Clinical outcomes of patients with diabetes mellitus treated with Absorb bioresorbable vascular scaffolds: A subanalysis of the European Multicentre GHOST-EU Registry

P Capranzano, D Capodanno, S Brugaletta, A Latib, J Mehilli, H Nef, T Gori, M Lesiak, Salvatore Geraci, S Pyxaras, A Mattesini, T Münzel, A Araszkiewicz, G Caramanno, C Naber, Carlo Di Mario, M Sabatè, A Colombo, J Wiebe, C Tamburino

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Data on the clinical performance of bioresorbable scaffolds in patients with diabetes mellitus (DM) are still limited. The present study reported 1-year clinical outcomes associated with the use of everolimus-eluting bioresorbable vascular scaffolds (Absorb BVS; Abbott Vascular, Santa Clara, CA) in DM patients. Methods and Results: This was a subanalysis from the GHOST-EU (Gauging coronary Healing with biOresorbable Scaffolding plaTforms in Europe) multicenter retrospective registry including patients treated with Absorb BVS between November 2011 and September 2014. In this study, a comparative analysis stratified according to DM was performed. The primary endpoint was target lesion failure (TLF), defined as the combination of cardiac death, target-vessel myocardial infarction (MI) and clinically-driven target-lesion revascularization (TLR). A total of 1,477 patients were treated with 2,224 Absorb BVS; 381 (25.8%) and 1,096 (74.2%) patients were with and without DM, respectively. The 1-year rate of TLF was higher among patients with DM (7.8%) than those without DM (4.3%); the increase in TLF was driven by TLR (6.5% vs. 3.3%, P=0.009); no significant differences in cardiac death (1.1% vs. 0.9%, P=0.68) and target-vessel MI (3.1% vs. 2.2%, P=0.38) were observed, respectively. Definite/probable scaffold thrombosis rate tended to be higher among patients with DM than those without DM (3.0% vs. 1.7%, P=0.14, respectively). Conclusions: Absorb BVS use in patients with DM was associated with increased 1-year TLF and scaffold thrombosis compared with non-diabetes patients. © 2017 Wiley Periodicals, Inc.
Original languageEnglish
Pages (from-to)444-453
Number of pages10
JournalCatheterization and Cardiovascular Interventions
Volume91
Issue number3
DOIs
Publication statusPublished - 2018

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