Sirolimus-eluting coronary stents in small vessels

Meier, B; Sousa, E; Guagliumi, G; Van den Branden, F; Grenadier, E; Windecker, S; te Riele, H; Voudris, V; Eltchaninoff, H; Lindvall, B; Snead, D; Talen, A; SVELTE, Study Group (2006). Sirolimus-eluting coronary stents in small vessels. American Heart Journal, 151(5), 1019.e1-7. St. Louis, Mo.: Elsevier 10.1016/j.ahj.2006.02.025

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BACKGROUND: This prospective multicenter study compared angiographic in-lesion late lumen loss in de novo native coronary artery lesions (vessel diameter range 2.25-2.75 mm, length range > or = 15 to < or = 30 mm) 8 months after the implantation of a sirolimus-eluting stent with that of similar vessels with the same drug-eluting stent or a bare stent of the SIRIUS study (historical controls). METHODS AND RESULTS: One hundred one patients (study group) were matched and compared with 323 patients receiving the bare stent (bare control group) and with 350 receiving the Cypher stent (Cypher control group) in the SIRIUS trial. Mean in-lesion late loss in the study group was lower than that in the bare control group (0.20 versus 0.76 mm, P < .0001) and not inferior to that in the Cypher control group (0.27 mm, P = .3). Adverse event rates (death and myocardial infarction) were similar between groups. At 8 months, target lesion revascularization rates were 0% in the study group, 13.2% in the bare control group (P < .001), and 4.6% in the Cypher control group (P = .03). CONCLUSIONS: The Cypher Bx Velocity stent was confirmed to be superior to the bare Bx Velocity stent in small coronary vessels in terms of in-lesion late loss 8 months after implantation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Meier, Bernhard and Windecker, Stephan

ISSN:

0002-8703

ISBN:

16644326

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:46

Last Modified:

06 Mar 2014 23:03

Publisher DOI:

10.1016/j.ahj.2006.02.025

PubMed ID:

16644326

Web of Science ID:

000237638200017

URI:

https://boris.unibe.ch/id/eprint/19040 (FactScience: 1408)

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