Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 13, Number 2, April 2022, pages 104-109


Procedural Safety and Long-Term Clinical Outcomes in Patients Receiving Ultra-Long Everolimus-Eluting Stent: A Single-Center Real-World Experience

Figure

Figure 1.
Figure 1. Kaplan-Mayer curve showing the survival in patients with cardiogenic shock and without cardiogenic shock.

Tables

Table 1. Baseline Characteristics and Angiographic and Interventional Details of the Patient Population
 
VariableNumber (n)Percentage (%)
SD: standard deviation; STEMI: ST-segment elevation myocardial infarction; LAD: left anterior descending; RCA: right coronary artery; LCX: left circumflex; PCI: percutaneous coronary intervention; IVUS: intravascular ultrasound; Min: minimum; Max: maximum.
Age (mean ± SD)58.8 ± 10.8
Female sex2426.10%
Diabetes mellitus6368.48%
Hypertension4043.48%
Chronic kidney disease33.26%
Dyslipidemia66.52%
Chronic coronary syndrome2122.83%
STEMI5155.40%
Mean ejection fraction51%Min, 20%; Max, 65%
Cardiogenic shock1010.87%
ACC lesion type
  B12223.70%
  C7176.30%
Lesion location
  Left main33.22%
  LAD4548.38%
  LCX33.22%
  RCA4245.18%
  Syntax score (mean ± SD)16.99 ± 8.89
PCI details
  Primary PCI with 48-mm stent2325%
  Single-vessel lesion addressed with 48-mm stent3133.70%
  Multivessel disease addressed with 48-mm stent6166.30%
  IVUS optimizing22.17%
  Rotational atherectomy22.17%
  Predilation9198.91%
  Stent diameter (mean ± SD), mm2.77 (0.5)
  Stent size: 2.5 mm2931.52%
  Stent size: 2.75 mm3436.96%
  Stent size: 3.0 mm2527.17%
  Stent size:3.5 mm44.35%
  Predilation of the lesion9298.91%
  Post-dilation of the lesion8188.04%

 

Table 2. Outcomes of Patients Who Received the Ultra-Long 48-mm Xience Xpedition Stent
 
CharacteristicsNumber, n (%)
MACE: major adverse cardiac event; MI: myocardial infarction.
MACE in all the patients studied7 (7.61)
MACE in patients without cardiogenic shock2 (2.44)
Total deaths8 (8.7)
Noncardiac death1 (1.07)
Cardiac death in all the patients studied7 (7.61)
Cardiac death in patients with cardiogenic shock5 (55.5)
Nonfatal MI in the target vessel0 (0)
Target vessel revascularization0 (0)
Non-target vessel revascularization4 (4.35)
Procedural success in all the patients83 (89.2)
Procedural success in patients without cardiogenic shock79 (96.3)
Complications9 (9.78)
Dissection4 (4.34)
Intraprocedural stent thrombosis (definitive stent thrombosis)1 (1.07)