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Future Cardiol ; 13(4): 345-363, 2017 07.
Article in English | MEDLINE | ID: mdl-28644056

ABSTRACT

AIM: The safety options in nanomedicine raise an issue of the optimal niche at the real-world clinical practice. METHODS: This is an observational prospective cohort analysis of the 5-year clinical outcomes at the intention-to-treat population (nano vs ferro vs stenting; n = 180) of NANOM first-in-man trial (NCT01270139). RESULTS: Mortality (6 vs 9 vs 10 cases of cardiac death in groups, p < 0.05), major adverse cardiovascular events (14.3 vs 20.9 vs 22.9%, p = 0.04), late thrombosis (2 vs 4 vs 6, p < 0.05) and target lesion revascularization (3.8 vs 4.8 vs 5.7%, p = 0.04) were significantly higher in ferro group and stent control at 60 months. CONCLUSION: NANOM first-in-man trial demonstrates high safety with better rate of mortality, major adverse cardiovascular events and target lesion revascularization at the long-term follow-up if compare with stent XIENCE V.


Subject(s)
Atherosclerosis/drug therapy , Coronary Artery Disease/drug therapy , Nanoparticles/therapeutic use , Atherosclerosis/mortality , Cardiovascular Diseases/etiology , Coronary Artery Disease/mortality , Drug-Eluting Stents , Female , Humans , Intention to Treat Analysis , Male , Middle Aged , Nanoparticles/adverse effects , Prospective Studies , Time Factors , Treatment Outcome
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