两种国产支架治疗冠心病疗效和再狭窄率的回顾性研究

被引:3
作者
陈哲
潘春奇
张邢炜
杨德业
机构
[1] 杭州师范大学附属医院心内科
关键词
生物可降解; 药物洗脱支架; 再狭窄; EXCEL支架; PARTNER支架;
D O I
暂无
中图分类号
R541.4 [冠状动脉(粥样)硬化性心脏病(冠心病)];
学科分类号
100201 [内科学];
摘要
目的评价冠心病患者置入国产生物可降解涂层支架(EXCEL)的疗效及再狭窄率方面是否优于国产不可降解涂层支架(PARTNER)。方法 111例冠心病患者行冠状动脉PCI术,其中54例植入EXCEL可降解药物洗脱支架(EXCEL组),57例置入PARTNER永久聚合物药物洗脱支架(PARTNER组)。随访观察两组主要心脏不良事件(MACE)、再发心绞痛、晚期支架内血栓形成、支架内再狭窄率、支架内管径丢失和心力衰竭等。结果临床随访6~30(13.6±6.8)个月,两组MACE以及再发心绞痛、晚期支架内血栓形成、支架内再狭窄率、心脏衰竭等差异无统计学意义(均P>0.05),但EXCEL组的支架内管径丢失≥30%发生率低于PARTNER组(P=0.019)。结论 EXCEL支架与PARTNER支架在治疗冠心病的治疗中有相似的疗效和安全性,但支架内管径丢失率较低。
引用
收藏
页码:21 / 24
页数:4
相关论文
共 7 条
[1]
Stent thrombosis and restenosis: what have we learned and where are we going? The Andreas Gruntzig Lecture ESC 2014 [J].
Byrne, Robert A. ;
Joner, Michael ;
Kastrati, Adnan .
EUROPEAN HEART JOURNAL, 2015, 36 (47) :3320-+
[2]
Recent advances in drug eluting stents.[J].Amey S. Puranik;Eileen R. Dawson;Nicholas A. Peppas.International Journal of Pharmaceutics.2012,
[3]
Sustained clinical safety and efficacy of a biodegradable-polymer coated sirolimus-eluting stent in "real-world" practice: Three-year outcomes of the CREATE (multi-center registry of EXCEL biodegradable polymer drug eluting stents) study [J].
Han, Yaling ;
Jing, Quanmin ;
Li, Yi ;
Yang, Lixia ;
Liu, Huiliang ;
Shang, Xiaoming ;
Jiang, Tiemin ;
Li, Zhanquan ;
Zhang, Hua ;
Yan, Gaoliang .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2012, 79 (02) :211-216
[4]
Long-term effectiveness and safety of sirolimus drug-eluting stents.[J].Mahesh Bikkina;Jayanth Koneru.Medical Devices: Evidence and Research.2011, defa
[5]
Coronary Responses and Differential Mechanisms of Late Stent Thrombosis Attributed to First-Generation Sirolimus- and Paclitaxel-Eluting Stents [J].
Nakazawa, Gaku ;
Finn, Aloke V. ;
Vorpahl, Marc ;
Ladich, Elena R. ;
Kolodgie, Frank D. ;
Virmani, Renu .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (04) :390-398
[6]
冠心病“真实世界”国产雷帕霉素洗脱支架长期疗效观察 [D]. 
刘真 .
大连医科大学,
2010
[7]
冠脉介入诊治技巧及器械选择.[M].吕树铮;陈韵岱主编;.人民卫生出版社.2003,