Influence of metal alloy and the profile of coronary stents in patients with multivessel coronary disease
| Autor: | Marcos Kiyoshi Sumita, George César Ximenes Meireles, Antonio Artur da Cruz Forte, Luciano Maurício de Abreu Filho, Desiderio Favarato |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Acute coronary syndrome Percutaneous Coronary restenosis Time Factors medicine.medical_treatment Coronary Artery Disease Coronary artery disease Blood Vessel Prosthesis Implantation Restenosis Risk Factors Internal medicine medicine Clinical endpoint Humans Prospective Studies Percutaneous transluminal coronary angioplasty Prospective cohort study Aged lcsh:R5-920 Interventional cardiology Coronary stents Chromium alloy business.industry technology industry and agriculture Stent General Medicine Clinical Science Middle Aged medicine.disease equipment and supplies Stainless Steel Surgery Treatment Outcome Cardiology Female Stents Chromium Alloys business lcsh:Medicine (General) Brazil Follow-Up Studies |
| Zdroj: | Clinics Clinics, Vol 66, Iss 6, Pp 985-989 (2011) Clinics; v. 66 n. 6 (2011); 985-989 Clinics; Vol. 66 Núm. 6 (2011); 985-989 Clinics; Vol. 66 No. 6 (2011); 985-989 Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 66, Issue: 6, Pages: 985-989, Published: 2011 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | BACKGROUND: In Brazil, despite the recommendations of the Brazilian Society of Hemodynamics and Interventional Cardiology, the National Health System has not yet approved the use of drug-eluting stents. In percutaneous coronary interventions performed in the public and part of the private health care system, bare metal stents are used as the only option. Therefore, new information on bare metal stents is of great importance. The primary endpoint was to evaluate the influence of the alloy and the profile of coronary stents on late loss and restenosis rates 6 months after implantation in patients with multivessel coronary disease. METHODS: Single center, randomized and prospective study comparison of cobalt-chromium versus stainless steel stent implantation in 187 patients with multivessel coronary disease. At least one cobalt-chromium and one stainless steel stent were implanted per patient. RESULTS: Mean age of patients was 59.5 + 10.1 years with a prevalence of males (66.3%) and patients with acute coronary syndrome (56%). Baseline clinical characteristics were similar with hypertension in 146 (78%), dyslipidemia in 85 (45.5%) and diabetes in 68 (36.4%). Two hundred and twenty-nine cobalt-chromium and 284 stainless steel stents were implanted. Angiographic variables showed no statistically significant difference. Angiographic follow-up to 6 months after implantation showed similar late loss and restenosis rates. CONCLUSION: The use of two different alloys, stainless steel and cobalt-chrome stents, in the same patient and in the same vessel produced similar 6-month restenosis and late loss rates. |
| Databáze: | OpenAIRE |
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