Review Article

Antithrombotic Treatments in Patients with Chronic Coronary Artery Disease or Peripheral Artery Disease: A Systematic Review of Randomised Controlled Trials

Table 1

Inclusion and exclusion criteria.

DomainInclusion criteriaExclusion criteria

PopulationPopulation of both chronic CAD or PAD patientsChildren and adolescents (<18 years old)
Studies evaluated only patients with CAD
Studies evaluated only patients with PAD

Interventions(i) Xaban/direct thrombin inhibitors (rivaroxaban, dabigatran, apixaban, edoxaban, betrixaban)
(ii) Antiplatelet (ASA, clopidogrel, ticagrelor, ticlopidine, triflusal, and prasugrel)
(iii) Dipyridamole
(iv) Cilostazol
(v) Vorapaxar
(vi) Parenteral anticoagulants (low molecular weight heparin, unfractionated heparin, fondaparinux)
(vii) Vitamin K antagonists (not limited to warfarin)

ComparatorsInterventions + placebo

Outcomes of interestEfficacy including:
(i) Composite outcomes:
 (a) Stroke/MI/CV death
 (b) CHD death/MI/IS/ALI
 (c) CV death/MI/IS/ALI
(ii) Individual components of composite outcomes
(iii) All-cause mortality
(iv) Amputations
(v) HF
(vi) Unstable angina
(vii) Revascularisation
(viii) Bypass graft failure (occlusion)
(ix) Stent thrombosis
(x) MALE
(xi) Venous thromboembolism
(xii) Haemorrhagic stroke
(xiii) Chronic limb ischaemia
Safety including:
(i) Major or severe bleeding
(ii) Fatal bleeding
(iii) Intracranial bleeding
(iv) Bleeding requiring re-operation
(v) Bleeding requiring hospitalisation
(vi) Total serious AEs
(vii) Total severe AEs
(viii) Gastrointestinal bleeding
(ix) Discontinuations (any, due to AEs)

Study designStudy type:
(i) RCTs
(ii) Extensions of RCTs
Study type:
(i) Review
(ii) Opinion, editorial, letter

Publication typeFull-text papers,

AEs: adverse events; ALI: acute limb ischaemia; CAD: coronary artery disease; CV: cardiovascular; HF: heart failure; IS: ischaemic stroke; MALE: major adverse limb events; MI: myocardial infarction; PAD: peripheral artery disease; RCT: randomised controlled trial; ASA: acetylsalicylic acid.