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One-year outcomes of a NeoHexa sirolimus-eluting coronary stent system with a biodegradable polymer in all-comers coronary artery disease patients: Results from NeoRegistry in India.在所有冠心病患者中使用含可生物降解聚合物的NeoHexa西罗莫司洗脱冠状动脉支架系统的一年期结果:来自印度NeoRegistry的结果。
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Novel completed biodegradable polymer sirolimus-eluting stent versus durable polymer sirolimus-eluting stent in de novo lesions: nine-month angiographic and three-year clinical outcomes of HOPE trial.新型完全可降解聚合物西罗莫司洗脱支架与耐用聚合物西罗莫司洗脱支架治疗初发病变:HOPE试验的9个月血管造影结果及3年临床结局
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5-year results of a randomized comparison of XIENCE V everolimus-eluting and TAXUS paclitaxel-eluting stents: final results from the SPIRIT III trial (clinical evaluation of the XIENCE V everolimus eluting coronary stent system in the treatment of patients with de novo native coronary artery lesions).SPIRIT III 试验的 5 年随机对照研究结果:依维莫司洗脱 XIENCE V 支架与紫杉醇洗脱 Taxus 支架的比较——治疗初发的 native 冠状动脉病变患者的 XIENCE V 依维莫司洗脱冠状动脉支架系统的临床评估。
JACC Cardiovasc Interv. 2013 Dec;6(12):1263-6. doi: 10.1016/j.jcin.2013.07.009. Epub 2013 Nov 13.
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引用本文的文献

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Real-world five-year outcomes of FlexyRap cobalt-chromium rapamycin-eluting stents with biodegradable polymer in patients with coronary artery disease.FlexyRap钴铬雷帕霉素洗脱可生物降解聚合物支架治疗冠状动脉疾病患者的真实世界五年结局
World J Cardiol. 2023 Mar 26;15(3):84-94. doi: 10.4330/wjc.v15.i3.84.

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One-year clinical outcomes of different coronary drug eluting stents-Data from a prospective registry.不同冠状动脉药物洗脱支架的一年临床结局——来自前瞻性注册研究的数据
Indian Heart J. 2018 Jul-Aug;70(4):580-583. doi: 10.1016/j.ihj.2018.05.012. Epub 2018 May 17.
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Randomized Comparison of a Biodegradable Polymer Ultrathin Strut Sirolimus-Eluting Stent With a Biodegradable Polymer Biolimus-Eluting Stent in Patients Treated With Percutaneous Coronary Intervention: The SORT OUT VII Trial.经皮冠状动脉介入治疗患者中可生物降解聚合物超薄支柱西罗莫司洗脱支架与可生物降解聚合物比伐卢定洗脱支架的随机对照比较:SORT OUT VII试验
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Trends in Coronary Heart Disease Epidemiology in India.印度冠心病流行病学趋势。
Ann Glob Health. 2016 Mar-Apr;82(2):307-15. doi: 10.1016/j.aogh.2016.04.002.
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Biodegradable-Polymer Biolimus-Eluting Stents versus Durable-Polymer Everolimus-Eluting Stents at One-Year Follow-Up: A Registry-Based Cohort Study.一年随访期内生物可降解聚合物生物雷帕霉素洗脱支架与耐用聚合物依维莫司洗脱支架的比较:一项基于注册登记的队列研究。
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Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease.经皮冠状动脉介入治疗对稳定型缺血性心脏病患者长期生存的影响。
N Engl J Med. 2015 Nov 12;373(20):1937-46. doi: 10.1056/NEJMoa1505532.
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Final 3-Year Outcome of a Randomized Trial Comparing Second-Generation Drug-Eluting Stents Using Either Biodegradable Polymer or Durable Polymer: NOBORI Biolimus-Eluting Versus XIENCE/PROMUS Everolimus-Eluting Stent Trial.比较使用可生物降解聚合物或耐用聚合物的第二代药物洗脱支架的随机试验的最终3年结果:NOBORI生物素洗脱支架与XIENCE/PROMUS依维莫司洗脱支架试验
Circ Cardiovasc Interv. 2015 Oct;8(10). doi: 10.1161/CIRCINTERVENTIONS.115.002817.
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First-generation versus second-generation drug-eluting stents in current clinical practice: updated evidence from a comprehensive meta-analysis of randomised clinical trials comprising 31 379 patients.当前临床实践中第一代与第二代药物洗脱支架:对纳入31379例患者的随机临床试验进行全面荟萃分析得出的最新证据
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Experience with BioMatrix BES and other DES in all-comers setting: a retrospective overview.BioMatrix BES及其他药物洗脱支架在所有患者中的应用经验:一项回顾性综述。
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One-year clinical outcomes of BioMatrix™-Biolimus A9™ eluting stent: the e-BioMatrix multicenter post marketing surveillance registry in India.BioMatrix™-Biolimus A9™洗脱支架的一年临床结果:印度的e-BioMatrix多中心上市后监测登记研究
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Clinical and angiographic experience with a third-generation drug-eluting Orsiro stent in the treatment of single de novo coronary artery lesions (BIOFLOW-I): a prospective, first-in-man study.第三代药物洗脱 Orsiro 支架治疗单支初发冠状动脉病变的临床和血管造影经验(BIOFLOW-I):一项前瞻性、首例人体研究。
EuroIntervention. 2013 Jan 22;8(9):1006-11. doi: 10.4244/EIJV8I9A155.

