作者
Hae‐Geun Song, Soo‐Jin Kang, Jung‐Min Ahn, Won‐Jang Kim, Jong‐Young Lee, Duk‐Woo Park, Seung‐Whan Lee, Young‐Hak Kim, Cheol Whan Lee, Seong‐Wook Park, Seung‐Jung Park
发表日期
2014/5/1
期刊
Catheterization and Cardiovascular Interventions
卷号
83
期号
6
页码范围
873-878
简介
Objectives and background
The impact of underexpansion and minimal stent area (MSA) criteria in the second generation drug‐eluting stents (DES) has not been addressed yet.
Methods
Using intravascular ultrasound (IVUS), we assessed the optimal cut‐off values of post‐stenting MSA to prevent in‐stent restenosis (ISR). Poststenting IVUS data and 9‐month follow‐up angiography were available in 912 patients with 990 lesions: 541 sirolimus‐eluting stents (SES), 220 zotarolimus‐eluting stents (ZES) and 229 everolimus‐eluting stents (EES).
Results
For the prediction of angiographic ISR, the MSA of each DES was measured. The poststenting MSA was 6.4 ± 1.8 mm2 in SES, 6.2 ± 2.1 mm2 in ZES and 6.2 ± 2.1 mm2 in EES. At the 9‐months follow‐up, the incidence of angiographic ISR was similar between SES (3.3%) vs. ZES (4.5%) vs. EES. (4.4%), (P = 0.53). Multivariable logistic regression analysis …
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