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Magnetic navigation system for percutaneous coronary intervention: A meta-analysis

BACKGROUND: Magnetic navigation system (MNS) allows calculation of the vessel coordinates in real space within the patient's chest for percutaneous coronary intervention (PCI). However, its impact on the procedural parameters and clinical outcomes is still a matter of debate. To derive a more p...

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Autores principales: Qi, Zhiyong, Wu, Bangwei, Luo, Xinping, Zhu, Jun, Shi, Haiming, Jin, Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265762/
https://www.ncbi.nlm.nih.gov/pubmed/27442645
http://dx.doi.org/10.1097/MD.0000000000004216
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author Qi, Zhiyong
Wu, Bangwei
Luo, Xinping
Zhu, Jun
Shi, Haiming
Jin, Bo
author_facet Qi, Zhiyong
Wu, Bangwei
Luo, Xinping
Zhu, Jun
Shi, Haiming
Jin, Bo
author_sort Qi, Zhiyong
collection PubMed
description BACKGROUND: Magnetic navigation system (MNS) allows calculation of the vessel coordinates in real space within the patient's chest for percutaneous coronary intervention (PCI). However, its impact on the procedural parameters and clinical outcomes is still a matter of debate. To derive a more precise estimation of the relationship, a meta-analysis was performed. METHODS AND RESULTS: Studies exploring the advantages of MNS were identified in English-language articles by search of Medline, Web of Science, and Cochrane Library Databases (inception to October 2015). A standardized protocol was used to extract details on study design, region origin, demographic data, lesion type, and clinical outcomes. The main outcome measures were contrast consumption, procedural success rate, contrast used for wire crossing, procedure time to cross the lesions, and the fluoroscopy time fluoroscopy time. A total of 12 clinical trials involving 2174 patients were included for analysis (902 patients in the magnetic PCI group and 1272 in the conventional PCI group). Overall, contrast consumption was decreased by 40.45 mL (95% confidence interval [CI] −70.98 to −9.92, P = 0.009) in magnetic PCI group compared with control group. In addition, magnetic PCI was associated with significantly decreasing procedural time by 2.17 minutes (95% CI −3.91 to −0.44, P = 0.01) and the total fluoroscopy time was significantly decreased by 1.43 minutes (95% CI −2.29 to −0.57, P = 0.001) in magnetic PCI group. However, procedural success rate, contrast used for wire crossing, procedure time to cross the lesions, and the fluoroscopy time to cross the lesions demonstrated that no statistically difference was observed between 2 groups. CONCLUSION: The present meta-analysis indicated an improvement of overall contrast consumption, total procedural time, and fluoroscopy time in magnetic PCI group. However, no significant advantages were observed associated with procedural success rate.
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spelling pubmed-52657622017-02-03 Magnetic navigation system for percutaneous coronary intervention: A meta-analysis Qi, Zhiyong Wu, Bangwei Luo, Xinping Zhu, Jun Shi, Haiming Jin, Bo Medicine (Baltimore) 3400 BACKGROUND: Magnetic navigation system (MNS) allows calculation of the vessel coordinates in real space within the patient's chest for percutaneous coronary intervention (PCI). However, its impact on the procedural parameters and clinical outcomes is still a matter of debate. To derive a more precise estimation of the relationship, a meta-analysis was performed. METHODS AND RESULTS: Studies exploring the advantages of MNS were identified in English-language articles by search of Medline, Web of Science, and Cochrane Library Databases (inception to October 2015). A standardized protocol was used to extract details on study design, region origin, demographic data, lesion type, and clinical outcomes. The main outcome measures were contrast consumption, procedural success rate, contrast used for wire crossing, procedure time to cross the lesions, and the fluoroscopy time fluoroscopy time. A total of 12 clinical trials involving 2174 patients were included for analysis (902 patients in the magnetic PCI group and 1272 in the conventional PCI group). Overall, contrast consumption was decreased by 40.45 mL (95% confidence interval [CI] −70.98 to −9.92, P = 0.009) in magnetic PCI group compared with control group. In addition, magnetic PCI was associated with significantly decreasing procedural time by 2.17 minutes (95% CI −3.91 to −0.44, P = 0.01) and the total fluoroscopy time was significantly decreased by 1.43 minutes (95% CI −2.29 to −0.57, P = 0.001) in magnetic PCI group. However, procedural success rate, contrast used for wire crossing, procedure time to cross the lesions, and the fluoroscopy time to cross the lesions demonstrated that no statistically difference was observed between 2 groups. CONCLUSION: The present meta-analysis indicated an improvement of overall contrast consumption, total procedural time, and fluoroscopy time in magnetic PCI group. However, no significant advantages were observed associated with procedural success rate. Wolters Kluwer Health 2016-07-22 /pmc/articles/PMC5265762/ /pubmed/27442645 http://dx.doi.org/10.1097/MD.0000000000004216 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3400
Qi, Zhiyong
Wu, Bangwei
Luo, Xinping
Zhu, Jun
Shi, Haiming
Jin, Bo
Magnetic navigation system for percutaneous coronary intervention: A meta-analysis
title Magnetic navigation system for percutaneous coronary intervention: A meta-analysis
title_full Magnetic navigation system for percutaneous coronary intervention: A meta-analysis
title_fullStr Magnetic navigation system for percutaneous coronary intervention: A meta-analysis
title_full_unstemmed Magnetic navigation system for percutaneous coronary intervention: A meta-analysis
title_short Magnetic navigation system for percutaneous coronary intervention: A meta-analysis
title_sort magnetic navigation system for percutaneous coronary intervention: a meta-analysis
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265762/
https://www.ncbi.nlm.nih.gov/pubmed/27442645
http://dx.doi.org/10.1097/MD.0000000000004216
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