Document Detail


Clinical investigation into the observation that silicon carbide coating on cobalt chromium stents leads to early differentiating functional endothelial layer, increased safety and DES-like recurrent stenosis rates: results of the PRO-Heal Registry (PRO-Kinetic enhancing rapid in-stent endothelialisation).
MedLine Citation:
PMID:  19284073     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Recurrent stenosis and stent thrombosis are still major concerns after drug eluting stent placement which inhibits not only the restenostic process but endothelialisation as well. In contrast, through accelerating rapid endothelialisation and development of an earlier functional endothelial layer, passive coatings have shown encouraging results. The objective of the present study was to investigate the clinical outcome and rate of recurrent stenosis of silicon carbide passive coated cobalt chromium stents (PROKinetic Coronary Stent with PROBIO coating, Biotronik AG, Switzerland) on restenosis after percutaneous coronary intervention. METHODS AND RESULTS: Percutaneous coronary stent deployment was carried out in 161 lesions in 145 consecutive patients. The primary combined endpoint was the rate of target-lesion revascularisation (TLR) and late lumen loss; the secondary endpoints were the procedural success and the major adverse cardiac events at 6-months follow-up. Out of 145 patients, 141 were successfully amenable to a silicon carbide coated stent (PRO-Kinetic, Biotronik AG, Switzerland) implantation (97.2% procedural success). At follow-up, the late loss was 0.75 +/- 0.71 mm. (in-stent) respectively 0.79 +/- 0.72 mm (in-segment), TLR was 4.9% and MACE was 5.6%. CONCLUSIONS: By augmenting rapid endothelialisation and development of an earlier functional endothelial layer, silicon carbide (PROBIO) as a passive coating on cobalt chromium stents has shown encouraging results relative to success rates, clinical outcome, TLR and late-loss in a cohort of patients with extended coronary artery disease.
Authors:
Johannes B Dahm; Tine Willems; Hans Georg Wolpers; Hans Nordbeck; Jürgen Becker; Jörg Ruppert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology     Volume:  4     ISSN:  1774-024X     ISO Abbreviation:  -     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-03-16     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101251040     Medline TA:  EuroIntervention     Country:  France    
Other Details:
Languages:  eng     Pagination:  502-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology & Angiology, Heart-& Vascular Center Neu-Bethlehem, Göttingen, Germany. dahm@herz-gefaesszentrum.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary* / adverse effects,  instrumentation
Carbon Compounds, Inorganic*
Cell Proliferation*
Chromium Alloys*
Coated Materials, Biocompatible*
Coronary Angiography
Coronary Artery Disease / radiography,  therapy*
Coronary Restenosis / etiology,  pathology,  prevention & control*
Drug-Eluting Stents*
Endothelium, Vascular / pathology*
Female
Humans
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use
Registries
Silicon Compounds*
Stents*
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Carbon Compounds, Inorganic; 0/Chromium Alloys; 0/Coated Materials, Biocompatible; 0/Platelet Aggregation Inhibitors; 0/Silicon Compounds; 409-21-2/silicon carbide

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