Safety and efficacy of balloon angioplasty compared to stent-based-strategies with pulmonary vein stenosis: A systematic review and meta-analysis
Year: 2023
Type: review
Study designs: Systematic Review, Meta-Analysis
Abstract: BACKGROUND: Pulmonary vein stenosis (PVS) is an uncommon but known cause of morbidity and mortality in adults and children and can be managed with percutaneous re-vascularization strategies of pulmonary vein balloon angioplasty (PBA) or pulmonary vein stent implantation (PSI). AIM: PSI in all patient categories with PVS. METHODS: PSI for PVS with reported outcomes of restenosis and procedure-related complications in all patient categories. In adults, PVS following atrial fibrillation ablation and in children PVS related to congenital etiology or post-procedural PVS following total or partial anomalous pulmonary venous return repair were included. The patient-centered outcomes were risk of restenosis requiring re-intervention and procedural-related complications. The meta-analysis was performed by computing odds ratios (ORs) using the random effects model based on underlying statistical heterogeneity. RESULTS: = 0.0%). CONCLUSION: Across all patient categories with PVS, PSI is associated with reduced risk of re-intervention and is as safe as PBA and should be considered first-line therapy for PVS.
Source: World Journal of Cardiology
Authors: Pradyumna Agasthi, Srilekha Sridhara, Pattara Rattanawong, Nithin Venepally, Chieh-Ju Chao, Hasan Ashraf, Sai Harika Pujari, Mohamed Allam, Diana Almader-Douglas, Yamini Alla, Amit Kumar, Farouk Mookadam, Douglas L Packer, David R Holmes Jr, Donald J Hagler, Floyd David Fortuin, Reza Arsanjani
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4321382276