TCT2018:阜外医院徐波报告国产生物可吸收支架三年结果:首次证实可吸收支架降解后血管活动更优

2018-09-26 佚名 中国循环杂志

在2018美国经导管心血管治疗年会(TCT2018)的主旨介入研究(Keynote Interventional Studies)专场上,中国医学科学院阜外医院徐波教授报告了迄今全球样本量最大、随访时间最长的比较生物可吸收支架与药物洗脱支架的亚组研究。


在2018美国经导管血管治疗年会(TCT2018)的主旨介入研究(Keynote Interventional Studies)专场上,中国医学科学院阜外医院徐波教授报告了迄今全球样本量最大、随访时间最长的比较生物可吸收支架与药物洗脱支架的亚组研究。
 
NeoVas随机对照试验3年临床结局发现,国产新型生物可吸收支架与药物洗脱支架两组患者靶病变失败率、患者水平的复合终点事件、全因死亡率、心肌梗死发生率、血运重建率等均相似。
 
光学相干断层扫描(OCT)和冠脉血流储备分数(FFR)亚组分析结果显示,完全可吸收支架植入三年后,随着支架的降解,血管活动明显好于金属支架。
 
这是在近十年的可降解支架临床研究中,第一次应用临床数据证实了可吸收支架较金属支架为患者靶血管长期修复带来的明显收益。
 
NeoVas支架系统安全性和有效性的前瞻性、多中心、随机对照试验于2014年12月正式启动,由沈阳军区总医院韩雅玲院士担任主要研究者,中国医学科学院阜外医院徐波教授和浙江大学医学院附属邵逸夫医院傅国胜教授担任共同主要研究者。
 
研究在全国32家医院入组560例拟行择期经皮冠脉介入治疗(PCI)的心肌缺血患者,按1︰1的比例接受NeoVas或钴铬合金依维莫司洗脱支架(CoCr-EES)治疗。其中每组各有80例患者进入OCT和FFR亚组,全部进行支架植入后、一年及三年时的造影、OCT和FFR检查。

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    2018-09-26 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0