One-year clinical outcomes of patients implanted with a Resolute Onyx™ zotarolimus-eluting stent

J Int Med Res. 2018 Jan;46(1):457-463. doi: 10.1177/0300060517717826. Epub 2017 Jul 31.

Abstract

Objective To evaluate the 1-year clinical outcomes of patients who received the Resolute Onyx™ stent. Methods This was a single-centre, retrospective registry analysis that reviewed the clinical data from all patients who were implanted with a Resolute Onyx™ stent between March 2015 and February 2016. Clinical follow-up was performed at 1 year post-implantation. Results A total of 252 patients received a Resolute Onyx™ stent and two patients were lost to follow-up. The mean age of the cohort was 66.9 years and 113 (45.2%) had diabetes mellitus. Thirty-eight patients (15.2%) had left main disease and 73 (29.2%) had three-vessel disease. A total of 175 patients (70.0%) had small vessel disease (<2.75 mm) and 210 (84.0%) had long lesions (>20 mm). The 1-year target lesion failure was 4.4% (11 of 250), cardiovascular death occurred in eight patients (3.2%), ischaemia-driven target lesion revascularization was undertaken in five patients (2.0%) and stent thrombosis occurred in one patient (0.4%). Conclusion The Resolute Onyx™ stent showed a favourable 1-year clinical performance in a real-world population.

Keywords: Drug-eluting stent; coronary artery disease; zotarolimus-eluting stent.

MeSH terms

  • Aged
  • Coronary Angiography
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / drug therapy*
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / surgery
  • Coronary Thrombosis / diagnostic imaging
  • Coronary Thrombosis / drug therapy*
  • Coronary Thrombosis / mortality
  • Coronary Thrombosis / surgery
  • Diabetes Mellitus / diagnostic imaging
  • Diabetes Mellitus / drug therapy*
  • Diabetes Mellitus / mortality
  • Diabetes Mellitus / surgery
  • Drug-Eluting Stents
  • Female
  • Humans
  • Immunosuppressive Agents / pharmacokinetics
  • Immunosuppressive Agents / therapeutic use*
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / drug therapy*
  • Myocardial Infarction / mortality
  • Myocardial Infarction / surgery
  • Percutaneous Coronary Intervention
  • Registries*
  • Retrospective Studies
  • Sirolimus / analogs & derivatives*
  • Sirolimus / pharmacokinetics
  • Sirolimus / therapeutic use
  • Survival Analysis
  • Time Factors
  • Treatment Outcome

Substances

  • Immunosuppressive Agents
  • zotarolimus
  • Sirolimus