Document Detail


Two-year clinical outcomes after large coronary stent (4.0 mm) placement: comparison of bare-metal stent versus drug-eluting stent.
MedLine Citation:
PMID:  20960536     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: The absolute benefit of drug-eluting stents (DES) in low-risk patients and lesions is not well established.
HYPOTHESIS: The long term clinical outcomes after percutaneous coronary intervention in a single coronary artery disease may not be affected by the type of stent.
METHODS: This study assessed and compared 2-year clinical outcomes of 304 consecutive patients (147 BMS patients and 157 DES patients) treated with a single coronary stent (4.0 mm) for single de novo large coronary artery disease in 3 referral cardiac centers. The primary outcome was a composite of major adverse cardiac events at 2 years after the index procedure.
RESULTS: The reference vessel diameter was similar in both groups (3.92 ± 0.29 mm in BMS vs 3.95 ± 0.24 mm in DES, P = 0.50). Late loss was larger in the BMS group (1.04 ± 0.83 mm vs 0.73 ± 0.91 mm in DES, P = 0.03). The incidence of major adverse cardiac events at the 2-year clinical follow-up was very low, 24 of 304 patients (7.9%), regardless of stent type deployed (7.5% in BMS vs 8.3% in DES, P = 0.83). The rate of target vessel revascularization was also similar in both groups (4.8% in BMS vs 5.7% in DES, P = 0.80).
CONCLUSIONS: Two-year clinical outcomes after PCI with a single large coronary stent (4.0 mm) were excellent. The clinical outcomes were not affected by the type of stent used.
Authors:
Hyun-Tae Kim; Chang-Wook Nam; Seung-Ho Hur; Kwon-Bae Kim; Sang-Hee Lee; Geu-Ru Hong; Jong-Seon Park; Young-Jo Kim; Ung Kim; Tae-Hyun Yang; Doo-Il Kim; Dong-Soo Kim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  33     ISSN:  1932-8737     ISO Abbreviation:  Clin Cardiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  620-5     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley Periodicals, Inc.
Affiliation:
Keimyung University Dongsan Medical Center, Jung-gu, Daegu, Republic of Korea.
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