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September 1, 2022BMJ OpenOpen Access

Percutaneous coronary intervention in calcified stenoses: a protocol for a systematic review with meta-analysis, trial sequential analysis and network meta-analysis

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Key result

New protocol details a planned systematic review of percutaneous treatments for calcified CAD.

Why the study?

Severely calcified coronary stenoses complicate PCI and increase procedural risks, yet these patients are often excluded from trials, leaving little evidence on optimal treatment.

Do various percutaneous treatment options (lesion preparation, stenting, postdilatation) improve all-cause mortality and serious adverse events in patients with calcified coronary artery disease undergoing PCI?

Population

Patients with calcified coronary artery disease undergoing PCI

Comparison

Any percutaneous treatment option including lesion preparation, stenting, or postdilatation techniques

Design

Protocol for a systematic review, meta-analysis, trial sequential analysis, and network meta-analysis

Authors

AKAndreas Torp KristensenGentofte HospitalJJJanus Christian JakobsenInterventional CardiologyNONiels Thue OlsenInterventional Cardiology

Discussion

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Implication

Protocol signals evidence gap for calcified CAD PCI; leaves open optimal lesion preparation strategies pending synthesis.

Study Design

Type

Systematic Review

Structured PICO

Do various percutaneous treatment options (lesion preparation, stenting, postdilatation) improve all-cause mortality and serious adverse events in patients with calcified coronary artery disease undergoing PCI?

P
Population
Patients with calcified coronary artery disease undergoing percutaneous coronary intervention
I
Intervention
Any percutaneous treatment option including any lesion preparation, stenting or postdilatation technique
O
Outcome
Coprimary outcome of all-cause mortality and serious adverse eventshard clinical

This protocol outlines a planned systematic review and network meta-analysis to evaluate the efficacy and safety of various percutaneous treatment options for severely calcified coronary stenoses.

Cite This Study

Kristensen et al. (2022) conducted a systematic review in calcified coronary artery disease. percutaneous treatment options (lesion preparation, stenting, postdilatation) was evaluated on all-cause mortality and serious adverse events. This protocol outlines a planned systematic review and meta-analysis to evaluate percutaneous treatment options for patients with calcified coronary artery disease.

synapsesocial.com/papers/6a0b54c67e716524c8acde41https://doi.org/10.1136/bmjopen-2022-063884

Topics

Percutaneous coronary interventionCoronary artery diseaseChronic total occlusion PCI
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