Similar five-year outcome with paclitaxel- and sirolimus-eluting coronary stents
Research output: Contribution to journal › Journal article › Research › peer-review
OBJECTIVE: Millions of patients were treated with the sirolimus-eluting Cypher™ and the paclitaxel-eluting Taxus™ coronary stents with potential late-occurring increase in event rates. Therefore, the long-term outcome follow-up is of major clinical interest.
DESIGN: In total, 2.098 unselected patients with ST-segment elevation myocardial infarction (STEMI), non-STEMI, stable or unstable angina pectoris were randomized to receive Cypher™ (n = 1.065) or Taxus™ (n = 1.033) stents and were followed for 5 years.
RESULTS: The primary end-point; the composite of cardiac death, myocardial infarction and target vessel revascularization (major adverse cardiac event, MACE), occurred in 467 patients (22.3%); Cypher™ n = 222 (20.8%), Taxus™ n = 245 (23.7%), ns. Definite and probable stent thrombosis occurred in 107 patients (5.1%); Cypher™ n = 51 (4.8%), Taxus™ n = 56 (5.4%), ns. No statistically significant differences were found in the elements of the primary end-point or in other secondary end-points between the two stent groups. After one year, the annual rates of stent thrombosis and MACE remained constant.
CONCLUSIONS: During 5-year follow-up, the Cypher™ and the Taxus™ coronary stents had similar clinical outcome with no signs of increasing rates of adverse events over time.
Original language | English |
---|---|
Journal | Scandinavian Cardiovascular Journal |
Volume | 48 |
Issue number | 3 |
Pages (from-to) | 148-155 |
Number of pages | 8 |
ISSN | 1401-7431 |
DOIs | |
Publication status | Published - Jun 2014 |
- Aged, Antineoplastic Agents, Drug-Eluting Stents, Female, Follow-Up Studies, Humans, Male, Middle Aged, Myocardial Infarction, Paclitaxel, Percutaneous Coronary Intervention, Sirolimus
Research areas
ID: 137630470