Comparison of zotarolimus-eluting and sirolimus-eluting coronary stents: a study from the Western Denmark Heart Registry

<p>Abstract</p> <p>Background</p> <p>We evaluated the effectiveness and safety of a zotarolimus-eluting (ZES) versus a sirolimus-eluting (SES) coronary stent in a large cohort of patients treated with one of these stents in Western Denmark.</p> <p>Methods<...

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Bibliographic Details
Main Authors: Maeng Michael, Jensen Lisette, Kaltoft Anne, Tilsted Hans-Henrik, Christiansen Evald, Thayssen Per, Madsen Morten, Sørensen Henrik, Lassen Jens, Thuesen Leif
Format: Article
Language:English
Published: BMC 2012-10-01
Series:BMC Cardiovascular Disorders
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Online Access:http://www.biomedcentral.com/1471-2261/12/84
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Summary:<p>Abstract</p> <p>Background</p> <p>We evaluated the effectiveness and safety of a zotarolimus-eluting (ZES) versus a sirolimus-eluting (SES) coronary stent in a large cohort of patients treated with one of these stents in Western Denmark.</p> <p>Methods</p> <p>A total of 6,122 patients treated with ZES (n=2,282) or SES (n=3,840) were followed for up to 27 months. We ascertained clinical outcomes based on national medical databases.</p> <p>Results</p> <p>Incidence of target lesion revascularization (no. per 100 person-years) was 5.3 in the ZES group compared to 1.9 in the SES group (adjusted hazard ratio (HR)=2.19, 95% confidence intervals (CI): 1.39-3.47; <it>p</it>=0.001). All-cause mortality was also higher in the ZES group (ZES: 6.3; SES: 3.3; adjusted HR=1.34, 95% CI: 1.05-1.72; <it>p</it>=0.02), while stent thrombosis (ZES: 1.2; SES: 0.5; adjusted HR=1.98, 95% CI: 0.75-5.23; <it>p</it>=0.14) did not differ significantly.</p> <p>Conclusions</p> <p>In agreement with previously published randomised data, this observational study indicated that the ZES was associated with an increased risk of death and TLR in a large cohort of consecutive patients.</p>
ISSN:1471-2261