Stent Thrombosis
Conditions
Keywords
Very Late Stent Thrombosis, New generation DES
Brief summary
The investigators sought to identify and verify the potential correlates and mechanisms of Very Late Stent Thrombosis (VLST) after the implantation of new generation drug eluting steng in China from an analysis of multicenter registries.
Detailed description
This study represents a patient-level pooled analysis of patients undergoing percutaneous coronary intervention with stent implantation for acute coronary syndrome. Multiple aspects including clinical, angiographic, procedural characteristics , intravascular imaging results and blood samples were collected at index PCI and the time of VLST or CAG during follow-up, in order to reveal the potential mechanisms or risk factors that contribute to the development of VLST.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients\>18y,admitted for acute coronary syndrome,successfully underwent PCI with at least one stent, sign informed consent.
Exclusion criteria
* Expected lifetime was less than 1 year for any severe disease(such as tumor,severe respiratory failure et al). There is a surgical plan for important organs within 1 year after surgery and anti-platelet drugs should be discontinued. Refusing to sign informed consent.Died prior to discharge. Poor compliance, unable to participate in regular follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Very Late Stent Thrombosis | Five years | very late stent thrombosis demonstrated by coronary angiography |
Countries
China
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Derivation Cohort Patients enrolled in Jilin University First Hospital, no interventions will be administrated | 5,185 |
| Validation Cohort Patients enrolled in First Affiliated Hosptal of Shantou University, no interventions will be administrated | 2,058 |
| Total | 7,243 |
Baseline characteristics
| Characteristic | Derivation Cohort | Validation Cohort | Total |
|---|---|---|---|
| Age, Continuous | 59.846 years STANDARD_DEVIATION 9.95 | 60.00 years STANDARD_DEVIATION 10.22 | 59.96 years STANDARD_DEVIATION 10.18 |
| AMI as admitting diagnosis | 3160 Participants | 1258 Participants | 4418 Participants |
| Cardiogenic shock | 113 Participants | 17 Participants | 130 Participants |
| Current smoker | 2914 Participants | 1202 Participants | 4116 Participants |
| Dyslipidaemia | 1640 Participants | 515 Participants | 2155 Participants |
| History of drinking | 764 Participants | 327 Participants | 1091 Participants |
| History of heart failure | 137 Participants | 58 Participants | 195 Participants |
| History of PVD | 88 Participants | 42 Participants | 130 Participants |
| History of stroke/TIA | 379 Participants | 170 Participants | 549 Participants |
| History or Diabetes Mellitus | 1329 participants | 550 participants | 1879 participants |
| Hypertension | 2721 Participants | 1073 Participants | 3794 Participants |
| Previous CABG | 144 Participants | 65 Participants | 209 Participants |
| Previous MI | 357 Participants | 114 Participants | 471 Participants |
| Previous PCI | 104 Participants | 46 Participants | 150 Participants |
| Race and Ethnicity Not Collected | — | — | 0 Participants |
| Sex: Female, Male Female | 1628 Participants | 644 Participants | 2272 Participants |
| Sex: Female, Male Male | 3557 Participants | 1414 Participants | 4971 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 316 / 6,038 | 132 / 2,438 |
| other Total, other adverse events | 0 / 6,038 | 0 / 2,438 |
| serious Total, serious adverse events | 0 / 6,038 | 0 / 2,438 |
Outcome results
Very Late Stent Thrombosis
very late stent thrombosis demonstrated by coronary angiography
Time frame: Five years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Derivation Cohort | Very Late Stent Thrombosis | 92 Participants |
| Validation Cohort | Very Late Stent Thrombosis | 35 Participants |