Stent implantation in aorto-ostial lesions: long-term follow-up and predictors of outcome

EuroIntervention. 2012 Jan;7(9):1069-76. doi: 10.4244/EIJV7I9A170.

Abstract

Aims: To compare the outcomes of drug-eluting (DES) vs. bare-metal (BMS) stents for stenting of native aorto-ostial lesions (AOL) and to identify predictors of major adverse cardio and cerebrovascular events (MACCE).

Methods and results: A total of 181 patients (182 AOL) who underwent stenting of AOL were retrospectively identified: right-coronary artery in 130 (71.4%), left main in 52 (28.6%). In-hospital event rate was 1.1% (two non-Q-wave myocardial infarctions). Follow-up was possible in 98.3%, median time=23.9 months (IQR 12.1-37.7). Event rates and survival MACCE-free were not significantly different between DES and BMS. After multivariate analysis, only the logistic EuroSCORE >10% predicted MACCE (HR=4.66, 95% CI: 2.38-9.12, p<0.001), whereas the predictors for TLR were age (HR=0.96, 95% CI: 0.92-1.00, p=0.039) and the stented artery (RCA vs. LM, HR=10.2, 95% CI: 1.37-75.45, p=0.024).

Conclusions: AOL stenting can be performed with high success and low complication rates. At follow-up, no significant differences in event rates were found between DES and BMS; EuroSCORE>10% was the only predictor of MACCE.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Angioplasty / methods*
  • Aortic Diseases / diagnosis*
  • Aortic Diseases / mortality
  • Aortic Diseases / therapy*
  • Drug-Eluting Stents*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Longitudinal Studies
  • Male
  • Metals*
  • Middle Aged
  • Multivariate Analysis
  • Myocardial Infarction / epidemiology
  • Prognosis
  • Proportional Hazards Models
  • Retrospective Studies
  • Stents*
  • Stroke / epidemiology
  • Survival Rate
  • Treatment Outcome

Substances

  • Metals