Two-Year Clinical Outcomes After Large
Coronary Stent (4.0 mm) Placement:
Comparison of Bare-Metal Stent Versus
- Hyun-Tae Kim; Chang-Wook Nam; Seung-Ho Hur; Kwon-Bae Kim; Sang-Hee Lee; Geu-Ru Hong; Jong-Seon Park; Young-Jo Kim; Ung Kim; Tae-Hyun Yang; Doo-Il Kim; Dong-Soo Kim
- Dept. of Internal Medicine (내과학)
- Issue Date
- Clinical Cardiology, Vol.33(10) : 620-625, 2010
- Background: The absolute benefit of drug-eluting stents (DES) in low-risk patients and lesions is not well
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).Therateof
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.
- Appears in Collections:
- 1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
- Keimyung Author(s)
- 남창욱; 허승호; 김권배
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