Is bare-metal stenting superior to balloon angioplasty for small vessel coronary artery disease? Evidence from a meta-analysis of randomized trials

European Heart Journal

Volumn 26, Issue 9, 2005, Pages 881-889

  Agostoni, Pierfrancesco ^a,b   Biondi Zoccai, Giuseppe G L ^c   Gasparini, Gabriele L ^a   Anselmi, Maurizio ^a   Morando, Giorgio ^a   Turri, Marco ^a   Abbate, Antonio ^d   McFadden, Eugene P ^b   Vassanelli, Corrado ^a   Zardini, Piero ^a   Colombo, Antonio ^c   Serruys, Patrick W ^b  

^a UNIVERSITY OF VERONA   (Italy)

^b ERASMUS MEDICAL CENTER   (Netherlands)

^c SAN RAFFAELE HOSPITAL   (Italy)

^d VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Balloon angioplasty; Meta analysis; Small coronary arteries; Stent

Indexed keywords

ARTICLE; CLINICAL TRIAL; CORONARY ARTERY DISEASE; CORONARY ARTERY OBSTRUCTION; CORONARY STENT; DEATH; HEART INFARCTION; HEART MUSCLE REVASCULARIZATION; HUMAN; INTERMETHOD COMPARISON; META ANALYSIS; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; PRIORITY JOURNAL; RANDOMIZATION; TRANSLUMINAL CORONARY ANGIOPLASTY; TREATMENT OUTCOME;

ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY; CORONARY ARTERIOSCLEROSIS; HUMANS; METALS; MIDDLE AGED; PROSPECTIVE STUDIES; RANDOMIZED CONTROLLED TRIALS; STENTS; TREATMENT OUTCOME;

EID: 21044442668     PISSN: 0195668X     EISSN: None     Source Type: Journal    
DOI: 10.1093/eurheartj/ehi116     Document Type: Article

References (44)

