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Coroflex® Please stent shows equivalency to TAXUSTM LibertéTM stent in terms of major cardiac adverse events and stent thrombosis at midterm follow-up
가천의과대학 길병원 심장내과¹
이경훈¹, 안태훈¹, 신권철 ¹ , 강웅철¹ , 한승환¹ , 문찬일¹ , 최인석¹ , 신익균¹
Background: The clinical and angiographic outcome in humans after deployment of stents coated with paclitaxel into de-novo coronary artery lesions and in-stent restenoses was significantly superior to bare stents of same design. Coroflex® Please stent was coated with same drug (paclitaxel with a dose of 1 μg per mm2 of stent surface) as well as TAXUSTM LibertéTM stent but had different stent property and polymer. There are limited data to compare the clinical efficacy and safety between two paclitaxel-eluting stents. Methods: This study was aimed to investigate the comparison of 6 month clinical outcomes between Coroflex® Please stent and TAXUSTM LibertéTM stent. From January 2007 to February 2009, a cohort study of 235 patients has been implanted with paclitaxel eluting stents at our hospital. Among those, 111 patients were implanted with Coroflex® Please stents and 124 patients were done with TAXUSTM LibertéTM stents. Primary end point was major adverse cardiovascular event (MACE) at 6 month. MACE was a composite of cardiac death (CD), myocardial infarction (MI) and target lesion revascularization (TLR). Also stent thromboses (ST) by ARC definition were evaluated. Results: All patients were completed follow-up more than six months. Baseline demographic and procedural characteristics were similar between Coroflex® Please stent- and TAXUSTM LibertéTM stent-group. MACE at 6 month were 8.1% ( 2 CD, 3 MI, 4 TLR) in Coroflex® Please stent-group and 3.2% (1 CD, 1 MI, 2 TLR,) in TAXUSTM LibertéTM stent-group(p=0.102). The stent thrombosis (ST) was 1.8 % in Coroflex® Please stent-group and none in TAXUSTM LibertéTM stent-group (p=0.133). Conclusion: Coroflex® Please stent did not differ from TAXUSTM LibertéTM stent in terms of major adverse cardiac events and stent thrombosis during midterm clinical follow-up. Even though it is figured out that Coroflex® Please stent are equivalent to TAXUSTM LibertéTM stent, a large scaled study with long-term clinical and angiographic follow-up will be required.


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