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Five-year clinical outcomes of the first Korean-made sirolimus-eluting coronary stent with abluminal biodegradable polymer

This study evaluated the 5-year clinical outcomes of the Genoss DES, the first Korean-made sirolimus-eluting coronary stent with abluminal biodegradable polymer. We previously conducted the first-in-patient prospective, multicenter, randomized trial with a 1:1 ratio of patients using the Genoss DES...

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Detalles Bibliográficos
Autores principales: Seo, Kyoung-Woo, Yang, Hyoung-Mo, Yoon, Junghan, Kim, Hyo-Soo, Chang, Kiyuk, Lim, Hong-Seok, Choi, Byoung-Joo, Choi, So-Yeon, Yoon, Myeong-Ho, Lee, Seung-Hwan, Ahn, Sung Gyun, Youn, Young Jin, Lee, Jun-Won, Koo, Bon-Kwon, Park, Kyung Woo, Yang, Han-Mo, Han, Jung-Kyu, Chung, Wook-Sung, Park, Hun-Jun, Hwang, Byung-Hee, Choo, Eun-Ho, Oh, Gyu-Chul, Tahk, Seung-Jea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133141/
https://www.ncbi.nlm.nih.gov/pubmed/34106607
http://dx.doi.org/10.1097/MD.0000000000025765
Descripción
Sumario:This study evaluated the 5-year clinical outcomes of the Genoss DES, the first Korean-made sirolimus-eluting coronary stent with abluminal biodegradable polymer. We previously conducted the first-in-patient prospective, multicenter, randomized trial with a 1:1 ratio of patients using the Genoss DES and Promus Element stents; the angiographic and clinical outcomes of the Genoss DES stent were comparable to those of the Promus Element stent. The primary endpoint was major adverse cardiac events (MACE), which was a composite of death, myocardial infarction (MI), and target lesion revascularization (TLR) at 5 years. We enrolled 38 patients in the Genoss DES group and 39 in the Promus Element group. Thirty-eight patients (100%) from the Genoss DES group and 38 (97.4%) from the Promus Element group were followed up at 5 years. The rates of MACE (5.3% vs 12.8%, P = .431), death (5.3% vs 10.3%, P = .675), TLR (2.6% vs 2.6%, P = 1.000), and target vessel revascularization (TVR) (7.9% vs 2.6%, P = .358) at 5 years did not differ significantly between the groups. No TLR or target vessel revascularization was reported from years 1 to 5 after the index procedure, and no MI or stent thrombosis occurred in either group during 5 years. The biodegradable polymer Genoss DES and durable polymer Promus Element stents showed comparable low rates of MACE at the 5-year clinical follow-up.