Lựa chọn stent phủ thuốc hay không phủ thuốc

Can thiệp cấp cứu động mạch vành: lựa chọn stent trần hay stent phủ thuốc -TS Nguyễn Cửu Lợi Trung tâm Tim mạch – Bệnh viện Trung Ương Huế Paclitaxel-Eluting Versus Conventional Stent in Myocardial Infarction with ST-Segment Elevation [PASSION] • Randomly assigned 619 patients presenting with STEMI to a paclitaxel-eluting stent (PES) or the similar BMS • The primary end point was the composite of cardiac death, recurrent myocardial infarction, or TLR • Follow-up at years Maarten A Vink, Maurits T Dirksen, Maarten J Suttorp, Jan G.P Tijssen, Jeroen van Etten, Mark S Patterson, Ton Slagboom, Ferdinand Kiemeneij, Gerrit J Laarman Paclitaxel-Eluting Versus Conventional Stent in Myocardial Infarction with ST-Segment Elevation [PASSION] Conclusions In the present analysis of PES compared with BMS in primary percutaneous coronary intervention for STEMI: - No significant difference in major adverse cardiac events was observed - In addition, no difference in the incidence of definite or probable ST was seen, although very late ST was almost exclusively seen after the use of PES J Am Coll Cardiol Intv 2011;4:24–9 Events % Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction: A Pooled Analysis of Individual Patient Data From Seven Randomized Trials Rev Esp Cardiol 2009;62(04):354-64 Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction: A Pooled Analysis of Individual Patient Data From Seven Randomized Trials CONCLUSIONS In conclusion, use of DES in diabetic patients undergoing primary stenting for STEMI reduces the need for repeat intervention without increasing the rate of thrombosis-related events as compared to BMS Rev Esp Cardiol 2009;62(04):354-64 HỘI NGHỊ TIM MẠCH CAN THIỆP 26-27/03/2016 TP Huế [...]... Year 1 Subsequent year Comparison of drug-eluting stents with bare metal stents in patients with ST-segment elevation myocardial infarction (cont’) Overall Year 1 Subsequent year Comparison of drug-eluting stents with bare metal stents in patients with ST-segment elevation myocardial infarction (cont’) Comparison of drug-eluting stents with bare metal stents in patients with ST-segment elevation myocardial... Comparison of drug-eluting stents with bare metal stents in patients with ST-segment elevation myocardial infarction (15 RCT) Bindu Kalesan, Thomas Pilgrim, Katja Heinimann, Lorenz Räber, Giulio G Stefanini, Marco Valgimigli, Bruno R da Costa, François Mach, Thomas F Lüscher, Bernhard Meier, Stephan Windecker, Peter Jüni Comparison of drug-eluting stents with bare metal stents in patients with ST-segment... Schömiga, Adnan Kastratia Rev Esp Cardiol 2009;62(04):354-64 Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction: A Pooled Analysis of Individual Patient Data From Seven Randomized Trials Rev Esp Cardiol 2009;62(04):354-64 Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction:... From Seven Randomized Trials Rev Esp Cardiol 2009;62(04):354-64 Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction: A Pooled Analysis of Individual Patient Data From Seven Randomized Trials Rev Esp Cardiol 2009;62(04):354-64 Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction:... Pilgrim, Katja Heinimann, Lorenz Räber, Giulio G Stefanini, Marco Valgimigli, Bruno R da Costa, François Mach, Thomas F Lüscher, Bernhard Meier, Stephan Windecker, Peter Jüni Paclitaxel-Eluting Stents versus Bare-Metal Stents in Acute Myocardial Infarction Gregg W Stone, M.D., Alexandra J Lansky, M.D., Stuart J Pocock, Ph.D., Bernard J Gersh, M.B., Ch.B., D.Phil., George Dangas, M.D., Ph.D., S Chiu Wong,... 0.83; P=0.002 HR, 1.02; 95% CI, 0.76 to 1.36; P=0.01 HR, 0.97; 95% CI, 0.70 to 1.32; P=0.83 HR, 0.93; 95% CI, 0.59 to 1.47; P=0.77 Stone GW et al N Engl J Med 2009;360:1946-1959 Drug-Eluting Stents Versus Bare-Metal Stents in Diabetic Patients With ST-Segment Elevation Acute Myocardial Infarction: A Pooled Analysis of Individual Patient Data From Seven Randomized Trials Raisuke Iijimaa, Robert A Byrnea,... ST-Segment Elevation Acute Myocardial Infarction: A Pooled Analysis of Individual Patient Data From Seven Randomized Trials CONCLUSIONS In conclusion, use of DES in diabetic patients undergoing primary stenting for STEMI reduces the need for repeat intervention without increasing the rate of thrombosis-related events as compared to BMS Rev Esp Cardiol 2009;62(04):354-64