The Safety and Efficacy of China-made Drug Eluting Stent Implantation for the Application in Mild-to-modest Calcified Lesions of Acute Coronary Syndrome
Aim To retrospectively assess the effectiveness and safety of China-made drug eluting stent (CM-DES) implantation for the treatment of mild-to-modest calcified lesions in patients with acute coronary syndrome (ACS).Methods Three hundred and twenty consecutive patients of ACS with 434 ischemia related lesions were implanted with CM-DES and received 6~12 months angiographic follow-up. The patients were divided into two groups according to whether the calcification exists or not: non-calcification groups (n267) and calcification group (n167). Lesions treated with CM-DES were subjected to quantitative coronary angiography (QCA) at immediately and 6~12 months following stenting. Results Baseline clinical, demographic or angiographic characteristics were well comparable between the two groups. At follow-up, no differences were found between the two groups regarding in-stent restenosis (ISR) and in-segment restenosis rate (ISRR) (ISR: 3.9% vs. 4.3% P0.079 ISRR: 8.9% vs. 10.7%, P0.449). The similar result was also observed concerning the target lesion revascularization (5.1% vs. 6.7% P0.401). Besides, no difference about in-stent late loss (ISLL) and overall thrombosis rate (TR) was detected in both groups (ISLL: 0.18±0.42 mm vs. 0.19±0.43 mm TR: 1.7% vs. 1.4%, P>0.05 respectively). Conclusion Our results indicated that implantation of CM-DES for patient of ACS with mild-to-modest calcified lesions was effective and conferred to similar outcomes compared with non-calcified coronary arteries without additional increase in major adverse cardiac events.