Evidence map›Paper›PMID 41807025›Full record

Observational studyJournal of Korean medical science2026

Effectiveness and Safety of Biodegradable Polymer-Coated Everolimus-Eluting Stent in Multivessel Coronary Artery Disease in Routine Clinical Practice: A Korean Multicenter, Prospective, and Observational Study.

Soohyung Park, Woohyeun Kim, Seung-Woon Rha, Byoung Geol Choi, Joo-Yong Hahn, Sang-Ho Park, Han Cheol Lee, Jang Hyun Cho, Jung Min Bong, Byung-Hee Hwang and 21 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

31 authors.

Soohyung Park *Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8463-2002
Woohyeun Kim *Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.ORCID https://orcid.org/0000-0002-6939-5958
Seung-Woon RhaCardiovascular Center, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9456-9852
Byoung Geol ChoiCardiovascular Research Institute, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0002-6090-869X
Joo-Yong HahnDivision of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0002-4412-377X
Sang-Ho ParkDivision of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.ORCID https://orcid.org/0000-0001-7912-0336
Han Cheol LeeDivision of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.ORCID https://orcid.org/0000-0002-7236-4204
Jang Hyun ChoDivision of Cardiology, Department of Internal Medicine, Saint Carollo Hospital, Suncheon, Korea.ORCID https://orcid.org/0000-0002-3792-0017
Jung Min BongDivision of Cardiology, Department of Internal Medicine, Hallym General Hospital, Incheon, Korea.ORCID https://orcid.org/0000-0002-4539-5267
Byung-Hee HwangDivision of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-7770-0791
Jae-Bin SeoDivision of Cardiology, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5347-8313
Young-Hoon JeongDivision of Cardiology, Department of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Korea.ORCID https://orcid.org/0000-0003-0403-3726
Hyung-Bok ParkDivision of Cardiology, Department of Internal Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, Korea.ORCID https://orcid.org/0000-0002-3773-2665
Myung Ho JeongDivision of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0003-2424-810X
Byoung Joo ChoiDivision of Cardiology, Department of Internal Medicine, Good Morning Hospital, Pyeongtaek, Korea.ORCID https://orcid.org/0000-0002-3045-5343
Kyu-Young ChoiDivision of Cardiology, Department of Internal Medicine, H Plus YangJi Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8464-2665
Seung Uk LeeDivision of Cardiology, Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0001-9436-4179
Youn-Haeng ChoDivision of Cardiology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.ORCID https://orcid.org/0000-0002-5818-7686
Sun Ho HwangDivision of Cardiology, Department of Internal Medicine, KS Hospital, Gwangju, Korea.ORCID https://orcid.org/0009-0008-7161-2641
Kyungil ParkDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Busan, Korea.ORCID https://orcid.org/0000-0002-5212-2128
Yu Jeong ChoiDivision of Cardiology, Department of Internal Medicine, Daejeon Eulji Medical Center, Eulji University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0003-1372-2080
Ae-Young HerDivision of Cardiology, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0002-9990-6843
Jae Bum LeeDivision of Cardiology, Department of Internal Medicine, Anyang Sam Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0003-4342-747X
Jin-Yong HwangDivision of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.ORCID https://orcid.org/0000-0002-6632-7239
Joon Hyouk ChoiDivision of Cardiology, Department of Internal Medicine, Jeju National University Hospital, Jeju, Korea.ORCID https://orcid.org/0000-0003-4245-1582
Markz Rmp SinuratCardiovascular Research Institute, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0002-8045-6352
Se Yeon ChoiCardiovascular Research Institute, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0003-4107-4981
Jin Ah ChaCardiovascular Research Institute, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0001-7885-3968
Su Jin HyunCardiovascular Research Institute, Korea University, Seoul, Korea.ORCID https://orcid.org/0009-0000-0869-587X
Cheol Ung ChoiCardiovascular Research Institute, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0003-2815-9358
Chang Gyu ParkCardiovascular Center, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4562-1305

Funding

Boston Scientific Korea Co., Ltd
6 · The paper itself

Abstract

backgroundMultivessel coronary artery disease (CAD) poses a significant challenge in interventional cardiology due to its complexity and association with adverse clinical outcomes. Real-world data on the clinical performance of drug-eluting stents in Korean patients with multivessel disease (MVD) are limited. This study aimed to evaluate the efficacy and safety of the biodegradable polymer-coated everolimus-eluting stents (SYNERGY™, Boston Scientific Corporation, Natick, MA, USA) in treating patients with MVD in real-world clinical setting.

methodsThis multicenter, prospective, observational registry involved 22 hospitals in the Republic of Korea. Eligible patients presented with ≥ 70% stenosis in at least two vessels and were amenable for receiving percutaneous coronary intervention (PCI). The primary endpoint was target lesion failure ([TLF], the composite of cardiac death; target vessel myocardial infarction [MI]; and target lesion revascularization [TLR]) at 1 year.

resultsBetween August 2016 and September 2018, 542 patients were enrolled. The mean age of the patients was 66.2 ± 10.4 years, and most of them were male (73.7%). Diabetes mellitus (DM) was present in 40.8% of patients, while 68.2% had acute coronary syndrome (ACS). The 1-year TLF was in 2.1%, with incidences of cardiac death 0.9%, MI 0.3%, TLR 0.9%, and stent thrombosis 0.3%. Subgroup analysis revealed no significant differences in the primary endpoint between patients with or without ACS, and DM. In-stent restenosis (hazard ratio [HR], 11.20; 95% confidence interval [CI], 2.20-56.91) and total stent length (HR, 1.02; 95% CI, 1.01-1.03) were identified as independent predictors of TLF.

conclusionThe 1-year TLF rate observed in our cohort (2.1%) was comparable to or lower than rates previously reported in studies evaluating drug-eluting stents in patients undergoing multivessel PCI. These results suggest that the biodegradable polymer-coated everolimus-eluting stents provide favorable clinical outcomes for this patient population in real-world clinical practice.

Indexed as

Coronary Artery DiseaseDrug-Eluting StentsEverolimusPolymersAbsorbable ImplantsAcute Coronary SyndromeAgedFemaleHumansMaleMiddle AgedMyocardial InfarctionPercutaneous Coronary InterventionProspective StudiesRegistriesRepublic of KoreaEverolimusPolymersCoronary Artery DiseaseDrug-Eluting StentMultivessel Disease, Percutaneous Coronary Intervention

Identifiers

PMID41807025
PMCPMC12976635

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LicenceCC BY-NC
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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.