A Comparison of Peri-Procedural Myocardial Infarction between Paclitaxel-Coated Balloon and Drug-Eluting Stent on De Novo Coronary Lesions

被引:5
作者
Her, Ae-Young [1 ]
Cho, Kyoung-Im [2 ]
Singh, Gillian Balbir [3 ]
Garg, Scot [4 ]
Kim, Yong Hoon [1 ]
Koo, Bon-Kwon [5 ,6 ]
Shin, Eun-Seok [3 ]
机构
[1] Kangwon Natl Univ, Sch Med, Dept Internal Med, Div Cardiol, Chunchon, South Korea
[2] Kosin Univ, Gospel Hosp, Dept Internal Med, Div Cardiol, Busan, South Korea
[3] Univ Ulsan, Coll Med, Ulsan Univ Hosp, Dept Cardiol, 877 Bangeojinsunhwando Ro, Ulsan 44033, South Korea
[4] East Lancashire Hosp NHS Trust, Blackburn, Lancs, England
[5] Seoul Natl Univ Hosp, Dept Internal Med, Seoul, South Korea
[6] Seoul Natl Univ Hosp, Ctr Cardiovasc, Seoul, South Korea
关键词
Paclitaxel-coated balloon; drug eluting stent; peri-procedural; myocardial infarction; de novo coronary artery; CARDIAC ENZYME ELEVATION; TERM CLINICAL EVENTS; TROPONIN-I; INTERVENTION; INJURY; ANGIOPLASTY; PREDICTORS; ISOENZYME; MORTALITY; MECHANISM;
D O I
10.3349/ymj.2017.58.1.99
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: This study compared the impact of paclitaxel-coated balloons (PCB) or drug eluting stents (DES) on peri-procedural myocardial infarction (PMI) on de novo coronary lesion in stable patients. Materials and Methods: In this observational study, we compared the incidence of PMI amongst patients with single vessel de novo coronary lesions who underwent treatment with a PCB or DES. Propensity score-matching analysis was used to assemble a cohort of patients with similar baseline characteristics. PMI was classified as myocardial infarction occurring within 48 hours after percutaneous coronary intervention with a threshold of 5 x the 99th percentile upper reference limit of normal for creatine kinase-myocardial band (CK-MB) or troponin T (TnT). Results: One hundred four patients (52 receiving PCB and 52 receiving DES) were enrolled in this study. The peak mean values of CK-MB and TnT were significantly higher in the DES group. There was a significantly higher rate of PMI in the DES group (23.1% vs. 1.9%, p=0.002). Total occlusion of the side-branch occurred in two patients treated with DES, while no patients treated with PCB. In multivariable analysis, DES was the only independent predictor of PMI compared with PCB (odds ratio 42.85, 95% confidence interval: 3.44-533.87, p=0.004). Conclusion: Treatment with a PCB on de novo coronary lesion might be associated with a significant reduction in the risk of PMI compared to DES.
引用
收藏
页码:99 / 104
页数:6
相关论文
共 30 条
[21]   Periprocedural myocardial infarction and mortality - Causality versus association [J].
Nallamothu, BK ;
Bates, ER .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 42 (08) :1412-1414
[22]   Prognostic value of troponin after elective percutaneous coronary intervention: A meta-analysis [J].
Nienhuis, Mark B. ;
Ottervanger, Jan Paul ;
Bilo, Henk J. G. ;
Dikkeschei, Bert D. ;
Zijlstra, Felix .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2008, 71 (03) :318-324
[23]   Frequency, causes, predictors, and clinical significance of peri-procedural myocardial infarction following percutaneous coronary intervention [J].
Park, Duk-Woo ;
Kim, Young-Hak ;
Yun, Sung-Cheol ;
Ahn, Jung-Min ;
Lee, Jong-Young ;
Kim, Won-Jang ;
Kang, Soo-Jin ;
Lee, Seung-Whan ;
Lee, Cheol Whan ;
Park, Seong-Wook ;
Park, Seung-Jung .
EUROPEAN HEART JOURNAL, 2013, 34 (22) :1662-1669
[24]   CURRENT CONCEPTS Myocardial Infarction Due to Percutaneous Coronary Intervention [J].
Prasad, Abhiram ;
Herrmann, Joerg .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (05) :453-464
[25]   Long-term clinical events following creatine kinase-myocardial band isoenzyme elevation after successful coronary stenting [J].
Saucedo, JF ;
Mehran, R ;
Dangas, G ;
Hong, MK ;
Lansky, A ;
Kent, KM ;
Satler, LF ;
Pichard, AD ;
Stone, GW ;
Leon, MB .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (05) :1134-1141
[26]   Fractional flow reserve-guided paclitaxel-coated balloon treatment for de novo coronary lesions [J].
Shin, Eun-Seok ;
Ann, Soe Hee ;
Singh, Gillian Balbir ;
Lim, Kyung Hun ;
Kleber, Franz X. ;
Koo, Bon-Kwon .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2016, 88 (02) :193-200
[27]   Comparison of a polymer-based paclitaxel-eluting stent with a bare metal stent in patients with complex coronary artery disease - A randomized controlled trial [J].
Stone, GW ;
Ellis, SG ;
Cannon, L ;
Mann, JT ;
Greenberg, JD ;
Spriggs, D ;
O'Shaughnessy, CD ;
DeMaio, S ;
Hall, P ;
Popma, JJ ;
Koglin, J ;
Russell, ME .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (10) :1215-1223
[28]  
Thygesen K, 2012, EUR HEART J, V33, P2551, DOI [10.1016/j.jacc.2012.08.001, 10.1093/eurheartj/ehs184, 10.1161/CIR.0b013e31826e1058, 10.1016/j.gheart.2012.08.001]
[29]  
VETROVEC GW, 1985, AM HEART J, V109, P921, DOI 10.1016/0002-8703(85)90230-3
[30]   Myocardial infarction adjudication in contemporary all-comer stent trials: balancing sensitivity and specificity. Addendum to the historical MI definitions used in stent studies [J].
Vranckx, Pascal ;
Cutlip, Donald E. ;
Mehran, Roxana ;
Kint, Peter-Paul ;
Silber, Sigmund ;
Windecker, Stephan ;
Serruys, Patrick W. .
EUROINTERVENTION, 2010, 5 (07) :871-874