A Prospective, Randomized Comparison of Promus Everolimus-Eluting and TAXUS Liberte Paclitaxel-Eluting Stent Systems in Patients with Coronary Artery Disease Eligible for Percutaneous Coronary Intervention: The PROMISE Study

We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting...

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Published inJournal of Korean medical science Vol. 28; no. 11; pp. 1609 - 1614
Main Authors Kim, Ung, Lee, Chan-Hee, Jo, Jung-Hwan, Lee, Hyun-Wook, Choi, Yoon-Jung, Son, Jang-Won, Lee, Sang-Hee, Park, Jong-Seon, Shin, Dong-Gu, Kim, Young-Jo, Jeong, Myung-Ho, Cho, Myung-Chan, Bae, Jang-Ho, Lee, Jae-Hwan, Kang, Tae-Soo, Jung, Kyung-Tae, Jung, Kyung-Ho, Lee, Seung-Wook, Cho, Jang-Hyun, Kim, Won, Hur, Seung-Ho, Kim, Ki-Sik, Park, Heon-Sik, Kim, Moo-Hyun, Hwang, Jin-Yong, Kim, Doo-Il, Kim, Tae-Ik
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Academy of Medical Sciences 01.11.2013
대한의학회
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Online AccessGet full text
ISSN1011-8934
1598-6357
1598-6357
DOI10.3346/jkms.2013.28.11.1609

