Evidence map›Paper›PMID 30111289›Full record

SynthesisBMC cardiovascular disorders2018

Safety and efficacy of ultrathin strut biodegradable polymer sirolimus-eluting stent versus durable polymer drug-eluting stents: a meta-analysis of randomized trials.

Ping Zhu, Xin Zhou, Chenliang Zhang, Huakang Li, Zhihui Zhang, Zhiyuan Song

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
    Trial
  4. Review
  5. Article
  6. Article
  7. Ultrathin-strut versus thin-strut stent healing and outcomes in preclinical and clinical subjects.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Article
  8. Article
  9. Review
  10. Review
  11. Observational
  12. Clinical outcomes with unselected use of an ultrathin-strut sirolimus-eluting stent: a report from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR).EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2021
    Article
  13. Review
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ping ZhuDepartment of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Xin ZhouDepartment of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Chenliang ZhangDepartment of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Huakang LiDepartment of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Zhihui ZhangDepartment of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China. xyzpj@126.com.
Zhiyuan SongDepartment of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China. zysong2010@126.com.ORCID 0000-0002-2358-2619
Army Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Orsiro biodegradable polymer sirolimus-eluting stent (O-SES) is a new-generation biodegradable polymer drug-eluting stent with the thinnest strut thickness to date developed to improve the percutaneous treatment of patients with coronary artery disease. We perform a meta-analysis of randomized clinical trials (RCTs) comparing the efficacy and safety of an ultra-thin, Orsiro biodegradable polymer sirolimus-eluting stent (O-SES) compared with durable polymer drug-eluting stents (DP-DESs).

methodsMedline, Embase, and CENTRAL databases were searched for randomized controlled trials comparing the safety and efficacy of O-SES versus DP-DES. Paired reviewers independently screened citations, assessed risk of bias of included studies, and extracted data. We used the Mantel-Haenszel method to calculate risk ratio (RR) by means of a random-effects model.

resultsSix RCTs with a total of 6949 patients were selected. All included trials were rated as low risk of bias. The O-SES significantly reduced the risk of myocardial infarction (RR 0.78, 95% confidence interval [CI] 0.62-0.98; I

conclusionAmong patients undergoing percutaneous coronary intervention, O-SES resulted in significantly lower rates of myocardial infarction than DP-DES and had a trend toward reduction in stent thrombosis.

Indexed as

Absorbable ImplantsDrug-Eluting StentsCardiovascular AgentsCoronary Artery DiseaseCoronary ThrombosisHumansMyocardial InfarctionPercutaneous Coronary InterventionPolymersProsthesis DesignRandomized Controlled Trials as TopicRisk FactorsSirolimusTreatment OutcomeCardiovascular AgentsPolymersSirolimusBiodegradable polymerDurable polymerMeta-analysisPercutaneous coronary intervention

Identifiers

PMID30111289
PMCPMC6094581
OpenAlexW2885313531

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.