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Table 4 Ejection fraction and procedure time*

From: Systematic review: comparative effectiveness of adjunctive devices in patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention of native vessels

Study, Year

Group

n

Time EF Measured

Mean EF (SD)

P-value

n

Mean Procedure Time

P-value

  

Ejection Fraction

Procedure Time

Catheter Aspiration

       

Dudek,

2010

Diver CE

Control

---

---

---

---

---

---

---

---

---

---

---

Liistro,

2009

Export Thrombectomy Catheter

Control

55

56

180d

55 (6)

49 (8)

< 0.0001

55

56

75.7 (30.0)

75.9 (38.7)

0.90

Lipiecki,

2009

Export Catheter

Control

20

24

7d

48 (12)

45 (11)

0.4

---

---

---

---

---

Moura,

2009

TAC

Control

---

---

---

---

---

---

---

---

---

---

---

Sardella,

2009

Export Medtronic

38

37

3-5d

46.3 (8.6)

44.3 (9.5)

0.30

---

---

---

---

---

 

(EM)

Control

36

36

90d

49.0 (9.3)

46.7 (10.6)

0.3

   

Wita,

2009

Diver CE

Control

19

23

7d

50.1 (8.4)

46.5 (7.9)

 

19

23

39.5 (10.1)

32.3 (18.6)

0.14

Chao,

2008

Export Aspiration Catheter

Control

37

37

28d

56 (10)

57 (10)

0.51

37

37

49 (18)†

53 (23)†

0.54

Chevalier,

2008

Export Aspiration Catheter

Control

---

---

---

---

---

---

120

129

36.7 (18.0)

34.5 (21.5)

0.08

Ciszewski,

2008

Rescue/Diver

Control

32

31

5-8d

46.7 (11.0)

42.5 (10.0)

0.16

---

---

---

---

---

Ikari,

2008

TVAC

Control

103

113

180d

57.1 (12.5)

56.7 (12.3)

0.77

178

180

87.0 (32.4)

93.6 (78.6)

0.16

Svilaas,

2008

6F Export Aspiration Catheter

Control

---

---

---

---

---

---

535

536

28 (14-42)‡

26 (12-40)‡

0.92

DeLuca,

2006

Diver CE

Control

38

38

Post-PCI

37.29 (9.97)

36.67 (3.03)

> 0.05

---

---

---

---

---

  

35

36

180d

42.97 (9.97)

41.28 (3.37)

> 0.05

   

Kaltoft,

2006

Rescue Catheter

Control

108

107

30d

51 (43-57)†

53 (47-58)†

0.13

108

107

39 (29-48)‡

29 (23-38)‡

< 0.0001

Lee,

2006

Export Aspiration Catheter

Control

---

---

---

---

---

---

---

---

---

---

---

Silva-Orrego,

2006

Pronto Extraction Catheter

Control

---

---

---

---

---

---

74

74

57 (19)

54 (21)

0.36

Burzotta,

2005

Diver CE

Control

25

25

1d

50.36 (8.76)

45.75 (7.49)

< 0.05

50

49

81 (43)

72 (34)

0.41

  

25

25

7d

53.34 (10.99)

48.09 (9.4)

< 0.05

   
  

25

25

180d

53.28 (10.04)

47.72 (8.28)

< 0.05

   

Noel,

2005

Export

Control

---

---

---

---

---

---

---

---

---

---

---

Dudek,

2004

Rescue

Control

35

32

In-hospital

56.5 (9.1)

52.8 (12.8)

> 0.05

---

---

---

---

---

  

35

32

90d

60.3 (9.2)

55.3 (14.7)

> 0.05

   

Mechanical Thrombectomy

       

Migliorini,

2010

AngioJet Rheolytic Thrombectomy

Control

---

---

---

---

---

---

256

245

59.5 (44.7-70)‡

46 (35-60)‡

< 0.001

Ali,

2006

AngioJet Catheter

Control

197

205

14-28d

51.3 (11.53)

52.3 (10.89)

0.38

240

240

75.4 (30.9)

59.2 (26.8)

< 0.001

Lefèvre,

2005

X-Sizer Catheter

Control

---

---

---

---

---

---

100

101

54 (28)

