Comparison of drug eluting stents (DESs) and bare metal stents (BMSs) with STEMI: who received BMS in the era of 2nd generation DES?

被引：9

作者：

Doshi, Rajkumar ^{[1
]}

Shah, Jay ^{[2
]}

Jauhar, Varun ^{[1
]}

Decter, Dean ^{[1
]}

Jauhar, Rajiv ^{[1
]}

Meraj, Perwaiz ^{[1
]}

机构：

[1] Northwell Hlth, North Shore Univ Hosp, Dept Cardiol, Manhasset, NY 11030 USA

[2] Univ Toledo, Mercy St Vincent Hosp, Dept Internal Med, 2801 W Bancroft St, Toledo, OH 43606 USA

来源：

HEART & LUNG | 2018年 / 47卷 / 03期

关键词：

Stent; In-hospital outcomes; ST segment elevated myocardial infarction; Cardiac intervention; Predictors; PERCUTANEOUS CORONARY INTERVENTION; DUAL ANTIPLATELET THERAPY; IN-HOSPITAL OUTCOMES; COMORBIDITY MEASURES; DISEASE; REVASCULARIZATION; IMPLANTATION; INSIGHTS; INDEX;

D O I：

10.1016/j.hrtlng.2018.02.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The aim of this study was to analyze the indications for using bare metal stents (BMSs) in hospitalizations with ST segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI). Methods: The study cohorts were identified from the National Inpatient Sample database from 2010-2014 using appropriate, International Classification of Diseases, 9th Revision, Clinical Modification, diagnostic and procedural codes. Results: A total of 123,487 hospitalizations were identified for this study. Drug eluting stent (DES) use demonstrated lower in-hospital mortality (5.8% vs. 3.3%, P = < 0.01) and other in-hospital outcomes, thus resulting in lower hospitalization stay. Higher age, black race, greater comorbidity burden, inferior wall myocardial infarction, and the use of mechanical circulatory devices were all associated with BMS use. Conclusion: DES was the preferred standard of care in the era of 2nd generation DES; however, BMSs were used in hospitalizations with high-risk procedures and multiple risk factors. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：231 / 236

页数：6

共 35 条

[1]

[Anonymous], 2015, TREND WEIGHTS 1993 2

[2] Why Summary Comorbidity Measures Such As the Charlson Comorbidity Index and Elixhauser Score Work [J].

Austin, Steven R. ;

Wong, Yu-Ning ;

Uzzo, Robert G. ;

Beck, J. Robert ;

Egleston, Brian L. .

MEDICAL CARE, 2015, 53 (09) :E65-E72

[3] Impact on In-Hospital Outcomes With Drug-Eluting Stents Versus Bare-Metal Stents (from 665,804 Procedures) [J].

Badheka, Apurva O. ;

Arora, Shilpkumar ;

Panaich, Sidakpal S. ;

Patel, Nileshkumar J. ;

Patel, Nilay ;

Chothani, Ankit ;

Mehta, Kathan ;

Deshmukh, Abhishek ;

Singh, Vikas ;

Savani, Ghanshyambhai T. ;

Agnihotri, Kanishk ;

Grover, Peeyush ;

Lahewala, Sopan ;

Patel, Achint ;

Bambhroliya, Chirag ;

Kondur, Ashok ;

Brown, Michael ;

Elder, Mahir ;

Kaki, Amir ;

Mohammad, Tamam ;

Grines, Cindy ;

Schreiber, Theodore .

AMERICAN JOURNAL OF CARDIOLOGY, 2014, 114 (11) :1629-1637

[4] Drug-Eluting or Bare-Metal Stents for Coronary Artery Disease [J].

Bonaa, K. H. ;

Mannsverk, J. ;

Wiseth, R. ;

Aaberge, L. ;

Myreng, Y. ;

Nygard, O. ;

Nilsen, D. W. ;

Klow, N. -E. ;

Uchto, M. ;

Trovik, T. ;

Bendz, B. ;

Stavnes, S. ;

Bjornerheim, R. ;

Larsen, A. -I. ;

Slette, M. ;

Steigen, T. ;

Jakobsen, O. J. ;

Bleie, O. ;

Fossum, E. ;

Hanssen, T. A. ;

Dahl-Eriksen, O. ;

Njolstad, I. ;

Rasmussen, K. ;

Wilsgaard, T. ;

Nordrehaug, J. E. .

