2005, Number 3
Evaluación clínica inmediata y a largo plazo de stents liberadores de fármacos (TAXYS y CYPHER) experiencia institucional
Sánchez HO, Zaragoza RG, Flores FJ, Jiménez VA, Sánchez-Pazarán JL, Blanco CM, Arrieta MEM, Menchi XR
Language: Spanish
References: 14
Page: 45-53
PDF size: 665.80 Kb.
ABSTRACT
Objective. To analyze short and long term evolution of patient with eluting stents. Material and methods. We review 2 group of patients that underwent percutaneous revascularization with eluting stents (TAXYS and CYPHER), to determine their clinical evolution, one group had an immediate follow up and the other group had a long term follow up (2 years), this was done in the department of homodynamic at the “20 de Noviembre National Medical Center” Results. 25 patients were evaluated in total, 11 patients with a short term follow up and 14 patients with an immediate follow up. In the first group 15 stents (CYPHER) were placed, and in the second group 21 stents were placed (19 TAXUS and 2 CYPHER). No patient of group one has required a new revascularization of the treated vessel. A follow up of group one was done in 78% of the patients, and there were no mayor cardiovascular events, death or revascularization needed. 95% of the patients had an angiography, and none of them presented in-stent restenosis. A follow-up of group two was done in all patients, finding only in two patients symptoms of recurrence (Class II CCS), but none of the patients had a myocardial infraction (MI) or the need for a revascularization. There were only two immediate complications due to the stents. Conclusions. With the use of eluting stents we corroborate what it is describe in the literature, it reduces the MI and mayor cardiovascular events incidence. Also reduces the need of revascularization and in-stent restenosis in an immediate and long term follow up.REFERENCES
Serruys PW, Kay IP et al. Periprocedural quantitative coronary angiography after Palmaz Schatz stent implantation predicts the restenosis rate at six months: results of a meta-analysis of the Belgian Netherlands Stent study ( BENESTENT ) I, BENESTENT II Pilot, BENESTENT II and MUSIC trials. Multicenter Ultrasound Stent In Coronaries. J Am Coll Cardiol 1999;34: 1067-1074.