当前位置： SCI文献检索 > JOURNAL OF INTERVENTIONAL CARDIOLOGY期刊下所有文献 > The real world experience of the everolimus-eluting coronary stent system: audit of everolimus-eluting coronary stents.

The real world experience of the everolimus-eluting coronary stent system: audit of everolimus-eluting coronary stents.

Abstract：

AIMS:To investigate the safety and efficacy of everolimus-eluting stents (EES) in a real world population, including those with high-risk characteristics and complex lesions. METHODS:In this report, we analyze 2-year outcomes in 500 consecutive unselected patients treated with EES between April 2007 and March 2008. All patients were followed for 2 years for adverse events. RESULTS:There were 995 EES deployed in 792 lesions. The indication for the coronary procedure was acute coronary syndrome in 94.2% of patients. Bifurcations were involved in 21% of lesions, 3.5% degenerated vein grafts, 2.7% left main stem stenoses, 33% multivessel disease, 4.5% in-stent restenosis, and 79.1% AHA/ACC classification B2/C lesions. The major adverse cardiac event rate (composite of cardiovascular death, acute myocardial infarction, target lesion revascularization) was 10.6%. Target lesion revascularization was required in 4.0% patients, 1.4% for in-stent thrombosis. These event rates are comparable with studies involving lower risk patients and less complex coronary lesions. CONCLUSION:The use of EES, even in this real world, high-risk population, continues to demonstrate safety and efficacy rates comparable with current studies in more selected patient groups and, therefore, may justify current practice to utilize EES in "off label" situations.

journal_name

J Interv Cardiol

journal_title

Journal of interventional cardiology

authors

Aldous S,Smyth D,Blake J,McClean D,Elliott J

doi

10.1111/j.1540-8183.2011.00633.x

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

241-6

issue

3

eissn

0896-4327

issn

1540-8183

journal_volume

24

pub_type

杂志文章

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