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
Identifieur interne : 006706 ( Main/Exploration ); précédent : 006705; suivant : 006707Stent 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
Auteurs : Philip Urban [Suisse] ; Alexandre Abizaid [Brésil] ; Adrian Banning [Royaume-Uni] ; Antonio L. Bartorelli [Italie] ; Ana Cebrian Baux [Belgique] ; Vladimir Dzavik [Canada] ; Stephen Ellis [États-Unis] ; Runlin Gao [République populaire de Chine] ; David Holmes [États-Unis] ; MYUNG HO JEONG [Corée du Sud] ; Victor Legrand [Belgique] ; Franz-Josef Neumann [Allemagne] ; Maria Nyakern [Belgique] ; Christian Spaulding [France] ; Stephen Worthley [Australie]Source :
- Journal of the American College of Cardiology [ 0735-1097 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Région Centre.
- topic : Marché, Antibiotique.
English descriptors
- KwdEn :
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 ≥3, and 44% presented with acute coronary syndrome or myocardial infarction. At 1 year, the reported compli- ance with DAPT as recommended by the European Society of Cardiology guidelines was 86.3%. Adverse event rates were: ST 1.0%, MB 1.0%, mortality 1.7%, myocardial infarction 1.9%, and target lesion revascularization 2.3%. Multivariate analysis identified 9 correlates of ST and 4 correlates of MB. Advanced age and a high Charlson index were associated with an increased risk of both ST and MB. After ST, the 7-day and 1-year all-cause mortality was 30% and 35%, respectively, versus 1.5% and 10% after MB. Only 2 of 13,749 patients (0.015%) experienced both MB and ST during the entire 1-year follow-up period. Conclusions In this worldwide population treated with ≥1 SES, the reported compliance with DAPT was good, and the incidence of ST and MB was low. Stent thrombosis and MB very rarely occurred in the same patient. (The e-SELECT Registry: a Multicenter Post-Market Surveillance; NCT00438919).
Affiliations:
- Allemagne, Australie, Belgique, Brésil, Canada, Corée du Sud, France, Italie, Royaume-Uni, République populaire de Chine, Suisse, États-Unis
- Angleterre, Lombardie, Minnesota, Ohio, Oxfordshire, Île-de-France
- Milan, Oxford, Paris, Pékin
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 001E21
- to stream PascalFrancis, to step Curation: 004119
- to stream PascalFrancis, to step Checkpoint: 001658
- to stream Main, to step Merge: 006B09
- to stream Main, to step Curation: 006706
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">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</title>
<author><name sortKey="Urban, Philip" sort="Urban, Philip" uniqKey="Urban P" first="Philip" last="Urban">Philip Urban</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>La Tour Hospital</s1>
<s2>Geneva</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>La Tour Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abizaid, Alexandre" sort="Abizaid, Alexandre" uniqKey="Abizaid A" first="Alexandre" last="Abizaid">Alexandre Abizaid</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Instituto Dante Pazzanese de Cardiologia</s1>
<s2>São Paolo</s2>
<s3>BRA</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Brésil</country>
<wicri:noRegion>Instituto Dante Pazzanese de Cardiologia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Banning, Adrian" sort="Banning, Adrian" uniqKey="Banning A" first="Adrian" last="Banning">Adrian Banning</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>John Radcliffe Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bartorelli, Antonio L" sort="Bartorelli, Antonio L" uniqKey="Bartorelli A" first="Antonio L." last="Bartorelli">Antonio L. Bartorelli</name>
<affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centro Cardiologico Monzino, IRCCS, University of Milan</s1>
<s2>Milan</s2>
<s3>ITA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName><settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Baux, Ana Cebrian" sort="Baux, Ana Cebrian" uniqKey="Baux A" first="Ana Cebrian" last="Baux">Ana Cebrian Baux</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Cordis Clinical Research Europe</s1>
<s2>Waterloo</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Cordis Clinical Research Europe</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Dzavik, Vladimir" sort="Dzavik, Vladimir" uniqKey="Dzavik V" first="Vladimir" last="Dzavik">Vladimir Dzavik</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Peter Munk Cardiac Centre, University Health Network</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ellis, Stephen" sort="Ellis, Stephen" uniqKey="Ellis S" first="Stephen" last="Ellis">Stephen Ellis</name>
<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Cleveland Clinic Foundation</s1>
<s2>Cleveland, Ohio</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gao, Runlin" sort="Gao, Runlin" uniqKey="Gao R" first="Runlin" last="Gao">Runlin Gao</name>
<affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Cardiovascular Institute and Fu Wai Hospital</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Holmes, David" sort="Holmes, David" uniqKey="Holmes D" first="David" last="Holmes">David Holmes</name>
<affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Mayo Clinic</s1>
<s2>Rochester, Minnesota</s2>
<s3>USA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Minnesota</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Myung Ho Jeong" sort="Myung Ho Jeong" uniqKey="Myung Ho Jeong" last="Myung Ho Jeong">MYUNG HO JEONG</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>The Heart Center of Chonnam National University Hospital</s1>
<s2>Gwangju</s2>
<s3>KOR</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Corée du Sud</country>
<wicri:noRegion>The Heart Center of Chonnam National University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Legrand, Victor" sort="Legrand, Victor" uniqKey="Legrand V" first="Victor" last="Legrand">Victor Legrand</name>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Centre Hospitalier Universitaire</s1>
<s2>Liege</s2>
<s3>BEL</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Centre Hospitalier Universitaire</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Neumann, Franz Josef" sort="Neumann, Franz Josef" uniqKey="Neumann F" first="Franz-Josef" last="Neumann">Franz-Josef Neumann</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Herz-Zentrum Bad Krozingen</s1>
<s2>Bad Krozingen</s2>
<s3>DEU</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Bad Krozingen</wicri:noRegion>
<wicri:noRegion>Herz-Zentrum Bad Krozingen</wicri:noRegion>
<wicri:noRegion>Herz-Zentrum Bad Krozingen</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nyakern, Maria" sort="Nyakern, Maria" uniqKey="Nyakern M" first="Maria" last="Nyakern">Maria Nyakern</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Cordis Clinical Research Europe</s1>
<s2>Waterloo</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Cordis Clinical Research Europe</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Spaulding, Christian" sort="Spaulding, Christian" uniqKey="Spaulding C" first="Christian" last="Spaulding">Christian Spaulding</name>
<affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Department of Cardiology, Cochin Hospital, Assistance Publique Hôpitaux de Paris and INSERM U 970, Paris Descartes University</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Worthley, Stephen" sort="Worthley, Stephen" uniqKey="Worthley S" first="Stephen" last="Worthley">Stephen Worthley</name>
<affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Cardiovascular Investigation Unit, Royal Adelaide Hospital</s1>
<s2>Adelaide</s2>
<s3>AUS</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Adelaide</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">11-0202766</idno>
<date when="2011">2011</date>
<idno type="stanalyst">PASCAL 11-0202766 INIST</idno>
<idno type="RBID">Pascal:11-0202766</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">001E21</idno>
<idno type="wicri:Area/PascalFrancis/Curation">004119</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">001658</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">001658</idno>
<idno type="wicri:doubleKey">0735-1097:2011:Urban P:stent:thrombosis:and</idno>
<idno type="wicri:Area/Main/Merge">006B09</idno>
<idno type="wicri:Area/Main/Curation">006706</idno>
<idno type="wicri:Area/Main/Exploration">006706</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">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</title>
<author><name sortKey="Urban, Philip" sort="Urban, Philip" uniqKey="Urban P" first="Philip" last="Urban">Philip Urban</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>La Tour Hospital</s1>
<s2>Geneva</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>La Tour Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abizaid, Alexandre" sort="Abizaid, Alexandre" uniqKey="Abizaid A" first="Alexandre" last="Abizaid">Alexandre Abizaid</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Instituto Dante Pazzanese de Cardiologia</s1>
<s2>São Paolo</s2>
<s3>BRA</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Brésil</country>
<wicri:noRegion>Instituto Dante Pazzanese de Cardiologia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Banning, Adrian" sort="Banning, Adrian" uniqKey="Banning A" first="Adrian" last="Banning">Adrian Banning</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>John Radcliffe Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bartorelli, Antonio L" sort="Bartorelli, Antonio L" uniqKey="Bartorelli A" first="Antonio L." last="Bartorelli">Antonio L. Bartorelli</name>
<affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centro Cardiologico Monzino, IRCCS, University of Milan</s1>
<s2>Milan</s2>
<s3>ITA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName><settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Baux, Ana Cebrian" sort="Baux, Ana Cebrian" uniqKey="Baux A" first="Ana Cebrian" last="Baux">Ana Cebrian Baux</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Cordis Clinical Research Europe</s1>
