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Comparison of Clinical Outcomes Among Drug Eluting Stents Implantation In Chronic Total Occlusive Lesion
연세대학교 심장혈관병원 신촌세브란스병원 심장내과,¹ 가천의대 길병원 심장내과,² 충남대학교 의과대학 심장내과,³ 삼성의료원 심장내과,⁴ 경희의료원 심장내과,5 경북대학병원 심장내과,6 일산병원 심장내과,7 단국대학병원 심장내과,8 전남대학병원 심장내과,9 그 외 eCTO 클럽 연구자들
김웅¹ 8, 장양수,¹ 강웅철,² 이재환,³ 최진호,⁴ 김명곤,5 박헌식,6 김병극,7 강태수,8 안영근,9 그외 eCTO 클럽 연구자들
Background and Objectives: In spite of advancement of newer catheter based technologies, recanalization of chronic total occlusion (CTO) is still challenging. The aim of this study is to evaluate the clinical outcomes according to stents after coronary angioplasty in CTO lesions treated with drug eluting stent (DES). Method: Total 336 patients with CTO which had more than 3 months duration and TIMI 0 distal flow shown by coronary angiography and underwent percutaneous coronary intervention (PCI) were enrolled. The patients who had successful procedure were treated with DES. Group 1 (n=116) was defined as patients who had sirolimus eluting stent (SES), Group 2 (n=88) for paclitaxel eluting stent (PES) and Group 3 (n=43) for zotarolimus eluting stent (ZES). Major adverse cardiac events (MACEs) including cardiac death, myocardial infarction (MI), target lesion revascularization (TLR), target vessel revascularization (TVR) were evaluated and compared. Results: All patients were attempted PCI and the procedure was successful in 247 patients (73.5 %). Mean follow up duration was 348±113 days and clinical follow-up rate was 99% (333 of 336). Baseline characteristics among the groups were not significantly different. Total 4 MACEs (1.4%) were detected as 1 TLR and 1 death due to subacute stent thrombosis in Group 1, 1 TLR in Group 2, 1 TVR in Group 3 and there were not statistical significance among groups (p=0.873). Restenosis rate will be presented. Conclusion: DES is safe and effective in patients with CTO and there is no significant differences among DES during PCI for CTO although long-term data have to be needed.


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