Comparison of drug-eluting stents with bare metal stents in unselected patients with acute myocardial infarction

2007 ◽  
Vol 70 (1) ◽  
pp. 1-8 ◽  
Author(s):  
L. Iri Kupferwasser ◽  
Allen M. Amorn ◽  
Nikhil Kapoor ◽  
Michael S. Lee ◽  
Saibal Kar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Bare Metal Stents ◽  
Drug Eluting Stents ◽  
Metal Stents ◽  
Bare Metal ◽  
Drug Eluting

AS-170: Drug-Eluting Stents Are Not Superior to Bare Metal Stents in Elderly Patients with Acute Myocardial Infarction

2009 ◽  
Vol 103 (9) ◽  
pp. 74B-75B
Author(s):  
Doo Sun Sim ◽  
Myung Ho Jeong ◽  
Youngkeun Ahn ◽  
Young Jo Kim ◽  
Sung Chull Chaee ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Bare Metal Stents ◽  
Drug Eluting Stents ◽  
Metal Stents ◽  
Bare Metal ◽  
Drug Eluting

Drug-eluting stents versus bare-metal stents in acute myocardial infarction: A systematic review and meta-analysis

2011 ◽  
Vol 27 (1) ◽  
pp. 11-22 ◽  
Author(s):  
Hae Sun Suh ◽  
Hyun Jin Song ◽  
Ji Eun Choi ◽  
Eun Jin Jang ◽  
Hee Jeong Son ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Observational Studies ◽  
Bare Metal Stents ◽  
Drug Eluting Stents ◽  
Metal Stents ◽  
Bare Metal ◽  
Statistical Heterogeneity ◽  
Drug Eluting

Objectives: Recent concerns have been raised for the safety after drug-eluting stents (DES) implantation compared with the use of bare-metal stents (BMS) in patients with ST-elevation acute myocardial infarction (STEMI). The objective of this study was to estimate the relative impact of DES versus BMS on mortality, myocardial infarction (MI), target vessel revascularization (TVR), and stent thrombosis (ST) in STEMI patients by performing comprehensive meta-analyses of randomized controlled trials (RCTs) and observational studies.Methods: We performed an electronic search and manual search of studies presented through September 2009, without language restrictions. An approach of “using systematic reviews” was used. Two independent reviewers extracted prespecified data from each study. A random-effects model was used to combine trials and to perform stratified analyses based on study designs and the duration of follow-up.Results: Fourteen RCTs were identified (N = 7,654). Compared with BMS, DES significantly reduced TVR (risk ratio [RR], 0.48; 95 percent confidence interval [CI], 0.41–0.56) and MI (RR, 0.77; 95 percent CI, 0.61–0.97), without increasing mortality (RR, 0.88; 95 percent CI, 0.70–1.10) and ST (RR, 0.93; 95 percent CI, 0.72–1.21). Among 35 observational studies (N = 44,849), the use of DES was associated with a significant reduction in mortality (RR, 0.85; 95 percent CI, 0.79–0.91) and TVR (RR, 0.61; 95 percent CI, 0.48–0.77). MI and ST were significantly lower in the DES group within 1-year follow-up, but there were no differences within 2 years of follow-up. There was no evidence of statistical heterogeneity and publication bias.Conclusions: These data in aggregate suggest that using DES in STEMI patients is safe and efficacious, but there are differences between RCT and observational data comparing DES and BMS.

scholarly journals Are Drug-Eluting Stents Safer and More Effective Than Bare-Metal Stents in Patients With Acute Myocardial Infarction?

2011 ◽  
Vol 52 (2) ◽  
pp. 78-83
Author(s):  
Ki Hong Lee ◽  
Youngkeun Ahn ◽  
Nam Sik Yoon ◽  
Hyun Ju Yoon ◽  
Young Joon Hong ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Bare Metal Stents ◽  
Drug Eluting Stents ◽  
Metal Stents ◽  
Bare Metal ◽  
Drug Eluting
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