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Comparison of bare metal stent with pioglitazone versus sirolimus-eluting stent for percutaneous coronary intervention in patients with Type 2 diabetes mellitus
- Source :
- Cardiovascular revascularization medicine : including molecular interventions. 10(1)
- Publication Year :
- 2008
-
Abstract
- Background Drug-eluting stents (DESs) have been shown to decrease restenosis as compared with bare-metal stents. Recently, thiazolidinediones effectively reduced restenosis and the risk of repeat target vessel revascularization. We conducted a study to compare the performance of a DES with that of a bare-metal stent with pioglitazone in patients with Type 2 diabetes mellitus (DM). Methods The study was a prospective cohort trial involving 38 Type 2 diabetic patients referred for coronary stenting who were assigned to either the sirolimus-eluting stent (SES) group or the pioglitazone group. Quantitative coronary angiography was performed at study entry and at 6 months of follow-up to evaluate in-stent late luminal loss and the percentage of the luminal diameter and the rate of restenosis. We also analyzed major adverse cardiac events (MACE) at 12 months. Results There were no significant differences in glycemic control levels or in lipid levels in the two groups at follow up. The insulin and homeostasis model assessment insulin resistance at follow-up were significantly lower in the pioglitazone group than in the SES group. The percentage of restenosis was similar between the SES group and the pioglitazone group. The incidence of MACE at 1 year tended to be lower in the pioglitazone group than in the SES group. Conclusions The bare-metal stent with pioglitazone is not inferior to the SES in the present study and is one of therapeutic strategies of percutaneous coronary intervention for patients with DM.
- Subjects :
- Bare-metal stent
Blood Glucose
Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Coronary Angiography
Prosthesis Design
Coronary Restenosis
Restenosis
Angioplasty
Internal medicine
medicine
Humans
Hypoglycemic Agents
Insulin
cardiovascular diseases
Prospective Studies
Angioplasty, Balloon, Coronary
Aged
Sirolimus
Pioglitazone
business.industry
Coronary Stenosis
Stent
Percutaneous coronary intervention
Cardiovascular Agents
Drug-Eluting Stents
General Medicine
Middle Aged
medicine.disease
Lipids
Treatment Outcome
Diabetes Mellitus, Type 2
Cardiovascular Diseases
Metals
Cardiovascular agent
Cardiology
Female
Stents
Thiazolidinediones
Insulin Resistance
Cardiology and Cardiovascular Medicine
business
Mace
medicine.drug
Subjects
Details
- ISSN :
- 18780938
- Volume :
- 10
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Cardiovascular revascularization medicine : including molecular interventions
- Accession number :
- edsair.doi.dedup.....afb6571dd0c613f3bcc98abea427759e