Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1323
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dc.contributorOqueli, Ernestoen_US
dc.contributorLeong, Kai'enen_US
dc.contributorAndrianopolous, Nicken_US
dc.contributorSharma, Ananden_US
dc.contributorNoaman, Sameren_US
dc.contributorYudi, Matiasen_US
dc.contributorFreeman, Melanieen_US
dc.contributorBrennan, Angelaen_US
dc.contributorFernando, Himawanen_US
dc.contributorReid, Christopheren_US
dc.contributorClark, David J.en_US
dc.contributorSebastian, Martinen_US
dc.contributorAjani, Andrewen_US
dc.contributorDuffy, Stephenen_US
dc.date.accessioned2019-04-05T00:40:30Z-
dc.date.available2019-04-05T00:40:30Z-
dc.date.issued2018-
dc.identifier.govdoc01280en_US
dc.identifier.urihttp://hdl.handle.net/11054/1323-
dc.description.abstractBackground Drug-eluting stents (DES) and bare-metal stents (BMS) share the same platform. DES are the standard of care in coronary revascularization due to lower restenosis rates. Objectives/Aims We aimed to establish if outcomes with BMS were equivalent to DES in certain lesion and vessel types with an inherently low risk of in-stent restenosis (ISR). Method 4,495 patients undergoing PCI in the Melbourne Interventional Group Registry between 2005 and 2017 with distinct BMS and DES were analysed. Vessel size >2.5 mm and lesion length <18 mm were included. Diabetics were excluded. Results Patients receiving BMS were older (62.4 vs. 61.5 years, p=0.01), had more atrial fibrillation (5.8% vs. 2.5%, p<0.005), poor functional class III-IV (21.9% vs. 15.2%, p<0.005), cerebrovascular disease (5.2% vs. 3.0%, p=0.001) and chronic lung disease (10.9% vs. 8.6%, p=0.01). Presentation with ST-elevation myocardial infarction (48.4% vs. 41.5%, p<0.005) and severe heart failure (Killip class III/IV 1.4% vs 0.7%, p=0.03) was more common in the BMS group. 30-day mortality, myocardial infarction and repeat revascularization rates were not different in the two groups. Australian National Death Index (NDI)-linked mortality data projected lower survival estimates in BMS patients. Implications/Outcomes for Planned Research Project Greater consideration needs to be given to use of bare metal stents when clinically appropriate. This is of particular relevance given the importance of responsible resource utilisation in cardiology with increasing costs associated with managing coronary artery disease at a population level. Final Thoughts NDI-linked mortality data estimated lower survival in patients with BMS; however, this cohort was older with greater comorbidity and higher acuity presentation. en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-02-20T05:25:55Z No. of bitstreams: 1 Himawan FERNANDO STENTS.pdf: 407592 bytes, checksum: 8b04ebd109d86d016f01ffd5083e0578 (MD5)en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-04-05T00:40:30Z (GMT) No. of bitstreams: 1 Himawan FERNANDO STENTS.pdf: 407592 bytes, checksum: 8b04ebd109d86d016f01ffd5083e0578 (MD5)en
dc.description.provenanceMade available in DSpace on 2019-04-05T00:40:30Z (GMT). No. of bitstreams: 1 Himawan FERNANDO STENTS.pdf: 407592 bytes, checksum: 8b04ebd109d86d016f01ffd5083e0578 (MD5) Previous issue date: 2018en
dc.titleAre current bare-metal stents still an option in selected patient populations?en_US
dc.typeConferenceen_US
dc.type.specifiedPresentationen_US
dc.bibliographicCitation.conferencedateNovember 29then_US
dc.bibliographicCitation.conferencenameBallarat Health Services 2018 Annual Research Symposium: research partnerships for population, people and patients; celebrating our research partnerships with the community in the Grampians regionen_US
dc.bibliographicCitation.conferenceplaceBallaraten_US
dc.subject.healththesaurusDRUG-ELUTING STENTSen_US
dc.subject.healththesaurusBARE-METAL STENTSen_US
dc.subject.healththesaurusPERCUTANEOUS CORONARY INTERVENTIONen_US
dc.subject.healththesaurusCORONARY REVASCULARIZATIONen_US
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