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Comparison of Everolimus-Eluting Stent versus Paclitaxel-Eluting Stent in Patients with Diabetes Mellitus
가톨릭의과대학 순환기 내과학 교실
서석민, 고윤석, 추은호, 김태훈, 김찬준, 신동일, 박만원, 허성호, 최윤석, 박훈준, 김동빈, 이종민, 박철수, 김범준, 장기육, 김희열, 문건웅, 유기동, 전두수, 정욱성, 승기배
Backgrounds: It has been showed that everolimus-eluting stent (EES) is superior to paclitaxel-eluting stent (PES) in terms of major adverse cardiac event (MACE) in some trials. However, in diabetic patients, there were little data which stent is more effective and safe between EES and PES. Methods: Patients who underwent PCI with DES from January 2004 to December 2009 were prospectively enrolled. We analyzed the MACE including all-cause death, myocardial infarction (MI), and target vessel revascularization (TVR) in patients with diabetes mellitus by comparing PES with EES at 1 year after index PCI. Results: Overall, 752 (65.5%) patients received PCI with PES and the other 396 patients received PCI with EES. The baseline clinical and angiographic characteristics were similar between two groups. There were no differences in death, cardiac death, MI, target vessel revascularization, TVR, and composite MACE between two groups. Conclusions: There are no differences on cardiovascular events between the two groups.

 

PES (n=752)

EES (n=392)

p value

All-cause death (%)

49 (6.5)

30 (7.6)

0.493

Cardiac death (%)

41 (5.5)

21 (5.3)

0.923

Myocardial infarction (MI) (%)

5 (0.7)

1 (0.3)

0.357

Target lesion revascularization (TLR) (%)

42 (5.6)

14 (3.5)

0.125

Target vessel revascularization (TVR) (%)

49 (6.5)

23 (5.8)

0.638

Composite of all-cause death, MI, TVR (%)

99 (13.2)

52 (13.1)

0.987



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