Coronary disease & ACS

Clinical outcomes following different stenting techniques for coronary bifurcation lesions: a systematic review and network meta-analysis of randomised controlled trials

EuroInterventionPublished Systematic review and network meta-analysis of randomised controlled trials

Pooled result · MACEResult — go to the resultOdds ratio 0.47 95% CI 0.36–0.62

Authors' conclusion

Overall, 2-stent techniques were not significantly better than PS in terms of clinical outcomes.

Study context

Population
Patients with coronary bifurcation lesions in randomised controlled trials (RCTs) published up to July 2022
Participants
6,890 patients24 RCTs
Comparison
Provisional stenting vs upfront 2-stent techniques
Outcome
MACE
Methodological detailspairwise meta-analysis, prespecified sensitivity analysis, meta-regression
  • Pairwise meta-analysis
  • Prespecified sensitivity analysis
  • Meta-regression

Pooled result

As reported in the abstract

Odds ratio

0.47

95% CI 0.36–0.62

P < 0.01

DK-crushvs PS
OR 0.47 (95% CI 0.36–0.62); P < 0.01

Further pooled results

Major adverse cardiac events (MACE) in RCTs enrolling only true bifurcation lesions (prespecified sensitivity analysis)

Lower MACE rate with 2-stent techniques

Side branch lesion length (meta-regression)

Longer side branch lesion associated with greater benefit from 2-stent strategy, most apparent with mean lesion length >11 mm

Original publication

Clinical outcomes following different stenting techniques for coronary bifurcation lesions: a systematic review and network meta-analysis of randomised controlled trials. EuroIntervention. Published 23 October 2023. doi:10.4244/eij-d-23-00013

Composed by AI from the published abstract and checked against it. How Briefs are made →

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