

Antunes, Manuel J. ;

Bucciarelli-Ducci, Chiara ;

Bueno, Hector ;

Caforio, Alida L. P. ;

Crea, Filippo ;

Goudevenos, John A. ;

Halvorsen, Sigrun ;

Hindricks, Gerhard ;

Kastrati, Adnan ;

Lenzen, Mattie J. ;

Prescott, Eva ;

Roffi, Marco ;

Valgimigli, Marco ;

Varenhorst, Christoph ;

Vranckx, Pascal ;

Widimsky, Petr ;

Collet, Jean-Philippe ;

Kristensen, Steen Dalby ;

Aboyans, Victor ;

Baumbach, Andreas ;

Bugiardini, Raffaele ;

Coman, Ioan Mircea ;

Delgado, Victoria ;

Fitzsimons, Donna ;

Gaemperli, Oliver ;

Gershlick, Anthony H. ;

Gielen, Stephan ;

Harjola, Veli-Pekka ;

Katus, Hugo A. ;

Knuuti, Juhani ;

Kolh, Philippe ;

Leclercq, Christophe ;

Lip, Gregory Y. H. ;

Morais, Joao ;

Neskovic, Aleksandar N. ;

Neumann, Franz-Josef ;

Niessner, Alexander ;

Piepoli, Massimo Francesco ;

Richter, Dimitrios J. ;

Shlyakhto, Evgeny ;

Simpson, Iain A. ;

Steg, Ph. Gabriel ;

Terkelsen, Christian Juhl ;

Thygesen, Kristian ;

Windecker, Stephan ;

Zamorano, Jose Luis ;

Zeymer, Uwe .

EUROPEAN HEART JOURNAL, 2018, 39 (02) :119-177

[16] Culprit Vessel-Only Versus Multivessel Percutaneous Coronary Intervention in Patients With Cardiogenic Shock Complicating ST-Segment-Elevation Myocardial Infarction: A Collaborative Meta-Analysis [J].

Kolte, Dhaval ;

Sardar, Partha ;

Khera, Sahil ;

Zeymer, Uwe ;

Thiele, Holger ;

Hochadel, Matthias ;

Radovanovic, Dragana ;

Erne, Paul ;

Hambraeus, Kristina ;

James, Stefan ;

Claessen, Bimmer E. ;

Henriques, Jose P. S. ;

Mylotte, Darren ;

Garot, Philippe ;

Aronow, Wilbert S. ;

Owan, Theophilus ;

Jain, Diwakar ;

Panza, Julio A. ;

Frishman, William H. ;

Fonarow, Gregg C. ;

Bhatt, Deepak L. ;

Aronow, Herbert D. ;

Abbott, J. Dawn .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2017, 10 (11)

[17] Multivessel Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction With Cardiogenic Shock [J].

Lee, Joo Myung ;

Rhee, Tae-Min ;

Hahn, Joo-Yong ;

Kim, Hyun Kuk ;

Park, Jonghanne ;

Hwang, Doyeon ;

Choi, Ki Hong ;

Kim, Jihoon ;

Park, Taek Kyu ;

Yang, Jeong Hoon ;

Bin Song, Young ;

Choi, Jin-Ho ;

Choi, Seung-Hyuk ;

Koo, Bon-Kwon ;

Kim, Young Jo ;

Chae, Shung Chull ;

Cho, Myeong Chan ;

Kim, Chong Jin ;

Gwon, Hyeon-Cheol ;

Kim, Ju Han ;

Kim, Hyo-Soo ;

Jeong, Myung Ho .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 71 (08) :844-856

[18] 2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions [J].

Levine, Glenn N. ;

Bates, Eric R. ;

Blankenship, James C. ;

Bailey, Steven R. ;

Bittl, John A. ;

Cercek, Bojan ;

Chambers, Charles E. ;

Ellis, Stephen G. ;

Guyton, Robert A. ;

Hollenberg, Steven M. ;

Khot, Umesh N. ;

Lange, Richard A. ;

Mauri, Laura ;

Mehran, Roxana ;

Moussa, Issam D. ;

Mukherjee, Debabrata ;

Ting, Henry H. ;

O'Gara, Patrick T. ;

Kushner, Frederick G. ;

Ascheim, Deborah D. ;

Brindis, Ralph G. ;

Casey, Donald E., Jr. ;

Chung, Mina K. ;

de Lemos, James A. ;

Diercks, Deborah B. ;

Fang, James C. ;

Franklin, Barry A. ;

Granger, Christopher B. ;

Krumholz, Harlan M. ;

Linderbaum, Jane A. ;

Morrow, David A. ;

Newby, L. Kristin ;

Ornato, Joseph P. ;

Ou, Narith ;

Radford, Martha J. ;

Tamis-Holland, Jacqueline E. ;

Tommaso, Carl L. ;

Tracy, Cynthia M. ;

Woo, Y. Joseph ;

Zhao, David X. .

CIRCULATION, 2016, 133 (11) :1135-1147

[19]

Liberati A, 2009, BMJ-BRIT MED J, V339, DOI [10.1371/journal.pmed.1000097, 10.1136/bmj.b2700, 10.1186/2046-4053-4-1, 10.1136/bmj.i4086, 10.1136/bmj.b2535, 10.1016/j.ijsu.2010.02.007, 10.1016/j.ijsu.2010.07.299]

[20] Effects of Hydration in Contrast-Induced Acute Kidney Injury After Primary Angioplasty A Randomized, Controlled Trial [J].

Maioli, Mauro ;

Toso, Anna ;

Leoncini, Mario ;

Micheletti, Carlo ;

Bellandi, Francesco .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2011, 4 (05) :456-462

← 1 2 3 4 →