Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients

Background: Cardiovascular disease in Asia has reached epidemic proportions in recent years. Use of drug eluting stents in Asians has rapidly expanded with varying penetration rates across different countries. The XIENCE V® INDIA Study included ‘real world’ patients who underwent XIENCE V® stent imp...

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Main Authors: Ashok Seth, Tejas M. Patel, Marrianne Stuteville, Ravindra Kumar, Ajit S. Mullasari, Upendra Kaul, Rony Mathew, A. Sreenivas Kumar, Shih-Wa Ying, Krishnankutty Sudhir
Format: Article
Language:English
Published: Elsevier 2014-05-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483214001217
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author Ashok Seth
Tejas M. Patel
Marrianne Stuteville
Ravindra Kumar
Ajit S. Mullasari
Upendra Kaul
Rony Mathew
A. Sreenivas Kumar
Shih-Wa Ying
Krishnankutty Sudhir
author_facet Ashok Seth
Tejas M. Patel
Marrianne Stuteville
Ravindra Kumar
Ajit S. Mullasari
Upendra Kaul
Rony Mathew
A. Sreenivas Kumar
Shih-Wa Ying
Krishnankutty Sudhir
author_sort Ashok Seth
collection DOAJ
description Background: Cardiovascular disease in Asia has reached epidemic proportions in recent years. Use of drug eluting stents in Asians has rapidly expanded with varying penetration rates across different countries. The XIENCE V® INDIA Study included ‘real world’ patients who underwent XIENCE V® stent implantation to assess short and intermediate term outcomes in Indian patients with diverse risk factors. Objective: To evaluate 3-year clinical outcomes in a cohort of ‘real world’ Indian patients with CAD being treated with XIENCE V® Everolimus Eluting Coronary Stent System. Methods: 1000 patients were enrolled from 18 sites in India between June 2008 and March 2009. Patients were included if their index procedures were completed using only XIENCE V®. There were no clinical or angiographic exclusions. An independent Clinical Events Committee adjudicated all endpoint-related events. The primary endpoint was stent thrombosis rate annually through to 3 years as defined by the Academic Research Consortium criteria. The co-primary endpoint was the composite rate of cardiac death and myocardial infarction at 1 year. Results: At 1-year the primary endpoint of definite/probable stent thrombosis rate was 0.51%. No additional very late stent thrombosis was reported through a 3-year follow up. The composite endpoint of cardiac death and any myocardial infarction was 1.9%, 2.7% and 3.1% at 1, 2 and 3 years respectively. Conclusion: Despite the high risk population of coronary artery disease, the use of XIENCE V® in 'real world' Indian patients was associated with very low clinical event rates upto three years of follow up.
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spelling doaj.art-5547f0aece684850baf56e6bd3a47db82022-12-21T19:24:45ZengElsevierIndian Heart Journal0019-48322014-05-0166330230810.1016/j.ihj.2014.03.007Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patientsAshok Seth0Tejas M. Patel1Marrianne Stuteville2Ravindra Kumar3Ajit S. Mullasari4Upendra Kaul5Rony Mathew6A. Sreenivas Kumar7Shih-Wa Ying8Krishnankutty Sudhir9Chairman – Cardiovascular Sciences & Chief Cardiologist, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, IndiaAppex Heart Institute, Ahmedabad, IndiaAbbott Vascular, Diegem, BelgiumAbbott Vascular, Bangalore, IndiaInstitute of Cardiovascular Disease, Madras Medical Mission, Chennai, IndiaFortis Escorts Heart Institute, New Delhi, IndiaLisie Hospital, Kochi, IndiaContinental Institute of Cardiovascular Sciences, Hyderabad, IndiaAbbott Vascular, Santa Clara, USAAbbott Vascular, Santa Clara, USABackground: Cardiovascular disease in Asia has reached epidemic proportions in recent years. Use of drug eluting stents in Asians has rapidly expanded with varying penetration rates across different countries. The XIENCE V® INDIA Study included ‘real world’ patients who underwent XIENCE V® stent implantation to assess short and intermediate term outcomes in Indian patients with diverse risk factors. Objective: To evaluate 3-year clinical outcomes in a cohort of ‘real world’ Indian patients with CAD being treated with XIENCE V® Everolimus Eluting Coronary Stent System. Methods: 1000 patients were enrolled from 18 sites in India between June 2008 and March 2009. Patients were included if their index procedures were completed using only XIENCE V®. There were no clinical or angiographic exclusions. An independent Clinical Events Committee adjudicated all endpoint-related events. The primary endpoint was stent thrombosis rate annually through to 3 years as defined by the Academic Research Consortium criteria. The co-primary endpoint was the composite rate of cardiac death and myocardial infarction at 1 year. Results: At 1-year the primary endpoint of definite/probable stent thrombosis rate was 0.51%. No additional very late stent thrombosis was reported through a 3-year follow up. The composite endpoint of cardiac death and any myocardial infarction was 1.9%, 2.7% and 3.1% at 1, 2 and 3 years respectively. Conclusion: Despite the high risk population of coronary artery disease, the use of XIENCE V® in 'real world' Indian patients was associated with very low clinical event rates upto three years of follow up.http://www.sciencedirect.com/science/article/pii/S0019483214001217Coronary artery diseaseDrug-eluting stentXIENCE V®Percutaneous coronary interventionXIENCE V® INDIA
spellingShingle Ashok Seth
Tejas M. Patel
Marrianne Stuteville
Ravindra Kumar
Ajit S. Mullasari
Upendra Kaul
Rony Mathew
A. Sreenivas Kumar
Shih-Wa Ying
Krishnankutty Sudhir
Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients
Indian Heart Journal
Coronary artery disease
Drug-eluting stent
XIENCE V®
Percutaneous coronary intervention
XIENCE V® INDIA
title Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients
title_full Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients
title_fullStr Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients
title_full_unstemmed Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients
title_short Three-year data from the XIENCE V® INDIA study: Safety and efficacy of XIENCE V® in 1000 real world Indian patients
title_sort three year data from the xience v r india study safety and efficacy of xience v r in 1000 real world indian patients
topic Coronary artery disease
Drug-eluting stent
XIENCE V®
Percutaneous coronary intervention
XIENCE V® INDIA
url http://www.sciencedirect.com/science/article/pii/S0019483214001217
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