Evidence map›Paper›PMID 33029937›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2021

Final five-year results of the REMEDEE Registry: Real-world experience with the dual-therapy COMBO stent.

Laura S M Kerkmeijer, Jaya Chandrasekhar, Deborah N Kalkman, Pier Woudstra, Ian B A Menown, Harry Suryapranata, Peter den Heijer, Andrés Iñiguez, Arnoud W J van 't Hof, Andrejs Erglis and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Final five-year results of the REMEDEE Registry: Real-world experience with the dual-therapy COMBO stent.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
    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

16 authors.

Laura S M KerkmeijerDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.ORCID 0000-0003-0873-2014
Jaya ChandrasekharDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.ORCID 0000-0001-8776-326X
Deborah N KalkmanDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.ORCID 0000-0002-1900-2116
Pier WoudstraDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.ORCID 0000-0002-5870-9923
Ian B A MenownDepartment of Cardiology, Craigavon Cardiac Centre, Craigavon, UK.
Harry SuryapranataDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Peter den HeijerDepartment of Cardiology, Amphia Hospital Breda, Breda, The Netherlands.
Andrés IñiguezDepartment of Cardiology, Hospital Álvaro Cunqueiro - Complejo Hospitalario Universitario, Vigo, Spain.
Arnoud W J van 't HofDepartment of Cardiology, Isala Klinieken, Zwolle, the Netherlands.
Andrejs ErglisDepartment of Cardiology, Pauls Stradins Clinical University Hospital, Riga, Latvia.
Karin E ArkenboutDepartment of Cardiology, Tergooi Ziekenhuis, Blaricum, The Netherlands.
Philippe MullerDepartment of Cardiology, Institut National de Cardiochirurgie et de Cardiologie Interventionnelle, Luxembourg, Luxembourg.
Karel T KochDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.
Jan G TijssenDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.
Marcel A M BeijkDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.
Robbert J de WinterDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Heart Center, Amsterdam, The Netherlands.

Funding

Abbott Vascular and Boson ScientificBiotronik, Biosensors, and MedtronicOrbusNeich, AstraZeneca, and TrytonOrbus Neich BVOrbusNeich Medical B.V.The Medicines Company
6 · The paper itself

Abstract

objectivesThis final report from the REMEDEE Registry assessed the long-term safety and efficacy of the dual-therapy COMBO stent in a large unselected patient population.

backgroundThe bio-engineered COMBO stent (OrbusNeich Medical BV, The Netherlands) is a dual-therapy pro-healing stent. Data of long-term safety and efficacy of the this stent is lacking.

methodsThe prospective, multicenter, investigator-initiated REMEDEE Registry evaluated clinical outcomes after COMBO stent implantation in daily clinical practice. One thousand patients were enrolled between June 2013 and March 2014.

resultsFive-year follow-up data were obtained in 97.2% of patients. At 5-years, target lesion failure (TLF) (composite of cardiac death, target-vessel myocardial infarction, or target lesion revascularization) was present in 145 patients (14.8%). Definite or probable stent thrombosis (ST) occurred in 0.9%, with no additional case beyond 3-years of follow-up. In males, 5-year TLF-rate was 15.6 versus 12.6% in females (p = .22). Patients without diabetes mellitus (DM) had TLF-rate of 11.4%, noninsulin-treated DM 22.7% (p = .001) and insulin-treated DM 41.2% (p < .001). Patients presenting with non-ST segment elevation acute coronary syndrome (NSTE-ACS) had higher incidence of TLF compared to non-ACS (20.4 vs. 13.3%; p = .008), while incidence with STE-ACS was comparable to non-ACS (10.7 vs. 13.3%; p = .43).

conclusionPercutaneous coronary intervention with the dual-therapy COMBO stent in unselected patient population shows low rates of TLF and ST to 5 years. Remarkably, no case of ST was noted beyond 3 years.

Indexed as

Coronary Artery DiseaseDrug-Eluting StentsPercutaneous Coronary InterventionFemaleHumansMaleProspective StudiesProsthesis DesignRegistriesRisk FactorsStentsTime FactorsTreatment Outcomedrug-eluting stentdual-therapy stentpercutaneous coronary intervention

Identifiers

PMID33029937
PMCPMC8518525

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Registered trials

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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.