NEW ENGLAND JOURNAL OF MEDICINE, 2016, 375 (13) :1242-1252

[5] Long-Term Use of Ticagrelor in Patients with Prior Myocardial Infarction [J].

Bonaca, Marc P. ;

Bhatt, Deepak L. ;

Cohen, Marc ;

Steg, Philippe Gabriel ;

Storey, Robert F. ;

Jensen, Eva C. ;

Magnani, Giulia ;

Bansilal, Sameer ;

Fish, M. Polly ;

Im, Kyungah ;

Bengtsson, Olof ;

Ophuis, Ton Oude ;

Budaj, Andrzej ;

Theroux, Pierre ;

Ruda, Mikhail ;

Hamm, Christian ;

Goto, Shinya ;

Spinar, Jindrich ;

Nicolau, Jose Carlos ;

Kiss, Robert G. ;

Murphy, Sabina A. ;

Wiviott, Stephen D. ;

Held, Peter ;

Braunwald, Eugene ;

Sabatine, Marc S. ;

Morin, Suzanne ;

Dantzer, Emily ;

Acquilano, Dayle ;

McGuire, Rachael L. ;

Gannon, Joseph B. ;

Gershman, Elaine ;

Ahlbom, Ann Maxe ;

Boberg, Barbro ;

Abola, Maria Teresa ;

Ardissino, Diego ;

Aylward, Philip ;

Corbalan, Ramon ;

Dalby, Anthony ;

Diaz, Rafael ;

Hu, Dayi ;

Isaza, Daniel ;

Kamensky, Gabriel ;

Kiss, Robert ;

Kontny, Frederic ;

Lopez-Sendon, Jose ;

Medina, Felix ;

Montalescot, Gilles ;

Nicolau, Jose ;

Paolasso, Ernesto ;

Parkhomenko, Alexander .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (19) :1791-1800

[6] Factors Associated with the Use of Drug-Eluting Stents in Patients Presenting with Acute ST-Segment Elevation Myocardial Infarction [J].

Chavez, Jose F. ;

Doll, Jacob A. ;

Mediratta, Anuj ;

Maffessanti, Francesco ;

Friant, Janet ;

Paul, Jonathan D. ;

Blair, John E. A. ;

Nathan, Sandeep ;

Jolly, Neeraj ;

Shah, Atman P. .

CARDIOLOGY RESEARCH AND PRACTICE, 2015, 2015

[7] Understanding racial variation in the use of coronary revascularization procedures - The role of clinical factors [J].

Conigliaro, J ;

Whittle, J ;

Good, CB ;

Hanusa, BH ;

Passman, LJ ;

Lofgren, RP ;

Allman, R ;

Ubel, PA ;

O'Connor, M ;

Macpherson, DS .

ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (09) :1329-1335

[8] Comparison of Baseline Characteristics and Inhospital Outcomes of Patients and Use of Bare Metal Versus Drug-Eluting Stents During Percutaneous Coronary Intervention 2005 to 2015 at a Single Tertiary Hospital [J].

Didier, Romain ;

Gaglia, Michael A., Jr. ;

Lipinski, Michael J. ;

Koffman, Edward ;

Kiramijyan, Sarkis ;

Negi, Smita ;

Gai, Jiaxiang ;

Torguson, Rebecca ;

Pichard, Augusto D. ;

Waksman, Ron .

AMERICAN JOURNAL OF CARDIOLOGY, 2017, 119 (09) :1324-1330

[9] Comparison of Outcomes and Complications of Transcatheter Aortic Valve Implantation in Women Versus Men (from the National Inpatient Sample) [J].

Doshi, Rajkumar ;

Shlofmitz, Evan ;

Meraj, Perwaiz .

AMERICAN JOURNAL OF CARDIOLOGY, 2018, 121 (01) :73-77

[10]

Doshi R, 2017, AM J CARDIOL, V120, P1648, DOI [10.1016/j.amjcard.2017.07.065, 10.1016/]

← 1 2 3 4 →