Angiographic results of the cobalt chromium Vision and Mini-Vision stents

Background Drug-eluting stents (DES) have been shown to reduce repeat revascularizations compared with their bare-metal stent (BMS) platforms. Modern BMS may be associated with better angiographic results compared with the older BMS platforms. In the Basel Stent Kosten Effektivitats Trial (BASKET),...

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Veröffentlicht in:Canadian journal of cardiology 2009-10, Vol.25 (10), p.581-584
Hauptverfasser: Wöhrle, Jochen, MD FESC, Nusser, Thorsten, MD, Hoffmann, Stephanie, MD, Kochs, Matthias, MD
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container_issue 10
container_start_page 581
container_title Canadian journal of cardiology
container_volume 25
creator Wöhrle, Jochen, MD FESC
Nusser, Thorsten, MD
Hoffmann, Stephanie, MD
Kochs, Matthias, MD
description Background Drug-eluting stents (DES) have been shown to reduce repeat revascularizations compared with their bare-metal stent (BMS) platforms. Modern BMS may be associated with better angiographic results compared with the older BMS platforms. In the Basel Stent Kosten Effektivitats Trial (BASKET), target vessel revascularization after six months was nonsignificantly different between DES and BMS with clinical follow-up. Objectives To evaluate angiographic results of the cobalt chromium Vision and Mini-Vision stents (Abbott Vascular, USA). Methods A total of 247 consecutive patients with 293 de novo lesions in native coronary arteries were treated with cobalt chromium Vision (n=184; stent diameter 2.75 mm to 4.0 mm) or Mini-Vision stents (n=109; stent diameter 2.0 mm to 2.5 mm), and scheduled for six months of angiographic follow-up. The primary end point was in-stent late loss after six months. Results Acute coronary syndromes were present in 83.4% (n=206) of patients. The preinterventional reference diameter of Vision stents was 2.70±0.34 mm and for Mini-Vision stents, it was 2.13±0.27 mm (P
doi_str_mv 10.1016/S0828-282X(09)70716-0
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Modern BMS may be associated with better angiographic results compared with the older BMS platforms. In the Basel Stent Kosten Effektivitats Trial (BASKET), target vessel revascularization after six months was nonsignificantly different between DES and BMS with clinical follow-up. Objectives To evaluate angiographic results of the cobalt chromium Vision and Mini-Vision stents (Abbott Vascular, USA). Methods A total of 247 consecutive patients with 293 de novo lesions in native coronary arteries were treated with cobalt chromium Vision (n=184; stent diameter 2.75 mm to 4.0 mm) or Mini-Vision stents (n=109; stent diameter 2.0 mm to 2.5 mm), and scheduled for six months of angiographic follow-up. The primary end point was in-stent late loss after six months. Results Acute coronary syndromes were present in 83.4% (n=206) of patients. The preinterventional reference diameter of Vision stents was 2.70±0.34 mm and for Mini-Vision stents, it was 2.13±0.27 mm (P&lt;0.001). Clinical and angiographic follow-up was 98.0% and 51.2%, respectively. In the Vision group, in-stent late loss was 0.64±0.67 mm and the binary restenosis rate was 17.9%. In the Mini-Vision group, in-stent late loss was 0.82±0.71 mm and the restenosis rate was 45.4%. No difference in occurrence of restenosis within the segments proximal or distal to the stent was observed. The restenotic pattern was predominantly focal with a short length of 7.9±4.4 mm. Conclusions The use of the cobalt chromium Vision stent for the treatment of de novo lesions was associated with a low late loss and binary angiographic restenosis rate.