Abstract:
BACKGROUND:Drug-eluting stents showed a better angiographic and clinical outcome in comparison with bare metal stent in chronic total occlusions (CTOs) percutaneous revascularization, however, great concerns still remain regarding the rate of restenosis and reocclusion in comparison with nonocclusive lesions. AIM:To evaluate angiographic and clinical outcomes after sirolimus-eluting stent (SES) implantation in the setting of a "real world" series of complex CTOs. METHODS AND RESULTS:From January 2006 to December 2008, 172 consecutive patients with 179 CTO lesions were enrolled into registry. Among these, successful recanalization was obtained in 144 lesions (80.4%) with exclusive SES implantation in 104 lesions. The 9-12 months angiographic follow-up was executed in 85.5% of lesions with evidence of angiographic binary restenosis in 16.8% of lesions. Total stent length and number of stent implanted were recognized as independent predictors of restenosis (odds ratio [OR] 4.7, 95% confidence interval [CI] 1.28-107.09, P = 0.02) and (OR 5.8, 95% CI 1.39-23.55, P = 0.01), respectively.The 2-year clinical follow-up showed rates of target lesion revascularization, non-Q wave myocardial infarction, and total major adverse cardiovascular events (MACEs) of 11.1%, 2%, and 13.1%, respectively. Cox proportional-hazard analysis showed diabetes as independent predictor of MACEs (hazard ratio [HR] 4.832; 95% CI, 0.730-0.861; P = 0.028). CONCLUSIONS:Data from this registry demonstrate the long-term efficacy and safety of SES implantation after complex CTOs recanalization.
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Galassi AR,Tomasello SD,Costanzo L,Campisano MB,Barrano G,Tamburino Cdoi
10.1111/j.1540-8183.2011.00648.xsubject
Has Abstractpub_date
2011-10-01 00:00:00pages
426-36issue
5eissn
0896-4327issn
1540-8183journal_volume
24pub_type
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journal_title:Journal of interventional cardiology
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journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章,多中心研究
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journal_title:Journal of interventional cardiology
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00338.x
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
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journal_title:Journal of interventional cardiology
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pub_type: 临床试验,杂志文章,随机对照试验
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