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Efficacy of sirolimus-eluting stents compared with bare metal stents for saphenous vein graft intervention
被引:67
作者:

Chu, WW
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机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Rha, SW
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Kuchulakanti, PK
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Cheneau, E
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Torguson, R
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Pinnow, E
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Alexieva-Fournadjiev, J
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Pichard, AD
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Satler, LF
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Kent, KM
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Lindsay, J
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h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA

Waksman, R
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Hosp Ctr, Washington, DC 20010 USA Washington Hosp Ctr, Washington, DC 20010 USA
机构:
[1] Washington Hosp Ctr, Washington, DC 20010 USA
关键词:
D O I:
10.1016/j.amjcard.2005.08.018
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Saphenous vein graft (SVG) intervention is associated with a significantly increased rate of periprocedural complications and late clinical and angiographic restenosis. We examined the efficacy and safety of sirolimus-eluting stents (SESs; Cypher) compared with bare metal stents (BMSs) in SVG intervention. Forty-eight patients who had 50 SVG lesions and underwent standard percutaneous coronary intervention with SESs (SES group) were compared with 57 patients who had 64 SVG lesions and underwent intervention with BMSs (BMS group). All patients received distal protection devices during SVG intervention. In-hospital, 30-day, 6-month, and 1-year clinical outcomes in the 2 groups were compared. Baseline clinical and procedural characteristics were balanced between groups. There were no deaths or Q-wave myocardial infarctions during the index hospitalization, but compared with the BMS group, patients in the SES group had significantly fewer non-Q-wave myocardial infarctions (4% vs 21%, p = 0.01), which was mainly attributed to increased periprocedural creatine kinase-MB levels. At 30-day, 6-month, and 1-year follow-ups, all clinical outcomes were similar between groups. Event-free survival at 1 year was also similar between groups (p = 0.84). In conclusion, the use of SESs in patients who undergo SVG intervention with a distal protection device is clinically safe and feasible but is not associated with decreased clinical events up to 1 year compared with BMSs. (c) 2006 Elsevier Inc. All rights reserved.
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页码:34 / 37
页数:4
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Velez, CA
;
O'Neill, WW
;
Safian, RD
.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY,
2001, 38 (03)
:659-665

Keeley, EC
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William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA

Velez, CA
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William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA

O'Neill, WW
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William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA

Safian, RD
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William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA William Beaumont Hosp, Dept Internal Med, Div Cardiovasc, Royal Oak, MI 48073 USA