吸收生物可吸收支架的三年结果:来自ABSORB随机试验的个体患者数据元分析
Ziad A Ali1,2, Runlin Gao3, Takeshi Kimura4
1New York-Presbyterian Hospital/Columbia University Medical Center, New York (Z.A.A., G.W.S.).
Circulation
|November 2, 2017
概括
与凝固支架相比,Absorb生物可吸收血管支架 (BVS) 在3年内显示出更高的损失和器件血栓形成率. 这些风险在1年和3年之间特别高,影响了患者的安全结果.
科学领域:
- 心血管医学
- 生物材料科学
- 干预心脏病学
背景情况:
- 吸收生物可吸收血管支架 (BVS) 设计为植入后3年内完全吸收.
- 在此关键的3年期间,BVS的长期安全性和有效性需要详细描述.
研究的目的:
- 进行ABSORB试验中的个人患者数据的综合元分析.
- 为了评估 Absorb BVS 与常分泌支架相比的3年安全性和有效性.
主要方法:
- 在4项随机ABSORB试验中,对个体患者的数据进行了综合元分析.
- 包括3389名冠状动脉疾病患者,随机分配给Absorb BVS或常分泌支架.
- 主要结局:目标病变失效和器件血栓形成.
主要成果:
- 与支架相比,BVS显示了较高的目标病变失效率 (11. 7% 与 8. 1%) 和器件血栓形成 (2. 4% 与 0. 6%).
- 目标血管心肌梗塞和缺血驱动的重血管化增加了BVS的目标病变失效率.
- 特别是在1年至3年间,BVS患者的目标病变失效率和器件血栓形成率较高.
结论:
- 在植入后3年内,Absorb BVS与目标病变失效和器件血栓形成的风险增加有关.
- 这些发现突显了BVS的潜在安全问题,特别是在后期的随访期间.
- 与常排泄支架的比较表明BVS在1年以后的风险概况不太好.
相关概念视频
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