Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (52): 8517-8521.doi: 10.3969/j.issn.2095-4344.2015.52.027

Previous Articles     Next Articles

Efficacy of rapamycin and paclitaxel eluting stent implantation in treatment of coronary artery disease 

Yang Jun1, Chen Dong-lin2, Chen Yin-chao3, Chen Xin-jing4   

  1. 1Department of Cardiology, the First People’s Hospital of Yunnan Province, Kunming 650032, Yunnan Province, China; 2Department of Cardiology, Qujing Hospital of Traditional Chinese Medicine, Qujing 655000, Yunnan Province, China; 3People’s Hospital of Bai Autonomous Prefecture, Dali 671000, Yunnan Province, China; 4Department of Cardiology, Provincial Clinical College of Fujian Medical University (Third Department of Internal Medicine, Fujian Provincial Hospital), Fuzhou 350001, Fujian Province, China
  • Received:2015-10-28 Online:2015-12-17 Published:2015-12-17
  • About author:Yang Jun, Master, Attending physician, Department of Cardiology, the First People’s Hospital of Yunnan Province, Kunming 650032, Yunnan Province, China
  • Supported by:

    the Young Scientific Research Project of Fujian Provincial Health Department, No. 2012-2-10; the Rural Extension Project of Fujian Provincial Health Department, No. 2012024

Abstract:

BACKGROUND: The clinical effect of drug-eluting stent implantation in treatment of coronary artery disease is good, but there may be some differences in the therapeutic effect between different stents.
OBJECTIVE: To compare the clinical effect of different stent implantation in treatment of coronary artery disease.
METHODS: A total of 278 patients with coronary artery disease were enrolled and all underwent coronary artery stent implantation treatment, of which 91 patients underwent implanted rapamycin eluting stent, 92 patients underwent implanted paclitaxel eluting stent, and 95 patients underwent implanted bare metal stents. All the patients were followed up for 12 months after stents implantation. The occurrence of adverse cardiac events such as death, myocardial infarction, and the occurrence of coronary restenosis and host reaction were recorded.
RESULTS AND CONCLUSION: The rates of coronary artery stenosis, acute myocardial infarction, coronary artery bypass grafting or second-time percutaneous coronary interventional therapy in the paclitaxel eluting stent and rapamycin eluting stent groups were all lower than those in the bare metal stent group (P < 0.05). There were no significant differences in the above indicators between paclitaxel eluting stent and rapamycin eluting stent
groups (P > 0.05). There was no significant difference in the mortality between these three groups (P > 0.05). There was no stent shift, shedding, breakage, bad implantation position, leukocytosis, thrombocytopenia and hemolysis in these three groups. These results demonstrate that the therapeutic effects of these two kinds of drug-eluting stents are all good enough, and better than those of bare metal stents. 

 

CLC Number: