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Two-Year Clinical Outcomes After Large Coronary Stent (4.0 mm) Placement: Comparison of Bare-Metal Stent Versus Drug-Eluting Stent

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Affiliated Author(s)
남창욱허승호김권배
Alternative Author(s)
Nam, Chang WookHur, Seung HoKim, Kwon Bae
Journal Title
Clinical Cardiology
ISSN
0160-9289
Issued Date
2010
Abstract
Background: The absolute benefit of drug-eluting stents (DES) in low-risk patients and lesions is not well
established.
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.
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Hyun-Tae Kim et al. (2010). Two-Year Clinical Outcomes After Large
Coronary Stent (4.0 mm) Placement:
Comparison of Bare-Metal Stent Versus
Drug-Eluting Stent. Clinical Cardiology, 33(10), 620–625. doi: 10.1002/clc.20781
Type
Article
ISSN
0160-9289
DOI
10.1002/clc.20781
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35486
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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