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ISSN 0188-2198 (Print)

2007, Number 3

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Rev Mex Cardiol 2007; 18 (3)

Immediate and long term results of angioplasty with drug-eluting stent (paclitaxel) and bare stent: a comparative and prospective study in IMSS Villahermosa

Torres-Hernández ME, Yánez-Rivera TG, Ross-Mayo J, García-Magaña A, De la Cruz-Zurita H, Priego-Brindis JT, Hernández-Márquez S, Ávila-Lucena C, Mejía N

Language: Spanish
References: 28
Page: 95-102
PDF size: 117.81 Kb.


ABSTRACT

Objectives: To analyze clinical results in the long term in patients (pts) underwent to percutaneous transluminal coronary angioplasty (PTCA) with drug-eluting stent (GI) and bare stent (GII). Methods: Of January 2004 to August 2006 procedures PTCA were performed in 85 patients. Demographics, angiographics data, and events to 6 months were analyzed. Primary end point: Major adverse cardiac events (MACE) to 6 months. Secondary end point: Necessity of revascularization of the target lesion in diabetics to 6 months (TLR-D). Analyses were performed with the Fisher’s exact test and Mann-Whitney’s test. Results: Were 129 treated vessels with 76 drug-eluting stent (GI) and 75 bare stent (GII). There were more patients in the GI with diabetes (72% vs 45%, p = 0.004), hypertension (83% vs 67%, p = 0.051), multivessels disease (1.95 ± 0.9 vs 1.33 ± 0.55, p = 0.001), long lesions (21.9 ± 6.6 versus 18.64 ± 6.4 mm, p = 0.0001) and smaller reference vessel diameter (3.05±0.28 versus. 3.39±0.48 mm, p = 0.023). 5% went PTCA to non-protected left main. Final points: MACE to 6 months GI 1.4% vs GII 11.3%, p = 0.04, IC 95%. TLR-D GI 0% vs. GII 9.4%, p = 0.018%. Conclusions: Drug-eluting stent is associated with low rate of adverse clinical events to 6 months, even in diabetic patients.


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