45 (25)

0.009

Antoniucci,

2004

AngioJet

Control

---

---

---

---

---

---

---

---

---

---

---

Napodano,

2003

X-Sizer Catheter

Control

46

46

In-hospital

51.0 (7.7)

48.7 (10.9)

0.29

---

---

---

---

---

  

46

46

30d

51.9 (7.9)

49.9 (8.9)

0.26

   

Distal Filter Embolic Protection Devices

      

Ito,

2010

Filtrap

Control

---

---

---

---

---

---

---

---

---

---

Kelbæk,

2008

FilterWire-EZ or SpiderX

Control

---

---

---

---

---

---

---

---

---

---

---

Cura,

2007

SpideRX

Control

70

70

2-3d

47.4 (9.9)

45.3 (7.3)

0.29

70

70

52 (43-70) ‡

43.5 (30-54) ‡

< 0.001

Guetta,

2007

FilterWire EZ

Control

51

49

Post-PCI

47 (---)

44 (---)

0.56

---

---

---

---

---

Lefèvre,

2004

AngioGuardXP

Control

---

---

---

---

---

---

---

---

---

---

---

Distal Balloon Embolic Protection Devices

      

Duan,

2010

PercuSurge Guardwire Plus

46

50

90d

51.6 (3.6)

49.3 (5.3)

< 0.05

---

---

---

---

---

 

Control

46

50

180d

53.0 (3.7)

50.8 (5.2)

< 0.05

   

Pan,

2010

PercuSurge Guardwire

Control

---

---

---

---

---

---

---

---

---

---

Tahk,

2008

PercuSurge GuardWire

Control

48

47

180d

58.1 (11.4)

54.6 (10.3)

0.24

---

---

---

---

---

Hahn,

2007

GuardWire

Control

19

20

3d

50 (9)

49 (13)

0.60

---

---

---

---

---

  

15

14

180d

48 (16)

50 (9)

0.74

   

Matsuo,

2007

GuardWire Distal Protection

Control

80

74

Post-PCI

46.1 (9.5)

55.4 (13.9)

0.99

80

74

75.8 (30)

53 (25)

< 0.01

  

80

74

180d

61.9 (---)

62.7 (---)

0.36

   

Muramatsu,

2007

GuardWire Plus System

Control

173

168

Post-PCI

54.0 (---)

53.8 (---)

0.90

173

168

29.7 (18.3)§

29.5 (18.2)§

0.91

  

133

123

30d

55.3 (---)

55.4 (---)

> 0.05

   
  

108

117

180d

57.1 (---)

57.1 (---)

> 0.05

   

Zhou,

2007

PercuSurge GuardWire

Control

---

---

---

---

---

---

---

---

---

---

---

Okamura,

2005

PercuSurge GuardWire

Control

---

---

D/c (mean 22 ± 4 d)

47 (9)

48 (8)

0.89

8

8

---

---

---

Stone,

2005

GuardWire Plus

Control

---

---

---

---

---

---

252

249

53 (42-69)‡

39 (29-51)‡

< 0.001

Proximal Balloon Embolic Protection Devices

      

Haeck,

2009

Proxis

Control

96

110

4-6m

50 (11)

50 (12)

0.46

141

143

45 (36-58)‡

31 (25-40)‡

< 0.01

  1. *Strength of evidence ratings for ejection fraction and prolonged procedure time, respectively, are: Catheter aspiration device moderate: high; Mechanical Thrombectomy devices: moderate, high; Distal filter embolic protection devices: low, insufficient; Distal balloon embolic protection devices: moderate, low; proximal balloon embolic protection devices: insufficient, moderate; embolic protection devices combined: moderate, moderate
  2. † Lab to TIMI-3
  3. ‡ Median (interquartile range)
  4. § operation time
  5. --- not reported
  6. Abbreviations: d = days; d/c = discharge; EF = ejection fraction; n = number of participants included in the analysis of ejection fraction; PCI = percutaneous coronary intervention, SD = standard deviation; TAC = Thrombectomy Aspiration Catheter; TVAC = Transvascular aspiration catheter