Two-Year Clinical Outcomes After Large Coronary Stent (4.0 mm) Placement: Comparison of Bare-Metal Stent Versus Drug-Eluting Stent

Title
Two-Year Clinical Outcomes After Large Coronary Stent (4.0 mm) Placement: Comparison of Bare-Metal Stent Versus Drug-Eluting Stent
Author(s)
박종선김영조이상희홍그루김현태[김현태]남창욱[남창욱]허승호[허승호]김권배[김권배]김웅[김웅]양태현[양태현]김두일[김두일]김동수[김동수]
Keywords
VESSEL SIZE; RESTENOSIS; ARTERY; TRIAL; INTERVENTION
Issue Date
201010
Publisher
JOHN WILEY & SONS INC
Citation
CLINICAL CARDIOLOGY, v.33, no.10, pp.620 - 625
Abstract
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.
URI
http://hdl.handle.net/YU.REPOSITORY/23483http://dx.doi.org/10.1002/clc.20781
ISSN
0160-9289
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의과대학 > 내과학교실 > Articles
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