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Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis

BACKGROUND: Reported evidence of coronary stent fracture (CSF) has increased in recent years. The purpose of this study was to determine reliable estimates of the overall incidence of CSF. METHODS AND RESULTS: The MEDLINE, Embase and Cochrane databases were searched until March 18, 2022. Pooled esti...

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Autores principales: Chen, Yang, Li, Dandan, Liao, Yanhui, Yao, Xiongda, Ruan, Yuehua, Zou, Kai, Liao, Hanhui, Ding, Jingwen, Qin, Hao, Yu, Zuozhong, Zhao, Yuanbin, Hu, Longlong, Yang, Renqiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445981/
https://www.ncbi.nlm.nih.gov/pubmed/36082117
http://dx.doi.org/10.3389/fcvm.2022.925912
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author Chen, Yang
Li, Dandan
Liao, Yanhui
Yao, Xiongda
Ruan, Yuehua
Zou, Kai
Liao, Hanhui
Ding, Jingwen
Qin, Hao
Yu, Zuozhong
Zhao, Yuanbin
Hu, Longlong
Yang, Renqiang
author_facet Chen, Yang
Li, Dandan
Liao, Yanhui
Yao, Xiongda
Ruan, Yuehua
Zou, Kai
Liao, Hanhui
Ding, Jingwen
Qin, Hao
Yu, Zuozhong
Zhao, Yuanbin
Hu, Longlong
Yang, Renqiang
author_sort Chen, Yang
collection PubMed
description BACKGROUND: Reported evidence of coronary stent fracture (CSF) has increased in recent years. The purpose of this study was to determine reliable estimates of the overall incidence of CSF. METHODS AND RESULTS: The MEDLINE, Embase and Cochrane databases were searched until March 18, 2022. Pooled estimates were acquired using random effects models. Meta-regression and subgroup analysis were used to explore sources of heterogeneity, and publication bias was evaluated by visual assessment of funnel plots and Egger’s test. Overall, 46 articles were included in this study. Estimates of CSF incidence were 5.5% [95% confidence interval (CI): 3.7–7.7%] among 39,953 patients based on 36 studies, 4.8% (95% CI: 3.1–6.8%) among 39,945 lesions based on 29 studies and 4.9% (95% CI: 2.5–9.4%) among 19,252 stents based on 8 studies. There has been an obvious increase in the incidence of CSF over the past two decades, and it seems that the duration of stent placement after stent implantation has no impact on incidence estimation. CONCLUSION: The incidence of CSF was 5.5% among patients, 4.8% for lesions and 4.9% for stents and increased over the past 20 years. The duration of stent placement after stent implantation was found to have no impact on the incidence of CSF, but drug-eluting stent (DES) types and right coronary artery (RCA) lesions influenced the pooled incidence. SYSTEMATIC REVIEW REGISTRATION: [https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022311995], identifier [CRD42022311995].
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spelling pubmed-94459812022-09-07 Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis Chen, Yang Li, Dandan Liao, Yanhui Yao, Xiongda Ruan, Yuehua Zou, Kai Liao, Hanhui Ding, Jingwen Qin, Hao Yu, Zuozhong Zhao, Yuanbin Hu, Longlong Yang, Renqiang Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Reported evidence of coronary stent fracture (CSF) has increased in recent years. The purpose of this study was to determine reliable estimates of the overall incidence of CSF. METHODS AND RESULTS: The MEDLINE, Embase and Cochrane databases were searched until March 18, 2022. Pooled estimates were acquired using random effects models. Meta-regression and subgroup analysis were used to explore sources of heterogeneity, and publication bias was evaluated by visual assessment of funnel plots and Egger’s test. Overall, 46 articles were included in this study. Estimates of CSF incidence were 5.5% [95% confidence interval (CI): 3.7–7.7%] among 39,953 patients based on 36 studies, 4.8% (95% CI: 3.1–6.8%) among 39,945 lesions based on 29 studies and 4.9% (95% CI: 2.5–9.4%) among 19,252 stents based on 8 studies. There has been an obvious increase in the incidence of CSF over the past two decades, and it seems that the duration of stent placement after stent implantation has no impact on incidence estimation. CONCLUSION: The incidence of CSF was 5.5% among patients, 4.8% for lesions and 4.9% for stents and increased over the past 20 years. The duration of stent placement after stent implantation was found to have no impact on the incidence of CSF, but drug-eluting stent (DES) types and right coronary artery (RCA) lesions influenced the pooled incidence. SYSTEMATIC REVIEW REGISTRATION: [https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022311995], identifier [CRD42022311995]. Frontiers Media S.A. 2022-08-23 /pmc/articles/PMC9445981/ /pubmed/36082117 http://dx.doi.org/10.3389/fcvm.2022.925912 Text en Copyright © 2022 Chen, Li, Liao, Yao, Ruan, Zou, Liao, Ding, Qin, Yu, Zhao, Hu and Yang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Chen, Yang
Li, Dandan
Liao, Yanhui
Yao, Xiongda
Ruan, Yuehua
Zou, Kai
Liao, Hanhui
Ding, Jingwen
Qin, Hao
Yu, Zuozhong
Zhao, Yuanbin
Hu, Longlong
Yang, Renqiang
Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis
title Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis
title_full Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis
title_fullStr Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis
title_full_unstemmed Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis
title_short Incidence of coronary drug-eluting stent fracture: A systematic review and meta-analysis
title_sort incidence of coronary drug-eluting stent fracture: a systematic review and meta-analysis
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445981/
https://www.ncbi.nlm.nih.gov/pubmed/36082117
http://dx.doi.org/10.3389/fcvm.2022.925912
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