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DOI | 10.1016/j.amjcard.2024.02.021 |
SYNERGY-Everolimus-Eluting Stent With a Bioabsorbable Polymer in ST-Elevation Myocardial Infarction: CLEAR SYNERGY OASIS-9 Registry | |
Jolly, Sanjit S.; Lee, Shun Fu; Mian, Rajibul; Kedev, Sasko; Lavi, Shahar; Moreno, Raul; Montalescot, Gilles; Hillani, Ali; Henry, Timothy D.; Asani, Valon; Storey, Robert F.; Silvain, Johanne; Spratt, James C. S.; d'Entremont, Marc-Andre; Stankovic, Goran; Zafirovska, Biljana; Natarajan, Madhu K.; Sabate, Manel; Shreenivas, Satya; Pinilla-Echeverri, Natalia; Sheth, Tej; Altisent, Omar Abdul-Jawad; Ribas, Nuria; Skuriat, Elizabeth; Tyrwhitt, Jessica; Mehta, Shamir R. | |
通讯作者 | Jolly, SS |
来源期刊 | AMERICAN JOURNAL OF CARDIOLOGY
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ISSN | 0002-9149 |
EISSN | 1879-1913 |
出版年 | 2024 |
卷号 | 220页码:111-117 |
英文摘要 | Our objective was to evaluate the clinical effectiveness of the SYNERGY stent (Boston Scientific Corporation, Marlborough, Massachusetts) in patients with ST-elevation myocardial infarction (STEMI). The only drug-eluting stent approved for treatment of STEMI by the Food and Drug Administration is the Taxus stent (Boston Scientific) which is no longer commercially available, so further data are needed. The CLEAR (Colchicine and spironolactone in patients with myocardial infarction) SYNERGY stent registry was embedded into a larger randomized trial of patients with STEMI (n = 7,000), comparing colchicine versus placebo and spironolactone versus placebo. The primary outcome for the SYNERGY stent registry is major adverse cardiac events (MACE) as defined by cardiovascular death, recurrent MI, or unplanned ischemia-driven target vessel revascularization within 12 months. We estimated a MACE rate of 6.3% at 12 months after primary percutaneous coronary intervention for STEMI based on the Thrombectomy vs percutaneous coronary intervention alone in STEMI (TOTAL) trial. Success was defined as upper bound of confidence interval (CI) to be less than the performance goal of 9.45%. Overall, 733 patients were enrolled from 8 countries with a mean age 60 years, 19.4% diabetes mellitus, 41.3% anterior MI, and median door-to-balloon time of 72 minutes. The MACE rate was 4.8% (95% CI 3.2 to 6.3%) at 12 months which met the success criteria against performance goal of 9.45%. The rates of cardiovascular death, recurrent MI, or target vessel revascularization were 2.7%, 1.9%, 1.0%, respectively. The rates of acute definite stent thrombosis were 0.3%, subacute 0.4%, late 0.4%, and cumulative stent thrombosis of 1.1% at 12 months. In conclusion, the SYNERGY stent in STEMI performed well and was successful compared with the performance goal based on previous trials. (c) 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/) (Am J Cardiol 2024;220:111 - 117) |
英文关键词 | drug-eluting stent PCI STEMI |
类型 | Article |
语种 | 英语 |
开放获取类型 | hybrid |
收录类别 | SCI-E |
WOS记录号 | WOS:001237694800001 |
WOS关键词 | BARE-METAL |
WOS类目 | Cardiac & Cardiovascular Systems |
WOS研究方向 | Cardiovascular System & Cardiology |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/402812 |
推荐引用方式 GB/T 7714 | Jolly, Sanjit S.,Lee, Shun Fu,Mian, Rajibul,et al. SYNERGY-Everolimus-Eluting Stent With a Bioabsorbable Polymer in ST-Elevation Myocardial Infarction: CLEAR SYNERGY OASIS-9 Registry[J],2024,220:111-117. |
APA | Jolly, Sanjit S..,Lee, Shun Fu.,Mian, Rajibul.,Kedev, Sasko.,Lavi, Shahar.,...&Mehta, Shamir R..(2024).SYNERGY-Everolimus-Eluting Stent With a Bioabsorbable Polymer in ST-Elevation Myocardial Infarction: CLEAR SYNERGY OASIS-9 Registry.AMERICAN JOURNAL OF CARDIOLOGY,220,111-117. |
MLA | Jolly, Sanjit S.,et al."SYNERGY-Everolimus-Eluting Stent With a Bioabsorbable Polymer in ST-Elevation Myocardial Infarction: CLEAR SYNERGY OASIS-9 Registry".AMERICAN JOURNAL OF CARDIOLOGY 220(2024):111-117. |
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