Stent Thrombosis
Conditions
Keywords
drug-eluting stent, bare-metal stent, long-term safety, mortality, stent thrombosis, Angioplasty, Transluminal, Percutaneous Coronary
Brief summary
The FReIburger STent Registry (FRIST) is designed to determine the long term safety and efficacy of Drug Eluting Stents (DES) in a real-world patient population requiring stent implantation. FRIST included patients treated with DES and bare-metal stents (BMS) in the University Hospital of Freiburg, Germany, according to a non-restrictive inclusion criterion, in which virtually all consecutive patient subsets were considered eligible.
Interventions
All interventions were done according to current practice guidelines. The operator was responsible for the decision to choose a specific treatment strategy. Angiographic success was defined as residual stenosis \<30% by visual analysis in the presence of TIMI 3 flow grade. The patients were prescribed aspirin plus clopidogrel 75 mg per day, after a loading dose of 300 mg or 600 mg, before or during the index coronary intervention. After procedure, all patients were advised to maintain lifelong use of aspirin. The use of clopidogrel (75 mg per day) was always adapted according to guideline recommendations. Heparin was infused throughout the procedure to maintain an activated clotting time of at least 250 sec. The administration of platelet glycoprotein IIb/IIIa receptor blocker was encouraged, unless in existing contraindications.
Sirolimus-eluting stents (Cypher®), Paclitaxel-eluting stents (Taxus®) Zotarolimus-eluting stents (Endeavor®) and uncoated (bare-metal) stents
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutive patients undergoing percutaneous coronary intervention
Exclusion criteria
* Patient refusal or inability to provide written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All cause mortality (cardiac- and non-cardiac death). | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| The composite of death and MI and stent thrombosis. | 5 years |
| The occurrence of TVR, stroke, major bleeding, sepsis and tumor were also assessed. | 5 years |