Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, 160012, India.
Department of Cardiology, Vardhman Mahavir Medical College, New Delhi, 110029, India.
Indian Heart J. 2021 Nov-Dec;73(6):733-736. doi: 10.1016/j.ihj.2021.09.006. Epub 2021 Sep 10.
In-stent restenosis and stent thrombosis are the major concerns while choosing a coronary stent. This single-centre, retrospective study evaluated the one and three-year clinical outcomes following implantation of Yukon Choice Flex (YCF) sirolimus-eluting stent. A total of 168 consecutive patients with 217 lesions underwent stenting with YCF stent. The presentation was with acute coronary syndrome in 158 (94%) patients. At 3 years, 9 (5.3%) patients died due to cardiac cause. Myocardial infarction, and definite stent thrombosis occurred in 10 (6%) and 4 (2.4%) patients respectively. Redo stenting and coronary artery bypass surgery was performed in 3 (1.8%) and 1 (0.6%) patient respectively. The use of YCF sirolimus eluting stent was associated with a favourable safety and efficacy profile at one and three-years of follow-up in a high-risk population.
支架内再狭窄和支架内血栓形成是选择冠状动脉支架时的主要关注点。本单中心回顾性研究评估了 Yukon Choice Flex(YCF)西罗莫司洗脱支架植入后的一年和三年临床结果。共有 168 例连续患者的 217 处病变接受了 YCF 支架置入。表现为急性冠状动脉综合征的患者有 158 例(94%)。3 年后,因心脏原因死亡的患者有 9 例(5.3%)。心肌梗死和明确的支架内血栓形成分别发生在 10 例(6%)和 4 例(2.4%)患者中。再次血运重建和冠状动脉旁路移植术分别在 3 例(1.8%)和 1 例(0.6%)患者中进行。在高危人群中,YCF 西罗莫司洗脱支架的使用在一年和三年随访时具有良好的安全性和疗效。