Evidence map›Paper›PMID 29667015›Full record

Observational studyClinical research in cardiology : official journal of the German Cardiac Society2018

Stent thrombosis rates the first year and beyond with new- and old-generation drug-eluting stents compared to bare metal stents.

Christoph Varenhorst, Martin Lindholm, Giovanna Sarno, Göran Olivecrona, Ulf Jensen, Johan Nilsson, Jörg Carlsson, Stefan James, Bo Lagerqvist

Open access · hybridAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical research in cardiology : official journal of the German Cardiac Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Efficacy of Drug-Coated Balloon Approaches forFrontiers in cardiovascular medicine · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Drug-coated balloon versus drug-eluting stent in small coronary artery lesions: angiographic analysis from the BASKET-SMALL 2 trial.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Trial
  5. Review
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Acute myocardial infarction due to coronary stent thrombosis in a symptomatic COVID-19 patient.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Article
  18. Article
  19. Review
  20. Treatment of large de novo coronary lesions with paclitaxel-coated balloon only: results from a Chinese institute.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Christoph VarenhorstUppsala Clinical Research Center, Uppsala University, Uppsala, Sweden. christoph.varenhorst@medsci.uu.se.ORCID http://orcid.org/0000-0002-8378-3869
Martin LindholmDepartment of Internal Medicine, Cardiology, Västerås County Hospital, Västerås, Sweden.
Giovanna SarnoUppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Göran OlivecronaDepartment of Cardiology, Lund University, Lund, Sweden.
Ulf JensenDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Johan NilssonDepartment of Cardiology, Heart Centre, Umeå University, Umeå, Sweden.
Jörg CarlssonFaculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.
Stefan JamesUppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Bo LagerqvistUppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Uppsala University · SEKarolinska Institutet · SELinnaeus University · SELund University · SEUmeå University · SEVästerås Municipality · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOld-generation drug-eluting coronary stents (o-DES) have despite being safe and effective been associated with an increased propensity of late stent thrombosis (ST). We evaluated ST rates in o-DES, new-generation DES (n-DES) and bare metal stents (BMS) the first year (< 1 year) and beyond 1 year (> 1 year).

methodsWe evaluated all implantations with BMS, o-DES (Cordis Cypher, Boston Scientific Taxus Liberté and Medtronic Endeavor) and n-DES in the Swedish coronary angiography and angioplasty registry (SCAAR) between 1 January 2007 and 8 January 2014 (n = 207 291). All cases of ST (n = 2 268) until 31 December 2014 were analyzed.

resultsThe overall risk of ST was lower in both n-DES and o-DES compared with BMS up to 1 year (n-DES versus BMS: adjusted risk ratio (RR) 0.48 (0.41-0.58) and o-DES versus BMS: 0.56 (0.46-0.67), both p < 0.001). From 1 year after stent implantation and onward, the risk for ST was higher in o-DES compared with BMS [adjusted RR, 1.82 (1.47-2.25], p < 0.001). N-DES were associated with similar low ST rates as BMS from 1 year and onward [adjusted RR 1.21 (0.94-1.56), p = 0.135].

conclusionNew-generation DES were associated with lower ST rates in comparison to BMS during the first-year post-stenting. After 1 year, n-DES and BMS were associated with similar ST rates.

trial registrationThis study was a retrospective observational study and as such did not require clinical trial database registration.

Indexed as

RegistriesAgedAngioplasty, Balloon, CoronaryCoronary AngiographyCoronary Artery DiseaseDrug-Eluting StentsFemaleGraft Occlusion, VascularHumansIncidenceMaleProspective StudiesProsthesis DesignSwedenTime FactorsBare metal stentsDrug-eluting stentsPercutaneous coronary interventionStent thrombosis

Identifiers

PMID29667015
PMCPMC6105307
OpenAlexW2800342321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.