Am Heart J:佐他莫司洗脱支架抗再狭窄效果更佳

2012-11-27 高晓方译 医学论坛网

  德国学者的一项研究表明,Resolute佐他莫司洗脱支架(R-ZES)的抗再狭窄效果优于Endeavor佐他莫司洗脱支架(Z-ZES)。论文于2012年11月21日在线发表于《美国心脏杂志》(Am Heart J)。   R-ZES和Z-ZES采用了相同的金属平台和抗再狭窄药物,但前者包被有可增强药物释放的生物相容性聚合物。此项研究分别纳入了1000例和339例接受R-Z

  德国学者的一项研究表明,Resolute佐他莫司洗脱支架(R-ZES)的抗再狭窄效果优于Endeavor佐他莫司洗脱支架(Z-ZES)。论文于2012年11月21日在线发表于《美国心脏杂志》(Am Heart J)。

  R-ZES和Z-ZES采用了相同的金属平台和抗再狭窄药物,但前者包被有可增强药物释放的生物相容性聚合物。此项研究分别纳入了1000例和339例接受R-ZES和Z-ZES治疗的患者。有效性终点为目标病变血运重建,安全性终点则由目标血管相关性心源性死亡或心梗发生率以及随访2年时确定性支架血栓形成发生率所组成。

  结果显示,2年时R-ZES组和Z-ZES组目标病变血运重建发生率分别为12.0%和16.0%[危险比(HR)0.72;P=0.052]。两组患者的心源性死亡或心梗发生率分别为5.5%和4.8%,明确支架血栓形成发生率分别为0.4%和0.6%。血管造影再狭窄的所有指标均有利于R-ZES;R-ZES组和Z-ZES组支架内晚期管腔丧失分别为0.29±0.56和0.58 ±0.55(P<0.0001)。

  链接:

  Comparative efficacy of 2 zotarolimus-eluting stent generations: Resolute versus endeavor stents in patients with coronary artery disease



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    2012-11-29 zhaojie88
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    2012-11-29 slcumt

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