학술대회 안내 사전등록 안내 초록등록 안내 초록등록/관리 숙박및교통 안내


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ǥ : ȣ - 500080   77 
Complex Lesion Type and low TIMI Flow Are Associated with Stent Thrombosis After Taxus Stent Implantation
전남대학교병원 심장센터, 광주원광대학병원
김인수, 정명호, 박수환, 김정훈, 이두환, 최옥자, 정민아, 박현아, 윤남식, 황선호, 홍영준, 김주한, 안영근, 조정관, 박종춘, 강정채, 박옥규
Background : Major concerns have been raised regarding the stent thrombosis (ST) after drug-eluting stent (DES) implantation. It is uncertain that the relationship between the ST rate and paclitaxel-eluting Taxus stent implantation. Methods: The consecutive 1,749 patients (62.4±10.9 years) were deployed Taxus stent (1,964 stents) in the coronary artery lesions between March 2003 and July 2006. Out of 1,749 patients, 15 patients (0.80%) developed angiographically proven ST. Clinical and angiographic characteristics of the patients were analyzed. Results : One patient suffered from acute ST (6.6%) and 8 patients subacute ST (53.3%) and 6 patients late ST(40.0%). Fourteen patients were male. Clinical diagnosis were AMI in 7 patients (46.6%) and unstable angina in 6 patients (33.3%). Target lesion location was left anterior descending artery in 8 patients (53.3%). Risk factors were smoking in 12 patients (80.0%) and diabetes in 4 patients (26.6%). Lesion characteristics were in-stent restenosis lesion (2 patients, 13.3%), bifurcation lesion (7 patients, 46.6%), and chronic total occlusion (13 patients, 86.6%). There was no ST in overlapped TAXUS stents. The B2/C lesion according to ACC/AHA classification and TIMI flow less than II before stenting were demonstrated in 13 patients (86.6%). Mean stent size and length was 3.2±0.4 mm and 28.8±4.9 mm, respectively. Among these 15patients, one patient died and 14 patients had non-fatal Q-MI. Conclusion : ST rate of Taxus stent was relatively low, but complex lesion type was associated with ST after Taxus stenting.


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