Clinical and Angiographic Outcome of Sirolimus-Eluting Stent for the Treatment of Very Long Lesions
Korean Circulation Journal
;
: 490-494, 2006.
Artículo
en Inglés
| WPRIM
| ID: wpr-183602
ABSTRACT
BACKGROUND AND OBJECTIVES:
Compared to bare metal stent, drug-eluting stent has improved the clinical and angiographic outcomes for de novo, simple lesions. In real world clinical practice, we often encounter more complex, long lesions, which increase the rate of restenosis and cardiovascular events. The aim of this study was to evaluate the clinical and angiographic outcome of sirolimus-eluting stent (SES) for the treatment of very long lesions in real world clinical practice. SUBJECTS ANDMETHODS:
We implanted multiple SESs (>40 mm in total length) in 113 de novo lesions in 113 patients. The average length of the implanted stents was 58+/-14 mm (range 41-112 mm) and a mean of 2.2 stents were implanted in each lesion and the average stent diameter was 3.0+/-0.3 mm.RESULTS:
Procedural and angiographic success were achieved in all the patients without death or coronary artery bypass surgery. Non-Q wave MI (CK-MB > or = 3 times the normal value) developed in 13 patients (11.5%). Two patients experienced late stent thrombosis after discharge (1.8%). The major adverse cardiac events (MACE)-free survival was 94% at 12 months. There were two sudden cardiac deaths. Six months follow up angiography was performed on 76 patients (67%) and angiographic binary restenosis developed in 7 patients (9.2%). All of them were the focal type in-stent restenosis and these were found to be located at the distal stents.CONCLUSIONS:
In conclusion, long lesion coverage with SESs is feasible with a favorable mid-term outcome in real world clinical practice.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Trombosis
/
Angiografía
/
Stents
/
Puente de Arteria Coronaria
/
Estudios de Seguimiento
/
Muerte Súbita Cardíaca
/
Stents Liberadores de Fármacos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Korean Circulation Journal
Año:
2006
Tipo del documento:
Artículo
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