Chan Charles, Lim Yean-Leng, Santoso Teguh, Tresukosol Damras, Lim Yean-Teng, Sonoda Shinjo, Fitzgerald Peter
Department of Cardiology, National Heart Center, Singapore.
Catheter Cardiovasc Interv. 2004 Aug;62(4):439-44. doi: 10.1002/ccd.20066.
The purpose of this study is to demonstrate safety and effectiveness of the S-Stent in de novo coronary lesions treated with conventional percutaneous coronary balloon angioplasty. Between January 2000 and June 2001, 120 patients were prospectively enrolled at four study centers. Patients were treated with coronary stenting in a total of 137 lesions. Procedural success was achieved in 100% of 137 attempted lesions. Clinical success was 99.8%. In-hospital mortality was 0.8%; myocardial infarction occurred in 0.8% and stent thrombosis in 0.8%. After stent implantation, the minimal lumen diameter increased from 0.92 +/- 0.43 to 2.74 +/- 0.36 mm (P < 0.0001) and the percent diameter stenosis decreased from 68.0 +/- 16.2 to 4.5 +/- 12.0 (P < 0.0001). At 6-month follow-up, the percent diameter stenosis was 33.5 +/- 21.3 and the angiographic restenosis rate was 16.5%. Target lesion revascularization was required in 12 patients (10.1%). We conclude that the use of S-Stent for coronary intervention resulted in a high procedural success rate and low angiographic restenosis at 6 months after implantation.
本研究的目的是证明S支架在采用传统经皮冠状动脉球囊血管成形术治疗的初发冠状动脉病变中的安全性和有效性。在2000年1月至2001年6月期间,四个研究中心前瞻性纳入了120例患者。共对137处病变进行了冠状动脉支架置入治疗。137处尝试治疗的病变全部获得手术成功。临床成功率为99.8%。住院死亡率为0.8%;心肌梗死发生率为0.8%,支架血栓形成发生率为0.8%。支架植入后,最小管腔直径从0.92±0.43毫米增加到2.74±0.36毫米(P<0.0001),直径狭窄百分比从68.0±16.2降至4.5±12.0(P<0.0001)。在6个月随访时,直径狭窄百分比为33.5±21.3,血管造影再狭窄率为16.5%。12例患者(10.1%)需要进行靶病变血管重建。我们得出结论,使用S支架进行冠状动脉介入治疗在植入后6个月时手术成功率高,血管造影再狭窄率低。