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Twelve-Month Clinical Efficacy and Safety of Zotarolimus- versus Everolimus-Eluting Stents in a Series of Asian Population
고려대학교 구로병원 심혈관센터
김선원, 나승운, Amro Elnagar, 최병걸, 임성일, 나진오, 한성우, 최철웅, 임홍의, 김진원, 김응주, 박창규, 서홍석, 오동주
Background: Recently, newer generation drug-eluting stents (DESs) have been widely used with improved performance and safety. However, there have been limited data comparing angiographic and clinical outcomes of individual newer generation DESs in real world clinical practice, specifically in Asian population. Methods: A total of 608 patients (pts) underwent percutaneous coronary intervention (PCI) with Zotarolimus-eluting stents (ZES group; Endeavor ResoluteTM, n=238 pts) and Everolimus-eluting stents (EES group; PromusTM or XienceTM n=370 pts) were enrolled for this study. Angiographic outcomes at 6 months and major clinical outcomes up to 12 months were compared. Results: There were no significant differences in baseline clinical characteristics between the two groups. At 6 months, angiographic outcomes were similar between the two groups. At 12 months, there was a trend toward higher incidence of non-target lesion revascularization (TLR) target vessel revascularization (TVR) in the EES group; however other major clinical outcomes including mortality, Q-wave myocardial infarction (MI), repeat PCI and major adverse cardiac events (MACEs) were similar between the two groups up to 12 months (Table) Conclusions: In our study, both new generation DESs, ZES and EES were similarly effective and safe up to 1 year following routine PCI in Asian population

Table: Six-month Angiographic and 1-year Clinical Outcomes

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