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Predictors of Stent Fracture in Patients Treated with Closed-Cell Designed Stent: Sirolimus-Eluting Stent and Its Bare-Metal Platform, BX Velocity Stent
성애병원¹ 연세대학교 강남세브란스병원²
박상민¹, 홍범기² 김종윤² 이병권² 민필기² 임세중² 문희선² 권성우² 이성주² 박종관² 권혁문² 심상준¹ 김삼수¹
Objective: The aim of this study is to evaluate the predictors of coronary stent fracture (SF) in the patients treated with closed-cell designed stent including sirolimus-eluting stent (SES) and its bare-metal platform, Bx velocity stent (BVS). Background: Various mechanical factors have been considered to be the predictors of SF especially in patient treated with SES. However, it is unknown whether SES is more prone to fracture compared to its bare-metal platform, BX Velocity stent. Methods: We retrospectively analyzed 391 lesions treated with SES or BVS in 339 patients underwent follow-up coronary angiography. Results: Total 30 SFs (7.7%) in 28 patients treated with 29 SES (96.7%) and 1 BVS (3.3%) were found. On univariate analyses, SF was related to the angulated lesion (> 45˚) during diastole, longer stent, larger number of stents per lesion (p < 0.001), right coronary artery (RCA) placement (p = 0.008), and SES (p = 0.016). On the multivariate analyses, however, angulated lesion (OR 6.73, 95% CI 2.71-16.71, p < 0.001) and RCA placement (OR 2.82, 95% CI 1.03-7.72, p = 0.044) served as the independent predictor of SF while SES (p = 0.080) and total stent length (p = 0.069) showed only a trend without statistical significance. Conclusions: This study showed that fracture of SES or BVS with same closed-cell typed platform was related to the angulated lesion and RCA placement, but SES itself was not an independent predictor of SF.
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