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 in | Journal of Korean medical science Vol. 28; no. 11; pp. 1609 - 1614 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
The Korean Academy of Medical Sciences
01.11.2013
대한의학회 |
Subjects | |
Online Access | Get full text |
ISSN | 1011-8934 1598-6357 1598-6357 |
DOI | 10.3346/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. |
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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, |
AuthorAffiliation_xml | – name: 1 Division of Cardiology, Yeungnam University Medical Center, Daegu, Korea – name: 9 Division of Cardiology, Gwangju Christian Hospital, Gwangju, Korea – name: 16 Division of Cardiology, Kyungsang National University Hospital, Jinju, Korea – name: 3 Division of Cardiology, Chungbuk National University Hospital, Cheongju, Korea – name: 10 Division of Cardiology, St. Carollo Hospital, Sooncheon, Korea – name: 8 Division of Cardiology, Wonkwang University Hospital, Iksan, Korea – name: 15 Division of Cardiology, Donga University Hospital, Busan, Korea – name: 17 Division of Cardiology, Inje University Haeundae Paik Hospital, Busan, Korea – name: 6 Division of Cardiology, Dankuk Unversity Hospital, Cheonan, Korea – name: 12 Division of Cardiology, Keimyung Univerisity Dongsan Hospital, Daegu, Korea – name: 4 Division of Cardiology, Kunyang University Hospital, Daejeon, Korea – name: 18 Division of Cardiology, Maryknoll Medical Center, Busan, Korea – name: 2 Division of Cardiology, Chonnam National University, Gwangju, Korea – name: 5 Division of Cardiology, Chungnam National University Hospital, Daejeon, Korea – name: 13 Division of Cardiology, Daegu Catholic University Hospital, Daegu, Korea – name: 11 Division of Cardiology, Kwangju Veterans Hospital, Gwangju, Korea – name: 7 Division of Cardiology, Eulji University Hospital, Daejeon, Korea – name: 14 Division of Cardiology, Kyungpook National University Hospital, Daegu, Korea |
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CitedBy_id | crossref_primary_10_1007_s12181_017_0202_9 crossref_primary_10_3346_jkms_2024_39_e234 crossref_primary_10_1016_j_rec_2014_07_011 crossref_primary_10_4244_EIJ_D_17_00646 crossref_primary_10_1016_j_recesp_2014_07_012 crossref_primary_10_1161_CIRCULATIONAHA_115_016779 |
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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 |
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