YAMAGUCHI JUNICHI
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Other
Language English
Peer review Peer reviewed
Title Five-year clinical outcomes of everolimus-eluting stents from the post marketing study of CoCr-EES (XIENCE V/PROMUS) in Japan.
Journal Formal name：Cardiovascular intervention and therapeutics
Abbreviation：Cardiovasc Interv Ther
ISSN code：18684300 /18684297
Domestic / ForeginDomestic
Publisher Springer Japan published in cooperation with Japanese Association of Cardiovascular Intervention and Therapeutics
Volume, Issue, Page 34(1),pp.40-46
Author and coauthor Aoki Jiro, Kozuma Ken, Awata Masaki, Nanasato Mamoru, Shiode Nobuo, Tanabe Kengo, Yamaguchi Junichi, Kusano Hajime, Nie Hong, Kimura Takeshi,
Publication date 2019/01
Summary The Cobalt Chromium Everolimus-Eluting Stent (CoCr-EES) Post Marketing Surveillance (PMS) Japan study is a prospective multicenter registry designed to evaluate the safety and efficacy of XIENCE V/PROMUS everolimus-eluting stents in routine clinical practice at 47 centers representative of the clinical environment in Japan. We enrolled 2010 consecutive patients (2649 lesions) who underwent percutaneous coronary intervention using CoCr-EES. Clinical outcomes were evaluated through 5 years. Mean age was 68.8 years, 41.9% had diabetes, 4.9% received hemodialysis. Five-year clinical follow up was available for 1704 (84.8%) patients. Major adverse cardiovascular events (MACE) occurred in 10.7% of patients, including cardiac death (3.8%), myocardial infarction (1.8%), and clinically driven target lesion revascularization (TLR) (6.0%). Beyond 1 year, annual incidence of clinically driven TLR was 0.5-0.8%. Definite or probable stent thrombosis occurred in 9 (0.5%) patients at 5 years. After 1 year, definite stent thrombosis occurred in only 1 patient. Significant predictors for MACE were dialysis (ODDs ratio 4.58, 95% CI 2.75-7.64), prior cardiac intervention (ODDs ratio 2.47, 95% CI 1.75-3.49), total stent length (ODDs ratio 1.01, 95% CI 1.01-1.02), and number of diseased vessels (ODDs ratio 1.66, 95% CI 1.08-2.55). Five-year clinical outcomes from the CoCr-EES PMS Japan study demonstrated a low incidence of clinical events in the daily practice up to 5 years.
DOI 10.1007/s12928-018-0515-z
PMID 29484580