1. Bucher HC, Hengstler P, Schindler C, Guyatt GH. Percutaneous transluminal coronary angioplasty versus medical treatment for non-acute coronary heart disease: meta-analysis of randomized controlled trials. BMJ 2000;321:73-77.
2. Pocock SJ, Henderson RA, Rickards AF, Hampton JR, King SB III, Hamm CW, Puel J, Hueb W, Goy JJ, Rodriguez A. Meta-analysis of randomized trials comparing coronary angioplasty with bypass surgery. Lancet 1995;346:1184-1189.
3. Serruys PW, de Jaegere P, Kiemeneij F, Macaya C, Rutsch W, Heyndrickx G, Emanuelsson H, Marco J, Legrand V, Materne P, Belardi J, Sigwart U, Colombo A, Goy JJ, van den Heuvel P, Delcan J, Morel MA. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. N Engl J Med 1994;331:489-495.
4. Fishman DL, Leon MB, Baim DS, Schatz RA, Savage MP, Penn I, Detre K, Veltri L, Ricci D, Nobuyoshi M, Cleman M, Heuser R, Almond D, Teirstein P, Fish RD, Colombo A, Brinker J, Moses J, Shaknovich A, Hirshfeld J, Bailey S, Ellis S, Rake R, Goldberg S. A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. N Engl J Med 1994;331:496-501.
5. Wong P, Lau KW, Lim YL, Oesterle SN. Stent placement for non-STRESS/BENESTENT lesions: a critical review. Catheter Cardiovasc Inters 2000;51:223-233.
6. Biondi-Zoccai GG, Agostoni P, Abbate A. Parallel hierarchy of scientific studies in cardiovascular medicine. Ital Heart J 2003;4:819-820.
7. Biondi-Zoccai GG, Agostoni P, Abbate A, Testa L, Burzotta F. A simple hint to improve Robinson and Dickersin's highly sensitive PubMed search strategy for controlled clincal trials. Int J Epidemiol; January 19, 2005; doi:10.1093/ije/dyh311.
8. Jadad AR, Moore A, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996;17:1-12.
9. Holmes DR Jr, Hirshfeld J Jr, Faxon D, Vlietstra RE, Jacobs A, King SB III. ACC Expert Consensus document on coronary artery stents: document of the American College of Cardiology. J Am Coll Cardiol 1998;32:1471-1482.
10. Kastrati A, Schuhlen H, Schomig A. Stenting for small coronary vessels: a constable winner. J Am Coll Cardiol 2001;38:1604-1607.
11. Review Manager (RevMan) [Computer program]. Version 4.2 for Windows. Oxford: The Cochrane Collaboration; 2002. http://www.cochrane.org
12. Clarke M, Oxman AD. Cochrane Reviewers' Handbook 4.2.0 (Updated March 2003). The Cochrane Library, Issue 2. Oxford, UK: Update Software; 2003.
13. Schofer J, Schluter M, Gershlick AH, Wijns W, Garcia E, Schampaert E, Breithart G. Sirolimus-eluting stents for treatment of patients with long atherosclerotic lesions in small coronary arteries: double-blind, randomized controlled trial (E-SIRIUS). Lancet 2003;362:1093-1099.
14. Schampaert E, Cohen EA, Schluter M, Reeves F, Traboulsi M, Title LM, Kuntz RE, Popma JJ. The Canadian study of the sirolimus-eluting stent in the treatment of patients with long de-novo lesions in small native coronary arteries (C-SIRIUS). J Am Coll Cardiol 2004; 43:1110-1115.
15. Park SW, Lee CW, Hong MK, Kim JJ, Cho GY, Nah DY, Park SJ. Randomized comparison of coronary stenting with optimal balloon angioplasty for treatment of lesions in small coronary arteries. Eur Heart J 2000;21:1785-1789.
16. Kastrati A, Schomig A, Dirschinger J, Mehilli J, Dotzer F, von Welser N, Neumann FJ. A randomized trial comparing stenting with balloon angioplasty in small vessels in patients with symptomatic coronary artery disease. Circulation 2000;102:2593-2598.
17. Koning R, Eltchaninoff H, Commeau P, Khalife K, Gilard M, Lipiecki J, Coste P, Bedossa M, Lefevre T, Brunel P, Morice MC, Maillard L, Guyon P, Puel J, Cribier A. Stent placement compared with balloon angioplasty for small coronary arteries: in-hospital and 6-month clinical and angiographic results. Circulation 2001;104:1604-1608.
18. Doucet S, Schalij MJ, Vrolix MC, Hilton D, Chenu P, de Bruyne B, Udayachalerm W, Seth A, Bilodeau L, Reiber JHC, Harel F, Lesperance J. Stent placement to prevent restenosis after angioplasty in small coronary arteries. Circulation 2001;104:2029-2033.
19. Moer R, Myreng Y, Molstad P, Albertsson P, Gunnes P, Lindvall B, Wiseth R, Ytre-Arne K, Kjekshus J, Golf S. Stenting in small coronary arteries (SISCA) trial. A randomized comparison between balloon angioplasty and the heparin-coated beStent. J Am Coll Cardiol 2001;38:1598-1603.
20. Haude M, Konorza TF, Kalnins U, Erglis A, Saunamaki K, Glogar HD, Grube E, Gil R, Serra A, Richart HG, Sick P, Erbel R. Heparin-coated stent placement for the treatment of stenoses in small coronary arteries of symptomatic patients. Circulation 2003;107:1265-1270.
21. Kinsara AJ, Niazi K, Patel I, Amoudi O. Effectiveness of stents in small coronary arteries. Am J Cardiol 2003;92:584-587
