One-Year Clinical Results With the Slow-Release, Polymer-Based, Paclitaxel-Eluting TAXUS Stent

  • Gregg W. Stone
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Stephen G. Ellis
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • David A. Cox
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • James Hermiller
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Charles O’Shaughnessy
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • James Tift Mann
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Mark Turco
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Ronald Caputo
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Patrick Bergin
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Joel Greenberg
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Jeffrey J. Popma
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...
  • Mary E. Russell
    From The Cardiovascular Research Foundation and Lenox Hill Heart and Vascular Institute, New York, NY (G.W.S.); Cleveland Clinic Foundation (S.G.E.); Mid Carolina Cardiology, Charlotte, NC (D.A.C.); St. Vincent’s Hospital, Indianapolis, Ind (J.H.); Elyria Memorial Hospital, Elyria, Ohio (C.O.); WakeMed, Raleigh, NC (J.T.M.); Washington Adventist Hospital, Tacoma Park, MD (M.T.); St. Joseph’s Hospital, Syracuse, NY (R.C.); Sacred Heart Medical Center, Eugene, Ore (P.B.); Florida Hospital, Orlando,...

書誌事項

タイトル別名
  • The TAXUS-IV Trial

抄録

<jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> The safety and efficacy of the slow-release, polymer-based, paclitaxel-eluting stent after implantation in a broad cross section of de novo coronary lesions at 1 year are unknown. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> In the TAXUS-IV trial, 1314 patients with single de novo coronary lesions 10 to 28 mm in length, with reference-vessel diameter 2.5 to 3.75 mm, coverable by a single study stent, were prospectively randomized to the slow-release, polymer-based, paclitaxel-eluting TAXUS stent or an identical-appearing bare-metal EXPRESS stent. By actuarial analysis, the TAXUS stent compared with the bare-metal stent reduced the 12-month rates of target-lesion revascularization by 73% (4.4% versus 15.1%, <jats:italic>P</jats:italic> <0.0001), target-vessel revascularization by 62% (7.1% versus 17.1%, <jats:italic>P</jats:italic> <0.0001), target-vessel failure by 52% (10.0% versus 19.4%, <jats:italic>P</jats:italic> <0.0001), and composite major adverse cardiac events by 49% (10.8% versus 20.0%, <jats:italic>P</jats:italic> <0.0001). The 1-year rates of cardiac death (1.4% versus 1.3%), myocardial infarction (3.5% versus 4.7%), and subacute thrombosis (0.6% versus 0.8%) were similar between the paclitaxel-eluting and control stents, respectively. Between 9 and 12 months, there were significantly fewer myocardial infarctions (0% versus 1.1%, <jats:italic>P</jats:italic> =0.007), target-vessel revascularizations (2.4% versus 5.8%, <jats:italic>P</jats:italic> =0.002), and major adverse cardiac events (2.4% versus 6.3%, <jats:italic>P</jats:italic> =0.0009) in the paclitaxel-eluting stent than in the control stent group, respectively. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> The relative efficacy reported at 9 months for the polymer-based, paclitaxel-eluting TAXUS stent compared with the EXPRESS stent is preserved and continues to increase at 1 year, with no safety concerns apparent. </jats:p>

収録刊行物

  • Circulation

    Circulation 109 (16), 1942-1947, 2004-04-27

    Ovid Technologies (Wolters Kluwer Health)

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