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Abstract We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting stent (EES) or paclitaxel-eluting stent (PES) groups. The primary end-point was ischemia-driven target vessel revascularization (TVR) at 2 yr after intervention, and the secondary end-point was a major adverse cardiac event (MACE), such as death, myocardial infarction (MI), target lesion revascularization (TLR), TVR or stent thrombosis. A total of 850 patients with 1,039 lesions was randomized to the EES (n=425) and PES (n=425) groups. Ischemic-driven TVR at 2 yr was 3.8% in the PES and 1.2% in the EES group (P for non-inferiority=0.021). MACE rates were significantly different; 5.6% in PES and 2.5% in EES (P = 0.027). Rates of MI (0.8% in PES vs 0.2% in EES, P = 0.308), all deaths (1.5% in PES vs 1.2% in EES, P = 0.739) and stent thrombosis (0.3% in PES vs 0.7% in EES, P = 0.325) were similar. The clinical outcomes of EES are superior to PES, mainly due to a reduction in the rate of ischemia-driven TVR.
AbstractList We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting stent (EES) or paclitaxel-eluting stent (PES) groups. The primary end-point was ischemia-driven target vessel revascularization (TVR) at 2 yr after intervention, and the secondary end-point was a major adverse cardiac event (MACE), such as death, myocardial infarction (MI), target lesion revascularization (TLR), TVR or stent thrombosis. A total of 850 patients with 1,039 lesions was randomized to the EES (n=425) and PES (n=425) groups. Ischemic-driven TVR at 2 yr was 3.8% in the PES and 1.2% in the EES group ( P for non-inferiority=0.021). MACE rates were significantly different; 5.6% in PES and 2.5% in EES ( P = 0.027). Rates of MI (0.8% in PES vs 0.2% in EES, P = 0.308), all deaths (1.5% in PES vs 1.2% in EES, P = 0.739) and stent thrombosis (0.3% in PES vs 0.7% in EES, P = 0.325) were similar. The clinical outcomes of EES are superior to PES, mainly due to a reduction in the rate of ischemia-driven TVR.
We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting stent (EES) or paclitaxel-eluting stent (PES) groups. The primary end-point was ischemia-driven target vessel revascularization (TVR) at 2 yr after intervention, and the secondary end-point was a major adverse cardiac event (MACE), such as death, myocardial infarction (MI), target lesion revascularization (TLR), TVR or stent thrombosis. A total of 850 patients with 1,039 lesions was randomized to the EES (n=425) and PES (n=425) groups. Ischemic-driven TVR at 2 yr was 3.8% in the PES and 1.2% in the EES group (P for non-inferiority=0.021). MACE rates were significantly different; 5.6% in PES and 2.5% in EES (P = 0.027). Rates of MI (0.8% in PES vs 0.2% in EES, P = 0.308), all deaths (1.5% in PES vs 1.2% in EES, P = 0.739) and stent thrombosis (0.3% in PES vs 0.7% in EES, P = 0.325) were similar. The clinical outcomes of EES are superior to PES, mainly due to a reduction in the rate of ischemia-driven TVR.
We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting stent (EES) or paclitaxel-eluting stent (PES) groups. The primary end-point was ischemia-driven target vessel revascularization (TVR) at 2 yr after intervention, and the secondary end-point was a major adverse cardiac event (MACE), such as death, myocardial infarction (MI), target lesion revascularization (TLR), TVR or stent thrombosis. A total of 850 patients with 1,039 lesions was randomized to the EES (n=425) and PES (n=425) groups. Ischemic-driven TVR at 2 yr was 3.8% in the PES and 1.2% in the EES group (P for non-inferiority=0.021). MACE rates were significantly different; 5.6% in PES and 2.5% in EES (P=0.027). Rates of MI (0.8% in PES vs 0.2% in EES, P=0.308), all deaths (1.5% in PES vs 1.2% in EES, P=0.739) and stent thrombosis (0.3% in PES vs 0.7% in EES, P=0.325) were similar. The clinical outcomes of EES are superior to PES, mainly due to a reduction in the rate of ischemia-driven TVR. KCI Citation Count: 2
We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting stent (EES) or paclitaxel-eluting stent (PES) groups. The primary end-point was ischemia-driven target vessel revascularization (TVR) at 2 yr after intervention, and the secondary end-point was a major adverse cardiac event (MACE), such as death, myocardial infarction (MI), target lesion revascularization (TLR), TVR or stent thrombosis. A total of 850 patients with 1,039 lesions was randomized to the EES (n=425) and PES (n=425) groups. Ischemic-driven TVR at 2 yr was 3.8% in the PES and 1.2% in the EES group (P for non-inferiority=0.021). MACE rates were significantly different; 5.6% in PES and 2.5% in EES (P = 0.027). Rates of MI (0.8% in PES vs 0.2% in EES, P = 0.308), all deaths (1.5% in PES vs 1.2% in EES, P = 0.739) and stent thrombosis (0.3% in PES vs 0.7% in EES, P = 0.325) were similar. The clinical outcomes of EES are superior to PES, mainly due to a reduction in the rate of ischemia-driven TVR.We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice. Patients with objective evidence of ischemia and coronary artery disease eligible for PCI were prospectively randomized to everolimus-eluting stent (EES) or paclitaxel-eluting stent (PES) groups. The primary end-point was ischemia-driven target vessel revascularization (TVR) at 2 yr after intervention, and the secondary end-point was a major adverse cardiac event (MACE), such as death, myocardial infarction (MI), target lesion revascularization (TLR), TVR or stent thrombosis. A total of 850 patients with 1,039 lesions was randomized to the EES (n=425) and PES (n=425) groups. Ischemic-driven TVR at 2 yr was 3.8% in the PES and 1.2% in the EES group (P for non-inferiority=0.021). MACE rates were significantly different; 5.6% in PES and 2.5% in EES (P = 0.027). Rates of MI (0.8% in PES vs 0.2% in EES, P = 0.308), all deaths (1.5% in PES vs 1.2% in EES, P = 0.739) and stent thrombosis (0.3% in PES vs 0.7% in EES, P = 0.325) were similar. The clinical outcomes of EES are superior to PES, mainly due to a reduction in the rate of ischemia-driven TVR.
Author Kim, Tae-Ik
Jung, Kyung-Tae
Lee, Hyun-Wook
Bae, Jang-Ho
Jo, Jung-Hwan
Park, Jong-Seon
Kim, Won
Hwang, Jin-Yong
Lee, Jae-Hwan
Cho, Jang-Hyun
Kim, Ki-Sik
Son, Jang-Won
Cho, Myung-Chan
Lee, Seung-Wook
Jeong, Myung-Ho
Kim, Ung
Lee, Chan-Hee
Park, Heon-Sik
Choi, Yoon-Jung
Kim, Moo-Hyun
Shin, Dong-Gu
Kim, Young-Jo
Kang, Tae-Soo
Kim, Doo-Il
Lee, Sang-Hee
Hur, Seung-Ho
Jung, Kyung-Ho
AuthorAffiliation 3 Division of Cardiology, Chungbuk National University Hospital, Cheongju, Korea
1 Division of Cardiology, Yeungnam University Medical Center, Daegu, Korea
9 Division of Cardiology, Gwangju Christian Hospital, Gwangju, Korea
11 Division of Cardiology, Kwangju Veterans Hospital, Gwangju, Korea
5 Division of Cardiology, Chungnam National University Hospital, Daejeon, Korea
2 Division of Cardiology, Chonnam National University, Gwangju, Korea
4 Division of Cardiology, Kunyang University Hospital, Daejeon, Korea
7 Division of Cardiology, Eulji University Hospital, Daejeon, Korea
12 Division of Cardiology, Keimyung Univerisity Dongsan Hospital, Daegu, Korea
16 Division of Cardiology, Kyungsang National University Hospital, Jinju, Korea
13 Division of Cardiology, Daegu Catholic University Hospital, Daegu, Korea
18 Division of Cardiology, Maryknoll Medical Center, Busan, Korea
8 Division of Cardiology, Wonkwang University Hospital, Iksan, Korea
15 Division of Cardiology, Donga University Hospital, Busan,
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Issue 11
Keywords Everolimus-Eluting Stent
Paclitaxel-Eluting Stent
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Snippet We aimed comparing two-year clinical outcomes of the Everolimus-Eluting Promus and Paclitaxel-Eluting TAXUS Liberte stents used in routine clinical practice....
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SubjectTerms Antineoplastic Agents, Phytogenic - administration & dosage
Antineoplastic Agents, Phytogenic - therapeutic use
Coronary Artery Disease - drug therapy
Coronary Artery Disease - mortality
Coronary Restenosis - prevention & control
Drug-Eluting Stents
Everolimus
Female
Humans
Immunosuppressive Agents - administration & dosage
Immunosuppressive Agents - therapeutic use
Male
Middle Aged
Original
Paclitaxel - administration & dosage
Paclitaxel - therapeutic use
Percutaneous Coronary Intervention - methods
Prospective Studies
Sirolimus - administration & dosage
Sirolimus - analogs & derivatives
Sirolimus - therapeutic use
Thrombosis
Treatment Outcome
의학일반
Title A Prospective, Randomized Comparison of Promus Everolimus-Eluting and TAXUS Liberte Paclitaxel-Eluting Stent Systems in Patients with Coronary Artery Disease Eligible for Percutaneous Coronary Intervention: The PROMISE Study
URI https://www.ncbi.nlm.nih.gov/pubmed/24265523
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https://pubmed.ncbi.nlm.nih.gov/PMC3835502
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Volume 28
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