Dialogues in Cardiovascular Medicine - Vol 13 . N°4 . 2008






One-year outcomes of coronary artery bypass graft surgery versus percutaneous coronary intervention with multiple stenting for multisystem disease: a meta-analysis of individual patient data from randomized clinical trials
N. Mercado, W. Wijns, P. W. Serruys, U. Sigwart, M. D. Flather, R. H. Stables, W. W. O’Neill, A. Rodriguez, P. A. Lemos, W. A. Hueb, et al

With the advent of a safe and progressively more effective percutaneous coronary intervention (PCI) for coronary artery disease (CAD) as apposed to traditional coronary artery bypass grafting (CABG), the choice as to the best revascularization strategy for multivessel disease patients remains today still very challenging...



Outcomes associated with drug-eluting and bare-metal stents: a collaborative network meta-analysis
C. Stettler, S. Wandel, S. Allemann, A. Kastrati, M. C. Morice, A. Schömig, M. E. Pfisterer, G. W. Stone, M. B. Leon, J. S. de Lezo, et al

The long-term safety of the first two polymerbased drug-eluting stents (DES) approved by the US Food and Drug Administration (FDA) —a sirolimus-eluting stent and a paclitaxeleluting stent—is a matter of intense and ongoing debate, with some studies reporting increased rates of death, myocardial infarction, or late stent thrombosis compared with bare-metal stents (BMS)...



Clinical end points in coronary stent trials: a case for standardized definitions
D. E. Cutlip, S. Windecker, R. Mehran, A. Boam, D. J. Cohen, G. A. van Es, P. G. Steg, M. A. Morel, L. Mauri, P. Vranckx, et al; Academic Research Consortium

For every clinical cardiologist and cardiovascular researcher, this consensus article calling for standardized outcome definitions in coronary stent trials should be compulsory reading...



Stent thrombosis late after implantation of first-generation drug-eluting stents: a cause for concern
E. Camenzind, P. G. Steg, W. Wijns

At the European Society of Cardiology (ESC)/ World Congress of Cardiology (WCC) in Barcelona in 2006, some of us were caught off guard by a plenary session combining three critical presentations by Edoardo Camenzind, Salim Yusuf, and Alain Nordmann, who raised serious concerns about the long-term safety profile of drug-eluting stents (DES)...



Are drug-eluting stents associated with a higher rate of late thrombosis than bare metal stents? Late stent thrombosis: a nuisance in both bare metal and drug-eluting stents
P. W. Serruys, J. Daemen

This position paper, intended as a point-bypoint rebuttal to the paper by Camenzind et al, is a thorough reanalysis of the issue of early and late stent thrombosis (ST), starting from the introduction of the bare-metal stent (BMS), through the advent of brachytherapy, and finally focusing on drug-eluting stent (DES) data...



Drug-eluting stent update 2007: Part I. A survey of current and future generation drug-eluting stents: meaningful advances or more of the same? Part II: Unsettled issues
J. Daemen, P. W. Serruys

Part I is a comprehensive review of the past, present, and foreseeable future of drug-eluting stents (DES), whose numbers keep growing in an exponential manner...



Cyphering the complexity of coronary artery disease using the Syntax score to predict clinical outcome in patients with three-vessel lumen obstruction undergoing percutaneous coronary intervention
M. Valgimigli, P. W. Serruys, K. Tsuchida, S. Vaina, M. A. Morel, M. J. van den Brand, A. Colombo, M. C. Morice, K. Dawkins, B. de Bruyne, et al; ARTS II

Since the earliest reports of coronary angiography, the extent of coronary artery narrowing has been considered a primary determinant of survival in patients with coronary artery disease...



Early and late coronary stent thrombosis of sirolimus-eluting and paclitaxel-eluting stents in routine clinical practice: data from a large two-institutional cohort study
J. Daemen, P. Wenaweser, K. Tsuchida, L. Abrecht, S. Vaina, C. Morger, N. Kukreja, P. Jüni, G. Sianos, G. Hellige, et al

This cornerstone paper stems from the institutional databases of two tertiary referral centers in Europe, namely, Bern and Rotterdam...



Pathological correlates of late drug-eluting stent thrombosis: strut coverage as a marker of endothelialization
A. V. Finn, M. Joner, G. Nakazawa, F. Kolodgie, J. Newell, M. C. John, H.K. Gold, R. Virmani

Polymer-based sirolimus- (Cypher) and paclitaxel- eluting (Taxus) drug-eluting stents (DES) have become a treatment of choice for patients with symptomatic coronary artery disease undergoing percutaneous coronary revascularization...



Balancing the risks of restenosis and stent thrombosis in bare-metal versus drug-eluting stents. Results of a decision analytic model
P. Garg, D. J. Cohen, T. Gaziano, L. Mauri

Decisions regarding percutaneous coronary intervention (PCI) for obstructive coronary disease have become increasingly challenging for patients and physicians since the observation of delayed stent thrombosis with drug-eluting stents (DES)...






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