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학술저널
저자정보
김동빈 (가톨릭대학교) 승기배 (가톨릭대학교) 김범준 (가톨릭대학교) 허승호 (가톨릭대학교) 신동일 (가톨릭대학교) 조진만 (가톨릭대학교) 박철수 (가톨릭대학교) 전두수 (가톨릭대학교) 백상홍 (가톨릭대학교) 정욱성 (가톨릭대학교) 김재형 (가톨릭대학교) 홍순조 (가톨릭대학교) 최규보 (가톨릭대학교)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.36 No.3
발행연도
2006.1
수록면
178 - 183 (6page)

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Background and Objectives:Currently, the drug-eluting stent (DES) has been widely used because of its excellentclinical outcome. We compared the utilization patterns and clinical outcomes between the DES and the baremetal stent (BMS) in the real world. Subjects and Methods:We retrospectively reviewed the stent registry atthe Catholic Medical Center between January 2002 and October 2004. There were 1120 patients treated with DES(n=1837) who were compared to 910 patients who received BMS implantation (n=1238). Results:Patients withde novo lesions in the DES group more frequently had multivessel disease and received a greater number of stentsthan those in BMS group (p<0.001). The mean diameter of inserted stents was smaller in the DES group (p<0.001). The follow-up rate for clinical and angiographic evaluations at 6 months after stenting was 91% and65% (n=592) in the BMS group and 90% and 74% (n=829) in the DES group, respectively. The rate of majoradverse cardiac events (death, nonfatal myocardial infarction, or target vessel revascularization) at 6 months was7.3% in the DES group and 17.5% in the BMS group (p<0.001). The rates of target vessel revascularization inthe DES group and in the BMS group were 4.2% and 12.9%, respectively (p<0.001). Conclusion:The patientsin the DES group had longer length, smaller diameter and higher number of placed stents, compared to the BMSgroup. The rates of revascularization and major adverse cardiac events in the DES group were lower than thosein the BMS group. (Korean Circulation J 2006;36:178-183)

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