OCT观察PCI术后一年Firehawk支架与Xience 系列支架新生内膜增生的差异
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南京医科大学附属南京医院,南京市第一医院,心血管内科

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南京市医学科技发展项目(编号YKK17106)


Effect of biodegradable polymer drug-eluting stents versus permanent polymer drug-eluting stents on neointimal hyperplasia at one-year follow-up from optical coherence tomography observations
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Department of Cardiology, Nanjing First Hospital, Nanjing Medical University,Nanjing, China

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    摘要:

    目的:通过光学相干断层显像(optical coherence tomography,OCT)观察聚合物可降解药物涂层支架(Firehawk支架)与永久性聚合物药物涂层支架(Xience系列支架),在经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后一年,支架内新生内膜增生的差异,旨在观察可降解聚合物及永久性聚合物对支架内新生内膜增生的影响如何。方法:本项研究是一项单中心、回顾性设计,依据入排标准,入选2014年1月-2019年6月在我院心内科单中心(南京市第一医院心内科)行PCI术且术后一年有冠脉造影+OCT检查资料的患者;依据术中植入的药物涂层支架的不同类型分为两组:Firehawk支架组,Xience支架组;比较两组患者的临床基线资料、PCI术中参数及术后复查OCT的相关指标。结果:本研究共入选106例患者,其中Firehawk支架组52例,Xience支架组54例。1.两组患者的临床基线资料(包括年龄、性别、高血压病史、糖尿病史、吸烟史、血脂指标,以及药物如阿司匹林、氯吡格雷/替格瑞洛、他汀、β受体阻滞剂、ACEI/ARB服用史)在PCI术前及术后一年无统计学差异(P>0.05);2.两组患者PCI术中参数(包括靶血管分布、支架直径及长度、预扩及后扩比例、最大预扩/后扩球囊直径、最大预扩/后扩压力)无统计学差异(P>0.05);3.术后一年复查OCT提示,两组患者的支架内增生情况(包括最大新生内膜厚度、最大新生内膜面积、最小管腔面积、最小管腔直径、再狭窄率、同质性比例)无统计学差异(P>0.05)。结论:聚合物可降解与永久性聚合物药物涂层支架植入术后一年,支架内新生内膜增生的性质特点类似。

    Abstract:

    Objective: The aim of this study is to compare the effect of biodegradable polymer drug-eluting stents (Firehawk) versus permanent polymer drug-eluting stents (Xience) on neointimal hyperplasia at one-year follow-up from optical coherence tomography (OCT) observations. Method: This was a retrospective single center study,patients who had Firehawk/Xience stents during PCI in our single center from January 2014 to June 2019 were included in the trial, they were divided into two groups: Firehawk group and Xience group. At one-year follow-up, we compared the difference of in-stent neointimal hyperplasia from OCT observations between the two groups. Results: Total 106 patients were finally enrolled, including 52 patients who were in the Firehawk group and 54 who were in the Xience group. 1) There were no differences of clinical characteristics before PCI and at one-year follow-up between the two groups(P>0.05). 2) There were no differences of parameters during PCI (target vessel, diameter and length of stent, pre-dilation and post-dilation, maximum diameter/pressure of dilated-balloons) between the two groups(P>0.05). 3) At one-year follow-up, in-stent neointimal hyperplasia (maximum neointimal thickness, maximum neointimal area, minimum luminal area, minimum luminal diameter,restenosis% and percentage of homogeneous property) was also similar between the two groups(P>0.05). Conclusion: It is similar of vascular response to biodegradable polymer drug-eluting stents and permanent polymer drug-eluting stents at one-year follow-up.

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  • 收稿日期:2020-11-22
  • 最后修改日期:2021-09-04
  • 录用日期:2021-10-29
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