<s2>Waterloo</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Cordis Clinical Research Europe</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Dzavik, Vladimir" sort="Dzavik, Vladimir" uniqKey="Dzavik V" first="Vladimir" last="Dzavik">Vladimir Dzavik</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Peter Munk Cardiac Centre, University Health Network</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ellis, Stephen" sort="Ellis, Stephen" uniqKey="Ellis S" first="Stephen" last="Ellis">Stephen Ellis</name>
<affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Cleveland Clinic Foundation</s1>
<s2>Cleveland, Ohio</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gao, Runlin" sort="Gao, Runlin" uniqKey="Gao R" first="Runlin" last="Gao">Runlin Gao</name>
<affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Cardiovascular Institute and Fu Wai Hospital</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Holmes, David" sort="Holmes, David" uniqKey="Holmes D" first="David" last="Holmes">David Holmes</name>
<affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Mayo Clinic</s1>
<s2>Rochester, Minnesota</s2>
<s3>USA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Minnesota</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Myung Ho Jeong" sort="Myung Ho Jeong" uniqKey="Myung Ho Jeong" last="Myung Ho Jeong">MYUNG HO JEONG</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>The Heart Center of Chonnam National University Hospital</s1>
<s2>Gwangju</s2>
<s3>KOR</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Corée du Sud</country>
<wicri:noRegion>The Heart Center of Chonnam National University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Legrand, Victor" sort="Legrand, Victor" uniqKey="Legrand V" first="Victor" last="Legrand">Victor Legrand</name>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Centre Hospitalier Universitaire</s1>
<s2>Liege</s2>
<s3>BEL</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Centre Hospitalier Universitaire</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Neumann, Franz Josef" sort="Neumann, Franz Josef" uniqKey="Neumann F" first="Franz-Josef" last="Neumann">Franz-Josef Neumann</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Herz-Zentrum Bad Krozingen</s1>
<s2>Bad Krozingen</s2>
<s3>DEU</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Bad Krozingen</wicri:noRegion>
<wicri:noRegion>Herz-Zentrum Bad Krozingen</wicri:noRegion>
<wicri:noRegion>Herz-Zentrum Bad Krozingen</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nyakern, Maria" sort="Nyakern, Maria" uniqKey="Nyakern M" first="Maria" last="Nyakern">Maria Nyakern</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Cordis Clinical Research Europe</s1>
<s2>Waterloo</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Cordis Clinical Research Europe</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Spaulding, Christian" sort="Spaulding, Christian" uniqKey="Spaulding C" first="Christian" last="Spaulding">Christian Spaulding</name>
<affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Department of Cardiology, Cochin Hospital, Assistance Publique Hôpitaux de Paris and INSERM U 970, Paris Descartes University</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Worthley, Stephen" sort="Worthley, Stephen" uniqKey="Worthley S" first="Stephen" last="Worthley">Stephen Worthley</name>
<affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Cardiovascular Investigation Unit, Royal Adelaide Hospital</s1>
<s2>Adelaide</s2>
<s3>AUS</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Adelaide</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Journal of the American College of Cardiology</title>
<title level="j" type="abbreviated">J. Am. Coll. Cardiol.</title>
<idno type="ISSN">0735-1097</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Journal of the American College of Cardiology</title>
<title level="j" type="abbreviated">J. Am. Coll. Cardiol.</title>
<idno type="ISSN">0735-1097</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antibacterial agent</term>
<term>Antibiotic</term>
<term>Cardiology</term>
<term>Center</term>
<term>Circulatory system</term>
<term>Complication</term>
<term>Coronary artery</term>
<term>Coronary heart disease</term>
<term>Drug eluting stent</term>
<term>Endoprosthesis</term>
<term>Hemorrhage</term>
<term>Immunosuppressive agent</term>
<term>Implantation</term>
<term>Instrumentation therapy</term>
<term>Markets</term>
<term>Population</term>
<term>Sirolimus</term>
<term>Surveillance</term>
<term>Thrombosis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Thrombose</term>
<term>Hémorragie</term>
<term>Cardiopathie coronaire</term>
<term>Stent à élution médicamenteuse</term>
<term>Endoprothèse</term>
<term>Complication</term>
<term>Implantation</term>
<term>Sirolimus</term>
<term>Immunodépresseur</term>
<term>Artère coronaire</term>
<term>Population</term>
