Stent thrombosis and bleeding complications after implantation of sirolimus-eluting coronary stents in an unselected worldwide population

A report from the e-SELECT (Multi-center Post-Market Surveillance) registry

Philip Urban, Alexandre Abizaid, Adrian Banning, Antonio L. Bartorelli, Ana Cebrian Baux, Vladimr Davk, Stephen Ellis, Runlin Gao, David Holmes, Myung Ho Jeong, Victor Legrand, Franz Josef Neumann, Maria Nyakern, Christian Spaulding, Stephen Worthley

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Objectives: The aim of this study was to ascertain the 1-year incidence of stent thrombosis (ST) and major bleeding (MB) in a large, unselected population treated with sirolimus-eluting stents (SES). Background: Stent thrombosis and MB are major potential complications of drug-eluting stent implantation. Their relative incidence and predisposing factors among large populations treated worldwide are unclear. Methods: The SES were implanted in 15,147 patients who were entered in a multinational registry. We analyzed the incidence of: 1) definite and probable ST as defined by the Academic Research Consortium; and 2) MB, with the STEEPLE (Safety and efficacy of Enoxaparin in PCI) definition, together with their relation to dual antiplatelet therapy (DAPT) and to 1-year clinical outcomes. Results: The mean age of the sample was 62 ± 11 years, 30.4% were diabetic, 10% had a Charlson comorbidity index

Original languageEnglish
Pages (from-to)1445-1454
Number of pages10
JournalJournal of the American College of Cardiology
Volume57
Issue number13
DOIs
Publication statusPublished - Mar 29 2011

Fingerprint

Sirolimus
Stents
Registries
Thrombosis
Hemorrhage
Population
Incidence
Enoxaparin
Drug-Eluting Stents
Causality
Comorbidity
Safety
Research

Keywords

  • antithrombotic therapy
  • bleeding complication
  • coronary stent
  • drug-eluting stent
  • sirolimus-eluting stent
  • stent thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Stent thrombosis and bleeding complications after implantation of sirolimus-eluting coronary stents in an unselected worldwide population : A report from the e-SELECT (Multi-center Post-Market Surveillance) registry. / Urban, Philip; Abizaid, Alexandre; Banning, Adrian; Bartorelli, Antonio L.; Baux, Ana Cebrian; Davk, Vladimr; Ellis, Stephen; Gao, Runlin; Holmes, David; Jeong, Myung Ho; Legrand, Victor; Neumann, Franz Josef; Nyakern, Maria; Spaulding, Christian; Worthley, Stephen.

In: Journal of the American College of Cardiology, Vol. 57, No. 13, 29.03.2011, p. 1445-1454.

Research output: Contribution to journalArticle

Urban, Philip ; Abizaid, Alexandre ; Banning, Adrian ; Bartorelli, Antonio L. ; Baux, Ana Cebrian ; Davk, Vladimr ; Ellis, Stephen ; Gao, Runlin ; Holmes, David ; Jeong, Myung Ho ; Legrand, Victor ; Neumann, Franz Josef ; Nyakern, Maria ; Spaulding, Christian ; Worthley, Stephen. / Stent thrombosis and bleeding complications after implantation of sirolimus-eluting coronary stents in an unselected worldwide population : A report from the e-SELECT (Multi-center Post-Market Surveillance) registry. In: Journal of the American College of Cardiology. 2011 ; Vol. 57, No. 13. pp. 1445-1454.
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