In:
Catheterization and Cardiovascular Interventions, Wiley, Vol. 96, No. 7 ( 2020-12), p. 1417-1422
Kurzfassung:
In new generation drug eluting stents (DESs) era, the impact of stent geometry on freedom from recurrent events has been poorly explored. Impact of struts thickness and the number of crowns and connectors on clinical outcomes were evaluated in the present study. Methods Randomized controlled trials comparing last generation DESs were selected. The primary endpoint was the rate of target lesion revascularization (TLR), while secondary was definite stent thrombosis (ST). Results Fifty‐three studies with 52,006 patients were included. A struts thickness ≤ 81 nm was associated with a lower incidence of TLR (2.9%: 2.4‐3.4 vs. 3.6%: 3.0‐4.3) and ST (0.8%: 0.6‐1.1 vs. 1.3%: 0.9‐1.8). A mean number of connectors 〉 2.5 was also associated with a lower incidence of TLR (3.2%: 2.8‐3.6 vs. 3.5%: 2.9‐4.2) and ST (1.0%:0.8‐1.3 vs. 1.3%: 0.9‐1.7 vs. for ST). On the other hand, stents with average number of crowns 〈 7.5 did not perform better than stents with higher average number of crowns. Conclusions The findings of the study support that lower struts thickness and higher numbers of connectors have a positive clinical outcome reducing stent thrombosis and target lesion revascularizations, while the average number of stent crowns plays a secondary role.
Materialart:
Online-Ressource
ISSN:
1522-1946
,
1522-726X
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2020
ZDB Id:
2001555-0