药物洗脱支架进展教材.pptVIP

Concerns from Data Analysis in the Real-World;Textbook Theory;Restate the indication for DES CYPHER: target lesion ≤ 30 mm TAXUS: target lesion ≤ 28 mm ; What is the current status of DES in the real-world?;Too perfect designed to consider the difference among hospitals, physicians; DES in The Real-world; DES in The Real-world; DES in The Real-world; DES in The Real-world;DES: 18-mth rate of revascularization 30%;18-mth Survival Analysis;18-mth Survival Analysis for MI;Subgroup Analysis;CABG remains the standard of care for patients who require multivessel coronary revascularization. However, stents may be an alternative for patients at high risk for surgical complications or when an informed patient chooses a less invasive option.;We would like to have used a longer follow-up period. Nevertheless, it would appear that the advantage of CABG would have persisted over the course of another year or two of follow-up, because our evidence of that tendency and because there is evidence of very late stent thrombosis in patients receiving DES.;Data analysis from Fuwai Hospital Registry Database; TRIAL DESIGN; DES in The Real-world;Cumulative event rates during follow-up period;Survival Analysis for Total Mortality;Survival Analysis for Revascularization;Logrank P 0.0001;Survival Analysis for Q-wave MI;;; Discussion and Comment;LIMA——The Golden Standard for LAD;CABG, the standard method for coronary revascularization;Concerns on DES appear ; Discussion and Comment;We keep running, but one point has never been changed, that is……;Safety;Thank you