Meta-Analysis
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Meta-Anal. Dec 26, 2017; 5(6): 167-176
Published online Dec 26, 2017. doi: 10.13105/wjma.v5.i6.167
Complete revascularization reduces adverse outcomes in patients with multivessel coronary artery disease
Merveesh L Auchoybur, Xin Chen
Merveesh L Auchoybur, Xin Chen, Department of Cardiovascular Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing Cardiovascular Disease Research Institute, Nanjing 210006, Jiangsu Province, China
Author contributions: Auchoybur ML acquisition and interpretation of data, study design, drafting the article and final approval; Chen X conception and design of study, critical revision and final approval.
Conflict-of-interest statement: The authors declare that there is no conflict of interest regarding the publication of this paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Xin Chen, MD, PhD, Professor, Director, Department of Cardiovascular Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing Cardiovascular Disease Research Institute, 68, Change Road, Nanjing 210006, Jiangsu Province, China. stevecx@njmu.edu.cn
Telephone: +86-25-52271363
Received: July 30, 2017
Peer-review started: August 4, 2017
First decision: September 7, 2017
Revised: September 21, 2017
Accepted: October 29, 2017
Article in press: October 29, 2017
Published online: December 26, 2017
Core Tip

Core tip: Completeness of revascularization has been documented to have lesser adverse post-operative/post-procedural outcomes as compared to incomplete revascularization (ICR). We conduct a systematic review with meta-analysis to analyze the outcomes in patients undergoing CR vs ICR, using any or both techniques. Ten studies were identified, including 13327 patients of whom, 8053 received CR and 5274 received ICR. CR is associated with lower rates of mortality, MI, repeat coronary revascularization procedures, and MACCE. Sub-group analysis also showed reduced rates of adverse events. CR can be used as an aim for any myocardial revascularization procedure.