학술대회 안내 사전등록 안내 초록등록 안내 초록등록/관리 숙박및교통 안내


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Long-Term Outcomes After Sirolimus-Eluting Stent Implantation
계명대학교 동산의료원 심장내과
조현옥, 남창욱, 허승호, 김권배, 이현숙, 전동환, 조윤경, 김형섭, 한성욱, 김윤년
Background: Sirolimus-eluting stent (SES) is generally known as the powerful suppression of neointimal hyperplasia. In selected cases, the safety and efficacy of SES were revealed until 4 years. We would like to have the evidence of promising results at long-term (2 year) follow-up in real world practice. Method: 692 patients (male 66.3%, age 61 ± 10) were consecutively enrolled who underwent coronary intervention with SES since April 2003 to July 2004. 2 years clinical outcomes and angiographic follow-up results were analyzed, and were compared with the pooled data of bare metal stent, which were implanted since January 2003 to December. Results: 2 years adverse cardiac events were 4.6 % in SES, 12.8 % in BMS (p<0.001). Other data are in the following table. 2 years clinical follow-up was available 87.3%. Angiographic follow up was available in 54.2%. Conclusion: This analysis of 2 year data collected by single center experience in real world practice suggests a high degree of safety and efficacy of SES, with a similar rate of stent thrombosis in BMS.

Table. Clinical and Angiographic outcomes

% (n)

Group 1 (SES)

Group 2 (BMS)

P value

Patients / Lesions, (n)

375 / 544

217 / 292

?

1 year Death, (%)

1 (0.2)

4 (1.4)

0.055

1 year MACE, (%)

16 (3.1)

32 (11.3)

<0.001

2 year Death, (%)

4 (0.9)

5 (1.8)

0.212

2 year MACE, (%)

21 (4.6)

35 (12.8)

<0.001

Stent thrombosis, (%)

5 (1.1)

8 (2.9)

0.084

ISR, (%)

16 (5.4)

40 (29.2)

<0.001

MACE; major adverse cardiac event, ISR; in-stent restenosis, BMS; bare metal stent



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