頁籤選單縮合
題 名 | Comparison of Bare-Metal Stent and Drug-Eluting Stent for the Treatment of Patients Undergoing Percutaneous Coronary Intervention for Unprotected Left Main Coronary Artery Disease--Long-Term Result from a Single Center Experience |
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作 者 | Lai, Chih-hung; Lee, Wen-lieng; Sung, Shih-hsien; Hsu, Pai-feng; Chen, Ying-hwa; Chan, Wan-leong; Lin, Shing-jong; Lu, Tse-min; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 31:5 2015.09[民104.09] |
頁 次 | 頁381-389 |
分類號 | 416.262 |
關鍵詞 | Bare-mental stent; Drug-eluting stent; Left main coronary artery disease; Percutaneous coronary intervention; |
語 文 | 英文(English) |
英文摘要 | Background: Percutaneous coronary intervention (PCI) has become an alternative treatment for left main (LM) coronary artery disease. The aim of our study was to compare long-term clinical outcomes of patients undergoing unprotected LMPCI with bare-metal stent (BMS) or drug-eluting stent (DES) in a high-risk population. Methods and Results: We enrolled 223 consecutive patients with unprotected LM coronary artery disease undergoing PCI (mean age: 71.1 ± 11.2 years, 187 male), including 94 patients receiving BMS and 129 patients receiving DES. The patients receiving DES had a significantly higher SYNTAX score (p=0.05). During the mean follow-up period of 2.5 years, there were 31 cardiovascular deaths (BMS: 21 cases, DES: 10 cases, p=0.04 by log-rank test), 56 major adverse cardiovascular events (MACE, including cardiovascular death, non-fatal myocardial infarction (MI) and clinical-driven target lesion revascularization; BMS: 33 cases, DES: 23 cases, p=0.03 by log-rank test) and 6 cases with definite/probable stent thrombosis (BMS: 5 cases, DES: 1 cases, p=0.09). Inmultivariate Cox analysis, the use of DES was identified as an independent protective factor against cardiovascular death [hazard ratio (HR)=0.34, 95% confidence interval (Cl)=0.15-0.79, p=0.01] and MACE (HR=0.50, 95% CI=0.28-0.88, p=0.02). The clinical outcome analyses in propensity-scorematched the cohort (87 matched pair of patients receiving BMS and DES) and yielded similar results. Conclusions: In the general practice among a high-risk population undergoing unprotected LMPCI, the use of DES appeared to be beneficial in reducing the risk of long-term cardiovascular death and MACE. |
本系統中英文摘要資訊取自各篇刊載內容。