22. Hanekamp C, Koolen J, Bonnier H, Oldroyd K, de Boer MJ, Heublein B, Visser C. Randomized comparison of balloon angioplasty versus silicon carbon-coated stent implantation for de novo lesions in small coronary arteries. Am J Cardiol 2004;93:1233-1237.
23. Garcia E, Gomez-Recio M, Moreno R, Pasalodos J, Bethancourt A, Zueco J, Iniguez A. Stent reduces restenosis in small vessels. Results of the RAP study (abstract). J Am Coll Cardiol 2001;37:17A.
24. Muramatsu T, Iwasaki K, Inou N, Horita Y, Tanaka T, Fujita N. Efficacy of coronary stenting versus balloon angioplasty in vessels of diameters less than 3.0 mm and less than 2.5 mm: CHIVAS investigators (abstract). Am J Cardiol 2002;90:96H.
25. Rodriguez AE, Rodriguez-Alemparte MJ, Pereira CF, Sampaolesi A, Loures Bueno R, Rubio C, Vigo CF, Santos AO. Final angiographic and clinical results of the latin America small vessel randomized study (LASMAL trial)(abstract). J Am Coll Cardiol 2003;41:26A.
26. Rodriguez A. LASMAL-II: a prospective randomized trial of phosphoryl choline-coated stenting vs. balloon angioplasty in small vessels in the diabetic patient (featured lecture). TCT 2003. http://www.tctmd. com/expert- presentations (27 June 2004).
27. Hausleiter J, Kastrati A, Mehilli J, Dotzer F, Schuhlen H, Siebert S, Dirshinger J, Schomig A. A randomized trial comparing phosphoryl-choline-coated stents with balloon angioplasty in small coronary arteries in patients with symptomatic coronary artery disease. The ISAR-SMART-2 Trial (abstract). Circulation 2003;108:IV-569.
28. Savage M, Fischman DL, Kada F, Fry ETA, Kiernan FJ, Goldberg S. A randomized comparison of elective stenting and balloon angioplasty in the treatment of small coronary arteries (abstract). Circulation 1999;100:1-503.
29. Tsuchikane E, Takeda Y, Kobuyashi Y, Nishibe A, Kobayashi T, Awata N. Which is better for small coronary artery disease, stenting or balloon angioplasty plus cilostazol? From results of COMPASS (abstract). Circulation 2002;106:11-482.
30. McAuley L, Pham B, Tugwell P, Moher D. Does the inclusion of grey literature influence estimates of intervention effectiveness reported in meta-analyses? Lancet 2000;356:1228-1231.
31. Moreno R, Fernandez C, Alfonso F, Hernandez R, Perez-Vizcayno MJ, Escaned J, Sabate M, Banuelos C, Angiolillo DJ, Azcona L, Macaya C. Coronary stenting versus balloon angioplasty in small vessels: a meta-analysis from 11 randomized studies. J Am Coll Cardiol 2004;43: 1964-1972.
32. Thompson SG, Higgins JP. How should meta-regression analyses be undertaken and interpreted? Stat Med 2002;21:1559-1573.
33. Agostoni P, Biondi-Zoccai GG, Abbate A. Coronary stenting versus balloon angioplasty in small vessels. J Am Coll Cardiol 2005;45: 323-324.
34. Narins CR, Holmes DR Jr, Topol EJ. A call for provisional stenting: the balloon is back. Circulation 1998;97:1298-1305.
35. Anderson HV, Carabello BA. Provisional versus routine stenting: routine stenting is here to stay. Circulation 2000;102:2910-2914.
36. Schwartz RS, Henry TD. Pathophysiology of coronary artery restenosis. Rev Cardiovasc Med 2002;3:S4-S9.
37. Farb A, Sangiorgi G, Carter AJ, Walley VM, Edwards WD, Schwartz RS, Virmani R. Pathology of acute and chronic coronary stenting in humans. Circulation 1999;99:44-52.
38. Elezi S, Kastrati A, Neumann FJ. Vessel size and long-term outcome after coronary stent placement. Circulation 1998;98:1875-1880.
39. Morton AC, Arnold ND, Crossman D, Gunn J. Response of very small (2 mm) porcine coronary arteries to balloon angioplasty and stent implantation. Heart 2004;90:324-327.
40. Brophy JM, Belisle P, Joseph L. Evidence for use of coronary stents: a hierarchical bayesian meta-analysis. Ann Intern Med 2003;138:777-786.
41. Weaver WD, Reisman MA, Griffin JJ, Buller CE, Leimgruber PP, Henry T, D'Haem C, Clark VL, Martin JS, Cohen DJ, Neil N, Every NR. Optimum percutaneous transluminal coronary angioplasty compared with routine stent strategy trial (OPUS-1): a randomised trial. Lancet 2000;355:2199-2203.
42. Serruys PW, Kay IP, Disco C, Deshpande NV, deFeyter PJ. Periprocedural quantitative coronary angiography after Palmaz-Schatz stent implantation predicts the restenosis rate at six months: results of a meta-analysis of the BElgian NEtherlands Stent study (BENESTENT) I, BENESTENT II Pilot, BENESTENT II and MUSIC (Multicenter Ultrasound Stent In Coronaries) Trials. J Am Coll Cardiol 1999;34:1067-1074.
43. Petitti DB. Meta-Analysis, Decision Analysis and Cost-Effectiveness Analysis: Methods for Quantitative Synthesis in Medicine. 2nd ed. New York: Oxford University Press; 2000.
44. Lau J, Ioannidis JP, Schmid CH. Summing up the evidence: one answer is not always enough. Lancet 1998;351:123-127.