Angioscopic differences in neointimal coverage between zotarolimus- and everolimus-eluting stents




Background


Drug-eluting stents (DES) have demonstrated reduction of late loss (LL) and low target lesion revascularization (TLR) rates through an inhibitory effect on neointimal hyperplasia but might have a risk of late or very late stent thrombosis due to incomplete neointimal cover rate (NIC). Zotarolimus-eluting stent (ZES) and everolimus-eluting stent (EES) are next-negation DES that show higher LL than first-generation DES. However, differences in neointimal coverage between ZES and EES have been unclear.




Methods


Patients who received an implantation of a ZES ( n =30) or an EES ( n =30) were included in this study. Follow-up angiographic and angioscopic examination was performed at 372±65 days later in the ZES group and at 364±29 days later in the EES group. Yellow color grade (G0, G1, G2, G3) and coverage of stent by neointima (G0, G1, G2), and thrombus at the stented lesion (presence or absence) were evaluated by angioscopy. And we compared angioscopic view between ZES and EES.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Angioscopic differences in neointimal coverage between zotarolimus- and everolimus-eluting stents

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