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Chadi Alraies, MD
@chadialraies
, 9 tweets, 20 min read Read on Twitter
Starting now - @SVRaoMD @DocSavageTJU @fischman_david @mmamas1973 @DLBHATTMD @DrMauricioCohen @djc795 #ACCIC #SCAIFIT18 #CircIntvJC #CircIntvJC
The study was an updated meta-analysis of all the RCT published comparing DES with BMS in SVG-PCI with clinically significant endpoints @SVRaoMD @DocSavageTJU @fischman_david @mmamas1973 @DLBHATTMD @DrMauricioCohen @djc795 #ACCIC #SCAIFIT18 #CircIntvJC
In this meta-analysis, six randomized controlled trials were
eligible and included 1582 patients @SVRaoMD @DocSavageTJU @fischman_david @mmamas1973 @DLBHATTMD @DrMauricioCohen @djc795 #ACCIC #SCAIFIT18 #CircIntvJC
Inclusion criteria: (1) randomized controlled trials; (2) evaluated the efficacy and safety of DES versus BMS for SVG interventions; and (3) follow-up duration of at least 1 year. @SVRaoMD @DocSavageTJU @fischman_david @mmamas1973 @DLBHATTMD @djc795 #ACCIC #SCAIFIT18 #CircIntvJC
List of studies included in the meta-analysis - most recent published in 2018 @SVRaoMD @DocSavageTJU @fischman_david @mmamas1973 @DLBHATTMD @djc795 #ACCIC #SCAIFIT18 #CircIntvJC
@XiangkeH asking "Any data for PCI vs. medical management for SVG restenosis? If BMS & DES are similar, does PCI even help to compare with contemporary medical Rx, especially in stable pt?" @SVRaoMD @DocSavageTJU @fischman_david @DLBHATTMD #ACCIC #SCAIFIT18 #CircIntvJC
The results of our meta-analysis showed that there was no significant difference between #DES and #BMS for #MACE, all-cause #mortality, #CV death, TVR, stent thrombosis, or #MI. @SVRaoMD @DocSavageTJU @fischman_david @DLBHATTMD #ACCIC #SCAIFIT18 #CircIntvJC
Thank you for joining us: The discuss was great and eluded to the following: (1) need for BMS vs 2nd gen #DES for #SVG (2) hybrid approach for #multivessel #CAD (LIMA + PCI) (3) implication of iFR/FFR on SVG patency for angiographically significant stenosis. #CircIntvJC
Please share your comments and feedback and how we can make @CircOutcomes journal club better educational experience. @SVRaoMD @DocSavageTJU @fischman_david @mmamas1973 @DLBHATTMD @DrMauricioCohen @djc795 #ACCIC #SCAIFIT18 #CircIntvJC
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