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Favorable Outcomes after Implantation of Biodegradable Polymer Coated Sirolimus-Eluting Stents in Diabetic Population: Results from INDOLIMUS-G Diabetic Registry.

作者信息

Polavarapu Anurag, Polavarapu Raghava Sarma, Prajapati Jayesh, Raheem Asif, Thakkar Kamlesh, Kothari Shivani, Thakkar Ashok

机构信息

Lalitha Super Speciality Hospital (P) Ltd., Heart and Brain Centre, Kothapet, Guntur, Andhra Pradesh 522001, India.

Apollo Hospitals, Plot No. 1 A, Bhat GIDC Estate, Gandhinagar, Gujarat 382428, India.

出版信息

Int J Vasc Med. 2015;2015:265670. doi: 10.1155/2015/265670. Epub 2015 Sep 2.

Abstract

Objective. The main aim is to evaluate safety, efficacy, and clinical performance of the Indolimus (Sahajanand Medical Technologies Pvt. Ltd., Surat, India) sirolimus-eluting stent in high-risk diabetic population with complex lesions. Methods. It was a multicentre, retrospective, non-randomized, single-arm study, which enrolled 372 diabetic patients treated with Indolimus. The primary endpoint of the study was major adverse cardiac events (MACE), which is a composite of cardiac death, target lesion revascularization (TLR), target vessel revascularization (TVR), myocardial infarction (MI), and stent thrombosis (ST). The clinical follow-ups were scheduled at 30 days, 6 months, and 9 months. Results. The mean age of the enrolled patients was 53.4 ± 10.2 years. A total of 437 lesions were intervened successfully with 483 stents (1.1 ± 0.3 per lesion). There were 256 (68.8%) male patients. Hypertension and totally occluded lesions were found in 202 (54.3%) and 45 (10.3%) patients, respectively. The incidence of MACE at 30 days, 6 months and 9 months was 0 (0%), 6 (1.6%), and 8 (2.2%), respectively. The event-free survival at 9-month follow-up by Kaplan Meier method was found to be 97.8%. Conclusion. The use of biodegradable polymer coated sirolimus-eluting stent is associated with favorable outcomes. The results demonstrated in our study depict its safety and efficacy in diabetic population.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b9d/4572437/ff2e252cd76b/IJVM2015-265670.001.jpg

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