<term>Centre</term>
<term>Marché</term>
<term>Surveillance</term>
<term>Appareil circulatoire</term>
<term>Cardiologie</term>
<term>Traitement instrumental</term>
<term>Antibactérien</term>
<term>Antibiotique</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Région Centre</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Marché</term>
<term>Antibiotique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">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 ≥3, and 44% presented with acute coronary syndrome or myocardial infarction. At 1 year, the reported compli- ance with DAPT as recommended by the European Society of Cardiology guidelines was 86.3%. Adverse event rates were: ST 1.0%, MB 1.0%, mortality 1.7%, myocardial infarction 1.9%, and target lesion revascularization 2.3%. Multivariate analysis identified 9 correlates of ST and 4 correlates of MB. Advanced age and a high Charlson index were associated with an increased risk of both ST and MB. After ST, the 7-day and 1-year all-cause mortality was 30% and 35%, respectively, versus 1.5% and 10% after MB. Only 2 of 13,749 patients (0.015%) experienced both MB and ST during the entire 1-year follow-up period. Conclusions In this worldwide population treated with ≥1 SES, the reported compliance with DAPT was good, and the incidence of ST and MB was low. Stent thrombosis and MB very rarely occurred in the same patient. (The e-SELECT Registry: a Multicenter Post-Market Surveillance; NCT00438919).</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>Brésil</li>
<li>Canada</li>
<li>Corée du Sud</li>
<li>France</li>
<li>Italie</li>
<li>Royaume-Uni</li>
<li>République populaire de Chine</li>
<li>Suisse</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>Lombardie</li>
<li>Minnesota</li>
<li>Ohio</li>
<li>Oxfordshire</li>
<li>Île-de-France</li>
</region>
<settlement><li>Milan</li>
<li>Oxford</li>
<li>Paris</li>
<li>Pékin</li>
</settlement>
</list>
<tree><country name="Suisse"><noRegion><name sortKey="Urban, Philip" sort="Urban, Philip" uniqKey="Urban P" first="Philip" last="Urban">Philip Urban</name>
</noRegion>
</country>
<country name="Brésil"><noRegion><name sortKey="Abizaid, Alexandre" sort="Abizaid, Alexandre" uniqKey="Abizaid A" first="Alexandre" last="Abizaid">Alexandre Abizaid</name>
</noRegion>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Banning, Adrian" sort="Banning, Adrian" uniqKey="Banning A" first="Adrian" last="Banning">Adrian Banning</name>
</region>
</country>
<country name="Italie"><region name="Lombardie"><name sortKey="Bartorelli, Antonio L" sort="Bartorelli, Antonio L" uniqKey="Bartorelli A" first="Antonio L." last="Bartorelli">Antonio L. Bartorelli</name>
</region>
</country>
<country name="Belgique"><noRegion><name sortKey="Baux, Ana Cebrian" sort="Baux, Ana Cebrian" uniqKey="Baux A" first="Ana Cebrian" last="Baux">Ana Cebrian Baux</name>
</noRegion>
<name sortKey="Legrand, Victor" sort="Legrand, Victor" uniqKey="Legrand V" first="Victor" last="Legrand">Victor Legrand</name>
<name sortKey="Nyakern, Maria" sort="Nyakern, Maria" uniqKey="Nyakern M" first="Maria" last="Nyakern">Maria Nyakern</name>
</country>
<country name="Canada"><noRegion><name sortKey="Dzavik, Vladimir" sort="Dzavik, Vladimir" uniqKey="Dzavik V" first="Vladimir" last="Dzavik">Vladimir Dzavik</name>
</noRegion>
</country>
<country name="États-Unis"><region name="Ohio"><name sortKey="Ellis, Stephen" sort="Ellis, Stephen" uniqKey="Ellis S" first="Stephen" last="Ellis">Stephen Ellis</name>
</region>
<name sortKey="Holmes, David" sort="Holmes, David" uniqKey="Holmes D" first="David" last="Holmes">David Holmes</name>
</country>
<country name="République populaire de Chine"><noRegion><name sortKey="Gao, Runlin" sort="Gao, Runlin" uniqKey="Gao R" first="Runlin" last="Gao">Runlin Gao</name>
</noRegion>
</country>
<country name="Corée du Sud"><noRegion><name sortKey="Myung Ho Jeong" sort="Myung Ho Jeong" uniqKey="Myung Ho Jeong" last="Myung Ho Jeong">MYUNG HO JEONG</name>
</noRegion>
</country>
<country name="Allemagne"><noRegion><name sortKey="Neumann, Franz Josef" sort="Neumann, Franz Josef" uniqKey="Neumann F" first="Franz-Josef" last="Neumann">Franz-Josef Neumann</name>
</noRegion>
</country>
<country name="France"><region name="Île-de-France"><name sortKey="Spaulding, Christian" sort="Spaulding, Christian" uniqKey="Spaulding C" first="Christian" last="Spaulding">Christian Spaulding</name>
</region>
</country>
<country name="Australie"><noRegion><name sortKey="Worthley, Stephen" sort="Worthley, Stephen" uniqKey="Worthley S" first="Stephen" last="Worthley">Stephen Worthley</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006706 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 006706 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Asie |area= AustralieFrV1 |flux= Main |étape= Exploration |type= RBID |clé= Pascal:11-0202766 |texte= 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 }}
This area was generated with Dilib version V0.6.33. |