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ȣ - 510316 46 |
Bare Metal Stents Versus Drug-Eluting Stents in Large (>3.5 mm) Coronary Arteries; Six-Month Angiographic and Clinical Outcomes |
고려대학교 구로 병원 심혈관 센터 |
김진원, 최철웅,서순용,나진오,김지훈,전병원,김응주,나승운,박창규,서홍석,오동주 |
Background: We compared the impact of cobalt-based bare metal stents (BMSs) versus drug-eluting stents (DESs) on six-month clinical and angiographic outcomes for the single vessel intervention. Methods: All 234 patients (59.8 yrs, male 67 %) of successfully revascularized with a bare metal stent (n=38, 66.3 yrs, male 63.2 %) or a drug-eluting stent (n=196, 66.7 yrs, male 61.2 %) were enrolled. All patients received aspirin, clopidogrel and/or cilostazol as the antiplatelet regimen. Six-month angiographic and clinical outcomes were evaluated. Results: Total 234 coronary arteries were treated with 196 DESs (44.9 % Sirolimus-eluting stents; 43.9 % Paclitaxel-eluting stents; 11.2 % Zotarolimus-eluting stents) or 38 BMSs. Baseline clinical, demographic or angiographic characteristics were well balanced between the two groups. There was one in-hospital death in DES group. At six-month follow-up, angiography showed that in-stent diameter stenosis and late loss were greater in BMS group than DES group (Table). However, there were no significant differences in major adverse cardiac events (MACE) and ischemia-driven TLR/TVR rates between the two groups (Table). Conclusion: Although six-month angiographic results appear more favorable in DES group than BMS group, DES and cobalt-chromium BMS implantation in large coronary arteries show equally favorable six-month clinical outcomes.
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BMS |
DES |
p-value |
Stent length (mm) |
19.7± 4.6 |
24.6±5.9 |
0.38 |
Stent diameter (mm) |
4.01±0.41 |
3.96± 0.47 |
0.61 |
MACE (6 month)(%) |
2/38 (5.3) |
9/196 (4.6) |
0.51 |
TLR/TVR
(6 month)(%) |
2/38 (5.3) |
7/196 (3.6) |
0.42 |
Diameter stenosis in-stent (%) |
38.9±20.8 |
18.5±17.1 |
0.007 |
Late loss (mm) |
1.44±0.83 |
0.62±0.58 |
0.009 |
Binary restenosis (mm) |
3/38 (7.8) |
8/196 (4.1) |
0.21 |
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