Hybrid Coronary Percutaneous Treatment with Metallic Stents and Everolimus-Eluting Bioresorbable Vascular Scaffolds: 2-Years Results from the GABI-R Registry

Journal article


Publication Details

Author(s): Gori T, Achenbach S, Riemer T, Mehilli J, Nef HM, Naber C, Richardt G, Woehrle J, Zahn R, Neumann T, Kastner J, Schmermund A, Hamm C, Muenzel T
Journal: Journal of Clinical Medicine
Publication year: 2019
Volume: 8
Journal issue: 6
ISSN: 2077-0383


Abstract

The limitations of the first-generation everolimus-eluting coronary bioresorbable vascular scaffolds (BVS) have been demonstrated in several randomized controlled trials. Little data are available regarding the outcomes of patients receiving hybrid stenting with both BVS and drug-eluting stents (DES). Of 3144 patients prospectively enrolled in the GABI-Registry, 435 (age 62 +/- 10, 19% females, 970 lesions) received at least one BVS and one metal stent (hybrid group). These patients were compared with the remaining 2709 (3308 lesions) who received BVS-only. Patients who had received hybrid stenting had more frequently a history of cardiovascular disease and revascularization (p < 0.05), had less frequently single-vessel disease (p < 0.0001), and the lesions treated in these patients were longer (p < 0.0001) and more frequently complex. Accordingly, the incidence of periprocedural myocardial infarction (p < 0.05) and that of cardiovascular death, target vessel and lesion failure and any PCI at 24 months was lower in the BVS-only group (all p < 0.05). The 24-months rate of definite and probable scaffold thrombosis was 2.7% in the hybrid group and 2.8% in the BVS-only group, that of stent thrombosis in the hybrid group was 1.86%. In multivariable analysis, only implantation in bifurcation lesions emerged as a predictor of device thrombosis, while the device type was not associated with this outcome (p = 0.21). The higher incidence of events in patients receiving hybrid stenting reflects the higher complexity of the lesions in these patients; in patients treated with a hybrid strategy, the type of device implanted did not influence patients ' outcomes.


FAU Authors / FAU Editors

Achenbach, Stephan Prof. Dr. med.
Medizinische Klinik 2 - Kardiologie, Angiologie


External institutions with authors

Centrum für Hämatologie und Onkologie Bethanien
IHF GmbH Institut für Herzinfarktforschung
Johannes Gutenberg-Universität Mainz
Justus-Liebig-Universität Gießen
Klinik für Kardiologie und Angiologie
Klinikum der Stadt Ludwigshafen am Rhein gGmbH
Ludwig-Maximilians-Universität (LMU)
Medizinische Universität Wien
Segeberger Kliniken
Universität Duisburg-Essen (UDE)
Universität Ulm


How to cite

APA:
Gori, T., Achenbach, S., Riemer, T., Mehilli, J., Nef, H.M., Naber, C.,... Muenzel, T. (2019). Hybrid Coronary Percutaneous Treatment with Metallic Stents and Everolimus-Eluting Bioresorbable Vascular Scaffolds: 2-Years Results from the GABI-R Registry. Journal of Clinical Medicine, 8(6). https://dx.doi.org/10.3390/jcm8060767

MLA:
Gori, Tommaso, et al. "Hybrid Coronary Percutaneous Treatment with Metallic Stents and Everolimus-Eluting Bioresorbable Vascular Scaffolds: 2-Years Results from the GABI-R Registry." Journal of Clinical Medicine 8.6 (2019).

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Last updated on 2019-31-07 at 22:08