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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.

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。

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本文引用的文献

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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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