Adjunctive Devices for Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention
Adjunctive Distal Balloon Embolic Protection Devices Versus PCI Alone in Patients With STEMI: Final and Intermediate Health Outcomes
In RCTs, the use of distal balloon embolic protection devices did not significantly impact mortality, MI, stroke, or MACE versus a control when using the longest duration of followup.
In RCTs, the use of distal balloon embolic protection devices significantly increased the occurrence of MBG-3 and TIMI-3 blood flow but did not significantly impact ST-segment resolution, ejection fraction, distal embolization, or no reflow versus a control. For TIMI-3 blood flow [RD 0.08 (0.02, 0.14, (CER 0.69 to 1.00)], for every 13 patients who undergo surgery with a distal balloon embolic protection device 1 will achieve TIMI-3 blood flow. For MBG-3 [RD 0.15 (0.10, 0.24), (CER 0.20 to 0.53)], seven people would need to be treated with a distal balloon embolic protection device to cause one person to experience a MBG-3.
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