Table 3.
Incidence of Neoatherosclerosis Stratified by the Duration of Implant
BMS (197 lesions) | DES
|
P value BMS vs. DES (SES + PES) | |||
---|---|---|---|---|---|
All (SES + PES) (209 lesions) | SES (103 lesions) | PES (106 lesions) | |||
Duration with any neoatherosclerosis, days | 2160 (1800, 2880) | 420 (361, 683) | 450 (361, 660) | 383 (270, 721) | <0.001 |
Incidence of any neoatherosclerosis | |||||
≤ 2 years | 0/88 (0) | 51/177 (29) | 32/87 (37) | 19/90 (21)* | <0.001 |
> 2 years, ≤ 6 years | 17/76 (22) | 13/32 (41) | 7/16 (44) | 6/16 (38) | 0.053 |
> 6 years | 14/33 (42) | - | - | - | - |
All | 31/197 (16) | 64/209 (31) | 39/103 (38) | 25/106 (24)† | <0.001 |
Incidence of foamy macrophage clusters | |||||
≤ 2 years | 0/88 (0) | 25/177 (14) | 10/87 (12) | 15/90 (17) | <0.001 |
> 2 years, ≤ 6 years | 2/76 (3) | 6/32 (19) | 4/16 (25) | 2/16 (13) | 0.004 |
> 6 years | 3/33 (9) | - | - | - | - |
All | 5/197 (3) | 31/209 (15) | 14/103 (14) | 17/106 (16) | <0.001 |
Incidence of fibroatheromas | |||||
≤ 2 years | 0/88 (0) | 23/177 (13) | 19/87 (22) | 4/90 (4)‡ | <0.001 |
> 2 years, ≤ 6 years | 11/76 (15) | 7/32 (22) | 3/16 (19) | 4/16 (25) | 0.346 |
> 6 years | 8/33 (24) | - | - | - | - |
All | 19/197 (10) | 30/209 (14) | 22/103 (21) | 8/106 (8)§ | 0.145 |
Incidence of TCFA/plaque rupture | |||||
≤ 2 years | 0/88 (0) | 3/177 (2) | 3/87 (4) | 0/90 (0) | 0.219 |
> 2 years, ≤ 6 years | 4/76 (5) | 0/32 (0) | 0/16 (0) | 0/16 (0) | 0.186 |
> 6 years | 3/33 (9) | - | - | - | - |
All | 7/197 (4) | 3/209 (1) | 3/103 (3) | 0/106 (0) | 0.169 |
Calcified neointima | 9 (5) | 11 (5) | 7 (7) | 4 (4) | 0.747 |
Location of neoatherosclerosis | |||||
Proximal lesion | 21/77 (27)|| | 34/102 (33)|| | 19/45 (42) | 15/57 (26) | 0.384 |
Mid/Distal lesion | 10/84 (12) | 30/100 (30) | 20/53 (37) | 10/47 (21) | 0.003 |
Values are expressed as medians (interquartile range) or n (%).
p=0.021 vs. SES group,
p=0.025 vs. SES group,
p<0.001 vs. SES group, and
p=0.004 vs. SES group.
Incidence of atherosclerotic change in proximal lesion was higher than those in mid/distal lesion in BMS group (27% vs. 12%, p=0.014), but not in DES group (33% vs. 30%, p=0.611).
BMS = bare metal stents, DES = drug-eluting stents, PES = paclitaxel-eluting stents, SES = sirolimus-eluting stents, TCFA = thin-cap fibroatheroma