Evaluation of XIENCE V Everolimus-Eluting and Taxus Express2 Paclitaxel-Eluting Coronary Stents in Patients With Jailed Side Branches From the SPIRIT IV Trial at 2 Years
| Autor: | John C. Wang, Liming Hou, Dean J. Kereiakes, Alexandra J. Lansky, Robert J. Applegate, Aakar Shah, Krishnankutty Sudhir, Manejeh Yaqub, Stephanie M. Meller, Poornima Sood, Ecaterina Cristea, John K. Forrest, Gregg W. Stone, Kimberly A. Skelding |
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| Rok vydání: | 2013 |
| Předmět: |
Target lesion
medicine.medical_specialty Time Factors Paclitaxel medicine.medical_treatment Antineoplastic Agents Coronary Angiography Prosthesis Design law.invention Coronary Restenosis Percutaneous Coronary Intervention Randomized controlled trial law Internal medicine Angioplasty Coronary stent Humans Medicine Single-Blind Method Everolimus Prospective Studies Prospective cohort study Sirolimus business.industry Coronary Stenosis Percutaneous coronary intervention Stent Drug-Eluting Stents Surgery Treatment Outcome Cardiology Cardiology and Cardiovascular Medicine business Immunosuppressive Agents medicine.drug |
| Zdroj: | The American Journal of Cardiology. 111:1580-1586 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/j.amjcard.2013.01.330 |
| Popis: | The aim of this study was to determine whether patients from the Clinical Evaluation of the XIENCE V Everolimus Eluting Coronary Stent System in the Treatment of Patients With de Novo Native Coronary Artery Lesions (SPIRIT) IV trial who underwent percutaneous coronary intervention, who had target lesions with jailed side branches, had improved clinical outcomes when treated with the XIENCE V versus Taxus Express 2 drug-eluting stent. In the SPIRIT III randomized trial, patients with target lesions with jailed side branches after XIENCE V compared with Taxus Express 2 implantation had lower 2-year rates of major adverse cardiac events. The SPIRIT IV trial represents a larger more diverse patient population compared with SPIRIT III. In the large-scale, prospective, multicenter, randomized SPIRIT IV trial, 3,687 patients who underwent coronary stenting with up to 3 de novo native coronary artery lesions were randomized 2:1 to receive XIENCE V versus Taxus Express 2 stents. Two-year clinical outcomes of patients with or without jailed side branches after stenting were compared. A jailed side branch was defined as any side branch >1.0 mm in diameter within the target segment being stented, excluding bifurcations deemed to require treatment. Of the 3,687 patients in SPIRIT IV, a total of 1,426 had side branches that were jailed during angioplasty of the target lesion. Patients with jailed side branches after XIENCE V compared with Taxus Express 2 implantation had significantly lower 2-year rates of target lesion failure (6.5% vs 11.9%, p = 0.001), major adverse cardiac events (6.6% vs 12.2%, p = 0.0008), ischemia-driven target vessel revascularization (4.1% vs 7.9%, p = 0.004), and stent thrombosis (0.6% vs 2.8%, p = 0.001). In conclusion, patients with jailed side branches after stenting with XIENCE V compared to Taxus Express 2 devices had superior clinical outcomes at 2 years in the large-scale randomized SPIRIT IV trial. |
| Databáze: | OpenAIRE |
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