Balloon Dilatation and Stenting for Aortic Coarctation A Systematic Review and Meta-Analysis
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作者:
Salcher, Maximilian
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Univ London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, EnglandUniv London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Salcher, Maximilian
[1
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Naci, Huseyin
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Univ London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, EnglandUniv London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Naci, Huseyin
[1
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Law, Tyler J.
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Univ London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Univ Toronto, Dept Anesthesia, Toronto, ON, CanadaUniv London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Law, Tyler J.
[1
,2
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Kuehne, Titus
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Deutsch Herzzentrum Berlin, Dept Paediat Cardiol & Congenital Heart Dis, Berlin, GermanyUniv London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Kuehne, Titus
[3
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Schubert, Stephan
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Deutsch Herzzentrum Berlin, Dept Paediat Cardiol & Congenital Heart Dis, Berlin, GermanyUniv London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Schubert, Stephan
[3
]
Kelm, Marcus
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Deutsch Herzzentrum Berlin, Dept Paediat Cardiol & Congenital Heart Dis, Berlin, GermanyUniv London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
Kelm, Marcus
[3
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机构:
[1] Univ London London Sch Econ & Polit Sci, LSE Hlth, London WC2A 2AE, England
[2] Univ Toronto, Dept Anesthesia, Toronto, ON, Canada
Background-There is no systematic assessment of available evidence on effectiveness and comparative effectiveness of balloon dilatation and stenting for aortic coarctation. Methods and Results-We systematically searched 4 online databases to identify and select relevant studies of balloon dilatation and stenting for aortic coarctation based on a priori criteria (PROSPERO 2014:CRD42014014418). We quantitatively synthesized results for each intervention from single-arm studies and obtained pooled estimates for relative effectiveness from pairwise and network meta-analysis of comparative studies. Our primary analysis included 15 stenting (423 participants) and 12 balloon dilatation studies (361 participants), including patients >= 10 years of age. Post-treatment blood pressure gradient reduction to <= 20 and <= 10 mm Hg was achieved in 89.5% (95% confidence interval, 83.7-95.3) and 66.5% (44.1-88.9%) of patients undergoing balloon dilatation, and in 99.5% (97.5-100.0%) and 93.8% (88.5-99.1%) of patients undergoing stenting, respectively. Odds of achieving <= 20 mm Hg were lower with balloon dilatation as compared with stenting (odds ratio, 0.105 [0.010-0.886]). Thirty-day survival rates were comparable. Numerically more patients undergoing balloon dilatation experienced severe complications during admission (6.4% [2.6-10.2%]) compared with stenting (2.6% [0.5-4.7%]). This was supported by meta-analysis of head-to-head studies (odds ratio, 9.617 [2.654-34.845]) and network meta-analysis (odds ratio, 16.23, 95% credible interval: 4.27-62.77) in a secondary analysis in patients >= 1 month of age, including 57 stenting (3397 participants) and 62 balloon dilatation studies (4331 participants). Conclusions-Despite the limitations of the evidence base consisting predominantly of single-arm studies, our review indicates that stenting achieves superior immediate relief of a relevant pressure gradient compared with balloon dilatation.
机构:
Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
St Marks Hosp, London HA1 3UJ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Morar, P. S.
Faiz, O.
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Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
St Marks Hosp, London HA1 3UJ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Faiz, O.
Warusavitarne, J.
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Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
St Marks Hosp, London HA1 3UJ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Warusavitarne, J.
Brown, S.
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Sheffield Teaching Hosp, Sheffield, S Yorkshire, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Brown, S.
Cohen, R.
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Univ Coll London Hosp, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Cohen, R.
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Hind, D.
Abercrombie, J.
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Nottingham Univ Hosp NHS Trust, NIHR Nottingham Digest Dis Biomed Res Unit, Queens Med Ctr Campus, Nottingham, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Abercrombie, J.
Ragunath, K.
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Nottingham Univ Hosp NHS Trust, NIHR Nottingham Digest Dis Biomed Res Unit, Queens Med Ctr Campus, Nottingham, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Ragunath, K.
Sanders, D. S.
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Sheffield Teaching Hosp, Sheffield, S Yorkshire, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Sanders, D. S.
Arnott, I.
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Western Gen Hosp, Dept Gastroenterol, Edinburgh EH4 2XU, Midlothian, Scotland
Western Gen Hosp, Dept Colorectal Surg, Edinburgh EH4 2XU, Midlothian, ScotlandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Arnott, I.
Wilson, G.
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机构:Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Wilson, G.
Bloom, S.
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Univ Coll London Hosp, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
Bloom, S.
Arebi, N.
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Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
St Marks Hosp, London HA1 3UJ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London, England
机构:
Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Lu, Chaoyue
Zhang, Wei
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Zhang, Wei
Peng, Yonghan
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Peng, Yonghan
Li, Ling
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Li, Ling
Gao, Xiaomin
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Gao, Xiaomin
Liu, Min
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Liu, Min
Fang, Ziyu
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Fang, Ziyu
Wang, Zeyu
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Wang, Zeyu
Ming, Shaoxiong
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Ming, Shaoxiong
Dong, Hao
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Dong, Hao
Shen, Rong
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Shen, Rong
Xie, Fei
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Xie, Fei
Sun, Yinghao
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China
Sun, Yinghao
Gao, Xiaofeng
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Second Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R ChinaSecond Mil Med Univ, Shanghai Changhai Hosp, Dept Urol, Shanghai, Peoples R China