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ABSTRACT: Background
One million individuals in the USA die from acute myocardial infarction (MI), which currently affects 3 million people globally. The available data about the early and late outcomes of both biodegradable polymer drug-eluting stents (BP-DES) and durable polymer drug-eluting stents exhibit inconsistency. We performed a meta-analysis comparing the safety and efficacy of BP-DES with DP-DES.Methods
PubMed, Google Scholar, EMBASE, Cochrane, Ovid Medline, and Clinical Trials.gov databases were used to find out studies comparing BP-DES to DP-DES. All the analyses used the random-effects model.Results
A total of 18 studies were incorporated in this meta-analysis that involved 28,874 patients, out of which 11,997 received the BP Stent, and the rest of 16,578 received the DP stent. Thorough analyses revealed that the risk of all-cause death was significantly higher in the BP-DES group (5.4% vs 2.7%) (RR 1.22, p 0.02) for two years or less than two-year follow-up. For studies with more than two years of follow-up, all-cause death was 9.07% (599/6603) in BP-DES and 9.47% (531/5602) in the DP-DES group but failed to achieve statistically significant levels (RR 0.97, p 0.58).Conclusions
The study revealed no clinically significant (P value was > 0.05) differences in all-cause death, cardiac death, target lesion revascularization (TLR), late stent thrombosis, device-oriented composite endpoint/target lesion failure (DOCE/TLF), myocardial infarction (MI), target vessel MI, target vessel revascularization (TVR), target vessel infarction (TVI) between BP-DES and DP-DES for more than two years of follow-up. Additionally, all-cause death was only outcomes which found to have a statistically significant difference for less than two years of follow-up, while remaining were statistically non-significant.
SUBMITTER: Rehman A
PROVIDER: S-EPMC11236827 | biostudies-literature | 2024 Jul
REPOSITORIES: biostudies-literature
Rehman Abdur A Ahmed Ifra Eeman IE Nouman Ahmed A Irfan Rabia R Rehman Qareeha Q Syed Abdul Rehman Shah ARS Zakir Syeda Javeria SJ Mehdi Samar S Khosa Maha Mushtaq MM Kumar Satesh S Khatri Mahima M Samiullah F N U FNU Mohamad Tamam T Varrassi Giustino G
The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology 20240710 1
<h4>Background</h4>One million individuals in the USA die from acute myocardial infarction (MI), which currently affects 3 million people globally. The available data about the early and late outcomes of both biodegradable polymer drug-eluting stents (BP-DES) and durable polymer drug-eluting stents exhibit inconsistency. We performed a meta-analysis comparing the safety and efficacy of BP-DES with DP-DES.<h4>Methods</h4>PubMed, Google Scholar, EMBASE, Cochrane, Ovid Medline, and Clinical Trials. ...[more]