Tam Chor Cheung, Chan Kelvin, Lam Simon, Yung Arthur, Lam Yui Ming, Chan Carmen, Siu David, Tse Hung Fat
Division of Cardiology, Queen Mary Hospital, University of Hong Kong, Hong Kong.
J Int Med Res. 2018 Jan;46(1):457-463. doi: 10.1177/0300060517717826. Epub 2017 Jul 31.
Objective To evaluate the 1-year clinical outcomes of patients who received the Resolute Onyx™ stent. Methods This was a single-centre, retrospective registry analysis that reviewed the clinical data from all patients who were implanted with a Resolute Onyx™ stent between March 2015 and February 2016. Clinical follow-up was performed at 1 year post-implantation. Results A total of 252 patients received a Resolute Onyx™ stent and two patients were lost to follow-up. The mean age of the cohort was 66.9 years and 113 (45.2%) had diabetes mellitus. Thirty-eight patients (15.2%) had left main disease and 73 (29.2%) had three-vessel disease. A total of 175 patients (70.0%) had small vessel disease (<2.75 mm) and 210 (84.0%) had long lesions (>20 mm). The 1-year target lesion failure was 4.4% (11 of 250), cardiovascular death occurred in eight patients (3.2%), ischaemia-driven target lesion revascularization was undertaken in five patients (2.0%) and stent thrombosis occurred in one patient (0.4%). Conclusion The Resolute Onyx™ stent showed a favourable 1-year clinical performance in a real-world population.
目的 评估接受Resolute Onyx™支架治疗患者的1年临床结局。方法 这是一项单中心回顾性注册分析,回顾了2015年3月至2016年2月期间所有植入Resolute Onyx™支架患者的临床数据。在植入后1年进行临床随访。结果 共有252例患者接受了Resolute Onyx™支架治疗,2例患者失访。该队列的平均年龄为66.9岁,113例(45.2%)患有糖尿病。38例患者(15.2%)患有左主干病变,73例(29.2%)患有三支血管病变。共有175例患者(70.0%)患有小血管病变(<2.75 mm),210例(84.0%)患有长病变(>20 mm)。1年时的靶病变失败率为4.4%(250例中的11例),8例患者(3.2%)发生心血管死亡,5例患者(2.0%)接受了缺血驱动的靶病变血运重建,1例患者(0.4%)发生支架血栓形成。结论 Resolute Onyx™支架在真实世界人群中显示出良好的1年临床性能。