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Comparison of clinical outcomes of coronary artery stent implantation in patients with end-stage chronic kidney disease including hemodialysis for three everolimus eluting (EES) stent designs: Bioresorbable polymer-EES, platinum chromium-EES, and cobalt chrome-EES.
Sato, Takao; Hatada, Katsuharu; Kishi, Syohei; Fuse, Koichi; Fujita, Satoshi; Ikeda, Yoshio; Takahashi, Minoru; Matsubara, Taku; Okabe, Masaaki; Aizawa, Yoshifusa.
Afiliación
  • Sato T; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Hatada K; Cardiology, Shinrakuen Hospital, Niigata, Japan.
  • Kishi S; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Fuse K; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Fujita S; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Ikeda Y; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Takahashi M; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Matsubara T; Cardiology, Shinrakuen Hospital, Niigata, Japan.
  • Okabe M; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
  • Aizawa Y; Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
J Interv Cardiol ; 31(2): 170-176, 2018 Apr.
Article en En | MEDLINE | ID: mdl-29166699
BACKGROUNDS: New-generation bioresorbable polymer-everolimus eluting stents (BP-EES) are available. This study aimed to compare the clinical outcomes for BP-EES compared to more established stent designs, namely the platinum chromium-EES (PtCr-EES) and cobalt chrome-EES(CoCr-EES) in patients with the end-stage chronic kidney disease (CKD) including hemodialysis (HD). METHODS: One-hundred-forty-one consecutive stents (BP-EES [n = 44], PtCr-EES [n = 45], and CoCr-EES [n = 52]) were implanted in 104 patients with CKD. All patients underwent a follow-up coronary angiography at 12 months after implantation. End-stage CKD was defined as an estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m2 , or the need for HD. The following outcome variables were compared among the three stent groups after implantation and the 12-month follow-up: target lesion revascularization (TLR), stent thrombosis (ST), and major adverse cardiac event (MACE). Minimal stent diameter (MSD) and %diameter-stenosis (%DS) were measured using quantitative coronary angiography. RESULTS: The overall rate of TLR and MACE was 14.6% and 30.8%, respectively, with no incidence of ST. Immediately after implantation, the MSD (P = 0.22) and %DS (P = 0.42) were equivalent among the three groups. However, at the 12-month follow-up, a tendency towards higher TLR was observed for the BP-EES group (22.7%) compared with the PtCr-EES (8.8%) and CoCr-EES (9.6%) groups (P = 0.07). Late loss in lumen diameter was also significantly greater for the BP-EES (0.51 ± 0.64 mm) group than either the PtCr-EES (0.20 ± 0.61 mm) and CoCr-EES (0.25 ± 0.70 mm) groups (P = 0.03). CONCLUSIONS: BP-EES might increase the risk of in-stent restenosis in patients with end-stage of CKD or the need for HD.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Platino (Metal) / Enfermedad de la Arteria Coronaria / Cromo / Cobalto / Vasos Coronarios / Reestenosis Coronaria / Intervención Coronaria Percutánea / Everolimus / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Interv Cardiol Asunto de la revista: CARDIOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Platino (Metal) / Enfermedad de la Arteria Coronaria / Cromo / Cobalto / Vasos Coronarios / Reestenosis Coronaria / Intervención Coronaria Percutánea / Everolimus / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Interv Cardiol Asunto de la revista: CARDIOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Japón