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Efficacy and safety of drug-eluting stent implantation for the treatment of in-stent restenosis occurring within bare-metal stent and drug-eluting stent

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2010年第8期11卷 553-560页

作者： Heng GE Qing ZHANG WeiZHOU Qing HE Zhi-hua HAN Ben HE Department of Cardiology Shanghai Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai 200001 China Department of Radiology Shanghai Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai 200001 China

Objective:Although drug-eluting stent(DES) implantation is the primary treatment modality for bare-metal stent(BMS) in-stent restenosis(ISR),little is known about the efficacy and safety profile of DES in the treatment of *** goal of this study was to compare the clinical outcomes following DES treatment for BMS-ISR and ***:Rates of major adverse cardiac events(MACE) were compared in 97 consecutive patients who underwent DES implantation for the treatment of ISR(56 BMS-ISR and 41 DES-ISR) from January 2004 to December ***:Baseline clinical and procedural characteristics were comparable,except that the DES used in the BMS-ISR group was longer and had a larger *** length of follow-up was(28.60±1.96) and(20.34±1.54) months for the BMS-ISR and DES-ISR groups,*** patient(1.8%) experienced non-cardiac mortality and one(1.8%) had target-vessel revascularization(TVR) in the BMS-ISR *** the DES-ISR group,three patients(7.3%) died of sudden death with a documented acute ST-segment elevation myocardial infarction,and three suffered TVR(7.3%).Kaplan-Meier analysis indicated that cumulative survival probability and MACE-free probability were both significantly lower for the DES-ISR group(log rank test P=0.047 and P=0.005,respectively).In Cox regression analysis,DES-ISR remained an independent predictor for future MACE occurrence after adjustment for other factors(compared with BMS-ISR,risk ratio(RR)=8.743,95% confidence interval(CI) 1.54-49.54,P=0.014).Switching to a different type of DES to treat DES-ISR did not improve the ***:DES-ISR patients had a poorer prognosis than BMS-ISR patients after DES therapy.

关键词：关键词动脉粥样硬化 In-stent 狭窄赤裸金属的 stent Drug-eluting stent

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