Evidence map›Paper›PMID 37255134›Full record

ArticleArquivos brasileiros de cardiologia2023

Real-World Assessment of an Ultrathin Strut, Sirolimus-Eluting Stent in Patients with ST-Elevation Myocardial Infarction Submitted to Primary Percutaneous Coronary Intervention (INSTEMI Registry).

Gustavo N Araujo, Guilherme P Machado, Marcia Moura, Anderson D Silveira, Luiz Carlos Bergoli, Felipe Costa Fuchs, Sandro Cadaval Gonçalves, Rodrigo Vugman Wainstein, Pedro A Lemos, Alexandre S Quadros and 1 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Gustavo N AraujoImperial Hospital de Caridade, Florianópolis, SC - Brasil.ORCID 0000-0002-1989-1670
Guilherme P MachadoHospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.ORCID 0000-0002-5514-2562
Marcia MouraInstituto de Cardiologia do Rio Grande do Sul, Porto Alegre, RS - Brasil.
Anderson D SilveiraHospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.ORCID 0000-0002-0327-3392
Luiz Carlos BergoliHospital Moinhos de Vento, Porto Alegre, RS - Brasil.
Felipe Costa FuchsHospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.
Sandro Cadaval GonçalvesHospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.
Rodrigo Vugman WainsteinHospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.
Pedro A LemosHospital Israelita Albert Einstein, São Paulo, SP - Brasil.ORCID 0000-0002-6782-750X
Alexandre S QuadrosInstituto de Cardiologia do Rio Grande do Sul, Porto Alegre, RS - Brasil.ORCID 0000-0002-3192-8835
Marco V WainsteinHospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.
Universidade Federal do Rio Grande do Sul · BRFundação Universitária de Cardiologia · BRHospital de Clínicas de Porto Alegre · BRHospital Israelita Albert Einstein · BRHospital Moinhos de Vento · BRInstituto de Cardiologia de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current gold standard of coronary drug-eluting stents (DES) consists of metal alloys with thinner struts and bioresorbable polymers.

objectivesOur aim was to compare an ultrathin strut, sirolimus-eluting stent (Inspiron®) with other third-generation DES platforms in patients with ST-elevation myocardial infarction (STEMI) submitted to primary percutaneous coronary intervention (PCI).

methodsWe analyzed data from a STEMI multicenter registry from reference centers in the South Region of Brazil. All patients were submitted to primary PCI, either with Inspiron® or other second- or third-generation DES. Propensity score matching (PSM) was computed to generate similar groups (Inspiron® versus other stents) in relation to clinical and procedural characteristics. All hypothesis tests had a two-sided significance level of 0.05.

resultsFrom January 2017 to January 2021, 1711 patients underwent primary PCI, and 1417 patients met our entry criteria (709 patients in the Inspiron® group and 708 patients in the other second- or third-generation DES group). After PSM, the study sample was comprised of 706 patients (353 patients in the Inspiron® group and 353 patients in the other the other second- or third-generation DES group). The rates of target vessel revascularization (OR 0.52, CI 0.21 - 1.34, p = 0.173), stent thrombosis (OR 1.00, CI 0.29 - 3.48, p = 1.000), mortality (HR 0.724, CI 0.41 - 1.27, p = 0.257), and major cardiovascular outcomes (OR 1.170, CI 0.77 - 1.77, p = 0.526) were similar between groups after a median follow-up of 17 months.

conclusionOur findings show that Inspiron® was effective and safe when compared to other second- or third-generation DES in a contemporary cohort of real-world STEMI patients submitted to primary PCI.

Indexed as

Drug-Eluting StentsMyocardial InfarctionPercutaneous Coronary InterventionST Elevation Myocardial InfarctionHumansProsthesis DesignRegistriesSirolimusStentsTreatment OutcomeSirolimus

Identifiers

PMID37255134
PMCPMC10228630
OpenAlexW4378781160

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.