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• W3115149346 abstract "The ideal drug-eluting stent (DES) for the treatment of unprotected left main coronary artery (ULMCA) is unknown. We compared percutaneous coronary intervention (PCI) using durable polymers versus early-generation, thicker strutted and coated bioabsorbable polymers for ULMCA disease. Patients who underwent ULMCA PCI (893 patients) from April 2008 to November 2014 were identified from the Grand-DES registry. The primary end point was 3-year target lesion failure (TLF) after propensity score matching . The final analysis included 754 patients (84.4%) and 139 patients (15.6%) in the durable and bioabsorbable polymer group, respectively. The groups differed significantly in lesion and procedural characteristics. Propensity score-matched analysis revealed a trend toward a lower 3-year TLF in the durable polymer group (log rank p =0.071). Independent predictors of 3-year TLF were chronic kidney disease , presentation with acute myocardial infarction , and a two-stenting technique for ULMCA lesions. Definite/probable stent thrombosis rates at 3-years were low in both groups (0.8% vs. 0.7%, p =0.925). The safety of ULCMA PCI was excellent, and durable and bioabsorbable polymer DES provided similar clinical outcomes at 3-year follow-up. Landmark analysis revealed that the durable polymer group had a lower TLF rate from 9 months. Further studies are needed to confirm these results. • A total of 893 patients who underwent ULMCA PCI were analyzed; durable polymer vs. bioabsorbable polymer DES group. • The 3-year TLF rate was similar between the durable polymer DES group (12.7%) vs. bioabsorbable polymer DES group (15.8%). • Landmark analysis demonstrated a lower rate of TLF from 9 months in the durable polymer group." @default.
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• W3115149346 date "2020-12-01" @default.
• W3115149346 modified "2023-10-18" @default.
• W3115149346 title "Percutaneous treatment of unprotected left main disease with thin strut durable polymer or early-generation thicker strutted and coated bioabsorbable polymer drug-eluting stents in a large-scale registry" @default.
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• W3115149346 doi "https://doi.org/10.1016/j.carrev.2020.12.034" @default.
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