학술대회 안내 사전등록 안내 초록등록 안내 초록등록/관리 숙박및교통 안내


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ǥ : ȣ - 490223   3 
Effect of PAclitaxol vs Sirolimus Coated Stent on Restenosis in Patients with DiAbetus MelLitus (PASCAL trial)
동아의대 순환기내과¹, 고려의대 순환기내과², 성균관의대 삼성서울병원 순환기내과 ³, 경북의대 순환기내과⁴, 건양의대 순환기내과5, 계명의대 순환기내과5
홍순준², 김무현¹ , 차광수¹ , 김혜진¹ , 임도선² , 권현철³ , 박헌식⁴, 채성철⁴, 배장호5, 허승호6
Background: Drug eluting stents(DES) had been reported to have favorable results in various clinical settings. However, their role in diabetic patients has not been evaluated fully. Therefore we tried to evaluate the effects of 2 different DES on diabetic patients. Methods: From April 2003 to January 2005, 190 lesions in 169 patients (mean age 62±8, male: 112) were randomly assigned to use DES in a 5 different centers. Two coronary arteries were allowed to enroll in a single patient. Exclusion criteria were as follows: serum creatinine>3.0 mg/dL, reference vessel size<2.0 mm, diffuse lesion requiring more than 3 DES. Results: Treated arteries were LAD in 92(48%), LCx in 34(18%) and RCA in 64 lesions(34%). Risk factors were hypertension in 111(66%), hypercholesterolemia in 52(33%) and current smoker in 46(28%). Multivessel interventions were done in 29(17%) and multiple overlapping stents were inserted in 16(8%). Clinical data are listed in the table. Six-month angiographic follow-up was done in 105(55.3%) of the patients so far. Restenosis occurred in 3(5.8%) of cypher and 4(7.5%) of taxus arm. Conclusion: Both DES showed low 6-month restenosis rate so far. Final results will be presented.
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Table. Clinical data of the study groups

 

Characteristics

Cypher (n=95)

Taxus (n=95)

p

Age (years)

62.9±8.0

61.5±8.9

0.314

Risk factors (%)

 

 

 

  Hypertension

54(65.1)

67(67.1)

0.784

  Hypercholesterolemia

25(30.1)

28(32.9)

0.694

  Current smoker

20(24.1)

26(31.0)

0.321

Diabetic medication

 

 

 

  No medication

9(10.8)

7(8.2)

0.608

  Oral hypoglycemics

57(68.7)

65(76.5)

0.301

  Insulin therapy

14(16.9)

8(9.4)

0.175

Restenosis (%)

3(5.8)

4(7.5)

0.644



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