</description><identifier>ISSN: 0828-282X</identifier><identifier>EISSN: 1916-7075</identifier><identifier>DOI: 10.1016/S0828-282X(09)70716-0</identifier><identifier>PMID: 19812803</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Acute Coronary Syndrome - diagnostic imaging ; Acute Coronary Syndrome - therapy ; Aged ; Angioplasty, Balloon, Coronary - instrumentation ; Cardiovascular ; Chromium Alloys ; Clinical Studies ; Cobalt chromium ; Coronary Angiography - methods ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Humans ; Late loss ; Male ; Middle Aged ; Miniaturization ; Prosthesis Design ; Reproducibility of Results ; Restenosis ; Stents ; Treatment Outcome</subject><ispartof>Canadian journal of cardiology, 2009-10, Vol.25 (10), p.581-584</ispartof><rights>Canadian Cardiovascular Society</rights><rights>2009 Canadian Cardiovascular Society</rights><rights>2009, Pulsus Group Inc. 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Modern BMS may be associated with better angiographic results compared with the older BMS platforms. In the Basel Stent Kosten Effektivitats Trial (BASKET), target vessel revascularization after six months was nonsignificantly different between DES and BMS with clinical follow-up. Objectives To evaluate angiographic results of the cobalt chromium Vision and Mini-Vision stents (Abbott Vascular, USA). Methods A total of 247 consecutive patients with 293 de novo lesions in native coronary arteries were treated with cobalt chromium Vision (n=184; stent diameter 2.75 mm to 4.0 mm) or Mini-Vision stents (n=109; stent diameter 2.0 mm to 2.5 mm), and scheduled for six months of angiographic follow-up. The primary end point was in-stent late loss after six months. Results Acute coronary syndromes were present in 83.4% (n=206) of patients. The preinterventional reference diameter of Vision stents was 2.70±0.34 mm and for Mini-Vision stents, it was 2.13±0.27 mm (P&lt;0.001). Clinical and angiographic follow-up was 98.0% and 51.2%, respectively. In the Vision group, in-stent late loss was 0.64±0.67 mm and the binary restenosis rate was 17.9%. In the Mini-Vision group, in-stent late loss was 0.82±0.71 mm and the restenosis rate was 45.4%. No difference in occurrence of restenosis within the segments proximal or distal to the stent was observed. The restenotic pattern was predominantly focal with a short length of 7.9±4.4 mm. Conclusions The use of the cobalt chromium Vision stent for the treatment of de novo lesions was associated with a low late loss and binary angiographic restenosis rate.</description><subject>Acute Coronary Syndrome - diagnostic imaging</subject><subject>Acute Coronary Syndrome - therapy</subject><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary - instrumentation</subject><subject>Cardiovascular</subject><subject>Chromium Alloys</subject><subject>Clinical Studies</subject><subject>Cobalt chromium</subject><subject>Coronary Angiography - methods</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Late loss</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Miniaturization</subject><subject>Prosthesis Design</subject><subject>Reproducibility of Results</subject><subject>Restenosis</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>0828-282X</issn><issn>1916-7075</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1TAQhS0EopfCTwBlhWCRduzc2M6mqKp4VGrFgofYjRxncq9LYl_spFL_Pb4PtcCGlT3yme-M5zD2ksMJBy5Pv4AWuhRa_HgDzVsFissSHrEFb_Ill_VjtriXHLFnKd0ALLlS8ik74o3mQkO1YJfnfuXCKprN2tkiUpqHKRWhL6Y1FTa0ZpgKu45hdPNYfHfJBV8Y3xXXzrvyUKeJ_JSesye9GRK9OJzH7NuH918vPpVXnz9eXpxflbYWMJWq1e2Sa26oaw2XvehAmLqVsu3VsiFrleGdlkZZaVtjLHVk8-C96JVeqravjtnZnruZ25E6m72jGXAT3WjiHQbj8O8X79a4CrcolBY18Ax4fQDE8GumNOHokqVhMJ7CnFAqqVVVySys90IbQ0qR-nsTDrgNAXch4HbDCA3uQkDIfa_-nPCh67D1LHi3F1De062jiMk68vmvLpKdsAvuvxZn_xDskBOxZvhJd5Ruwhx9DgE5JoGwh2wZ0OwIUP0Ge3qvQg</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Wöhrle, Jochen, MD FESC</creator><creator>Nusser, Thorsten, MD</creator><creator>Hoffmann, Stephanie, MD</creator><creator>Kochs, Matthias, MD</creator><general>Elsevier Inc</general><general>Pulsus Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091001</creationdate><title>Angiographic results of the cobalt chromium Vision and Mini-Vision stents</title><author>Wöhrle, Jochen, MD FESC ; Nusser, Thorsten, MD ; Hoffmann, Stephanie, MD ; Kochs, Matthias, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-7b8b4181aedba16f2d02a5b66bf749ecc7a1d86a7c6cbaacedec004f2f7847bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acute Coronary Syndrome - diagnostic imaging</topic><topic>Acute Coronary Syndrome - therapy</topic><topic>Aged</topic><topic>Angioplasty, Balloon, Coronary - instrumentation</topic><topic>Cardiovascular</topic><topic>Chromium Alloys</topic><topic>Clinical Studies</topic><topic>Cobalt chromium</topic><topic>Coronary Angiography - methods</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Late loss</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Miniaturization</topic><topic>Prosthesis Design</topic><topic>Reproducibility of Results</topic><topic>Restenosis</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wöhrle, Jochen, MD FESC</creatorcontrib><creatorcontrib>Nusser, Thorsten, MD</creatorcontrib><creatorcontrib>Hoffmann, Stephanie, MD</creatorcontrib><creatorcontrib>Kochs, Matthias, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wöhrle, Jochen, MD FESC</au><au>Nusser, Thorsten, MD</au><au>Hoffmann, Stephanie, MD</au><au>Kochs, Matthias, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Angiographic results of the cobalt chromium Vision and Mini-Vision stents</atitle><jtitle>Canadian journal of cardiology</jtitle><addtitle>Can J Cardiol</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>25</volume><issue>10</issue><spage>581</spage><epage>584</epage><pages>581-584</pages><issn>0828-282X</issn><eissn>1916-7075</eissn><abstract>Background Drug-eluting stents (DES) have been shown to reduce repeat revascularizations compared with their bare-metal stent (BMS) platforms. Modern BMS may be associated with better angiographic results compared with the older BMS platforms. In the Basel Stent Kosten Effektivitats Trial (BASKET), target vessel revascularization after six months was nonsignificantly different between DES and BMS with clinical follow-up. Objectives To evaluate angiographic results of the cobalt chromium Vision and Mini-Vision stents (Abbott Vascular, USA). Methods A total of 247 consecutive patients with 293 de novo lesions in native coronary arteries were treated with cobalt chromium Vision (n=184; stent diameter 2.75 mm to 4.0 mm) or Mini-Vision stents (n=109; stent diameter 2.0 mm to 2.5 mm), and scheduled for six months of angiographic follow-up. The primary end point was in-stent late loss after six months. Results Acute coronary syndromes were present in 83.4% (n=206) of patients. The preinterventional reference diameter of Vision stents was 2.70±0.34 mm and for Mini-Vision stents, it was 2.13±0.27 mm (P&lt;0.001). Clinical and angiographic follow-up was 98.0% and 51.2%, respectively. In the Vision group, in-stent late loss was 0.64±0.67 mm and the binary restenosis rate was 17.9%. In the Mini-Vision group, in-stent late loss was 0.82±0.71 mm and the restenosis rate was 45.4%. No difference in occurrence of restenosis within the segments proximal or distal to the stent was observed. The restenotic pattern was predominantly focal with a short length of 7.9±4.4 mm. Conclusions The use of the cobalt chromium Vision stent for the treatment of de novo lesions was associated with a low late loss and binary angiographic restenosis rate.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>19812803</pmid><doi>10.1016/S0828-282X(09)70716-0</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Acute Coronary Syndrome - diagnostic imaging
Acute Coronary Syndrome - therapy
Aged
Angioplasty, Balloon, Coronary - instrumentation
Cardiovascular
Chromium Alloys
Clinical Studies
Cobalt chromium
Coronary Angiography - methods
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Late loss
Male
Middle Aged
Miniaturization
Prosthesis Design
Reproducibility of Results
Restenosis
Stents
Treatment Outcome
title Angiographic results of the cobalt chromium Vision and Mini-Vision stents
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