在所有冠心病患者中使用含可生物降解聚合物的NeoHexa西罗莫司洗脱冠状动脉支架系统的一年期结果:来自印度NeoRegistry的结果。

One-year outcomes of a NeoHexa sirolimus-eluting coronary stent system with a biodegradable polymer in all-comers coronary artery disease patients: Results from NeoRegistry in India.

作者信息

Jambunathan Rajagopal, Basavanna Dinesh, Vani Preeti, Neuss Malte, Janbandhu Prashant

机构信息

Cauvery Heart and Multispecialty Hospital, Mysore, Karnataka 570011, India.

Medical Division, Sahajanand Laser Technology Ltd., Gandhinagar, Gujarat 382027, India.

出版信息

World J Cardiol. 2019 Aug 26;11(8):200-208. doi: 10.4330/wjc.v11.i8.200.

DOI:10.4330/wjc.v11.i8.200
PMID:31523398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6715581/
Abstract

BACKGROUND

Biodegradable polymer drug-eluting stents (BP-DES) have shown to reduce restenosis rates and have low rates of stent thrombosis. The present postmarketing surveillance assessed 1-year clinical outcomes of patients who had received NeoHexa DES in real practice.

AIM

To investigate 1-year clinical outcomes of Neohexa DES in real practice.

METHODS

Data obtained from a single-center cohort of patients who had received NeoHexa stents as part of routine treatment of coronary artery disease (CAD) were retrospectively investigated. The primary study endpoint was the rate of major adverse cardiac events (MACEs) defined as the composite of death, myocardial infarction (MI), and target lesion revascularization (TLR) during the follow-up at 1 mo, 6 mo, and 1 year after the index procedure.

RESULTS

A total of 129 patients with 172 lesions were enrolled. The most common comorbid conditions were hypertension (49.61%) and diabetes mellitus (39.53%). Procedural success was achieved in all patients, and no in-hospital MACE was reported. The incidence of composite MACE at 30 d, 6 mo, and 1 year was 0.78%, 3.94%, and 4.87%, respectively. The rate of possible and probable late stent thrombosis was 0.78%. The cumulative incidences of death, MI, and TLR at 1 year were 2.44%, 0.81%, and 1.63%, respectively.

CONCLUSION

The relatively low rates of MACE and stent thrombosis in this study support safety and performance of NeoHexa stents, suggesting it to be an effective alternative to other contemporary stents for the treatment of de novo lesions in native coronary arteries.

摘要

背景

可生物降解聚合物药物洗脱支架(BP-DES)已显示出可降低再狭窄率且支架血栓形成率较低。本次上市后监测评估了在实际临床中接受NeoHexa DES的患者的1年临床结局。

目的

调查NeoHexa DES在实际临床中的1年临床结局。

方法

回顾性研究从一个单中心队列中获取的数据,该队列中的患者接受了NeoHexa支架作为冠状动脉疾病(CAD)常规治疗的一部分。主要研究终点是主要不良心脏事件(MACE)发生率,其定义为在首次手术操作后1个月、6个月和1年的随访期间死亡、心肌梗死(MI)和靶病变血运重建(TLR)的复合情况。

结果

共纳入129例患者的172处病变。最常见的合并症是高血压(49.61%)和糖尿病(39.53%)。所有患者手术均成功,且未报告院内发生MACE。30天、6个月和1年时复合MACE的发生率分别为0.78%、3.94%和4.87%。可能和很可能的晚期支架血栓形成率为0.78%。1年时死亡、MI和TLR的累积发生率分别为2.44%、0.81%和1.63%。

结论

本研究中相对较低的MACE和支架血栓形成率支持了NeoHexa支架的安全性和性能,表明它是治疗原发性冠状动脉新发病变的其他当代支架的有效替代方案。