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Efficacy and safety of a second-generation biodegradable polymer sirolimus-eluting stent: One-year results of the CREDIT 2 trial

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机构: [1]General Hospital of Shenyang Military Region, Shenyang, China [2]Fu Wai Hospital, National Center for Cardiovascular Diseases, Beijing, China [3]Daqing Oilfield General Hospital, Daqing, China [4]The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China [5]Xijing Hospital of The Fourth Military Medical University, Xi’an, China [6]Tangdu Hospital of The Fourth Military Medical University, Xi’an, China [7]The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China [8]Chinese People’s Armed Police Force General Hospital, Beijing, China [9]Affiliated Anzhen Hospital of Capital Medical University, Beijing, China [10]First Hospital of Shanxi Medical University, Taiyuan, China [11]Zhongda Hospital Southeast University, Nanjing, China [12]Affiliated Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China [13]Shengjing Hospital of China Medical University, Shenyang, China [14]Hebei Ceneral Hospital, Shijiazhuang, China [15]The 306th Hospital of PLA, Beijing, China [16]The 254th Hospital of PLA, Tianjin, China
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关键词: biodegradable-polymer drug-eluting stent interventional cardiology randomized trial

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Aims: We performed a multicenter, randomized controlled trial to determine the noninferiority of a novel biodegradable polymer drug-eluting stent (BP-DES), the EXCEL 2 stent, to the first-generation BP-DES, the EXCEL stent. Methods and Results: Patients (n=419) scheduled to undergo percutaneous coronary intervention (PCI) were randomized to receive either the EXCEL 2 stent (n = 208) or the EXCEL stent (n = 211) from 15 Chinese centers. At 9months, primary endpoint in-stent late loss (LL) difference was-0.03mm (95% confidence interval: -0.09mm to 0.04mm) between the EXCEL 2 group (0.140 +/- 26mm) and the EXCEL group (0.160 +/- 36mm), demonstrating the noninferiority of EXCEL 2 to EXCEL in terms of in-stent LL (P for noninferiority < .0001). Besides, target lesion failure (TLF) was statistically lower in EXCEL 2 group compared with EXCEL through 1year (HR [95%CI] = 0.45 [0.20,0.98], Plog-rank = .04). Definite/probable ST was observed in 0.0% vs 1.9% (P = .12) of EXCEL 2 vs EXCEL-treated subjects. Conclusions: The second-generation BP-DES (EXCEL 2) was noninferior to the first-generation BP-DES (EXCEL) for the primary endpoint of in-stent LL at 9months.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 药学 4 区 心脏和心血管系统
最新[2023]版:
大类 | 4 区 医学
小类 | 3 区 药学 4 区 心脏和心血管系统
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出版当年[2016]版:
Q2 PHARMACOLOGY & PHARMACY Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]General Hospital of Shenyang Military Region, Shenyang, China
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通讯机构: [1]General Hospital of Shenyang Military Region, Shenyang, China [*1]Department of Cardiology, General Hospital of Shenyang Military Region, Shenyang, China.
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