CENTURY II Multivessel disease sub-analysis

Overview

This study reveals, that throughout the 5-year follow-up period, sirolimus-eluting bioresorbable polymer Ultimaster™ stent (BP-SES), displays similarly good long-term safety and efficacy profile as the everolimus-eluting permanent polymer Xience stent (PP-EES), in the treatment of MVD patients.

Study Design

clinical_evidence_century_ll_multivessel_disease_study_design

Study Outline

Patient background

  BP-SES
n=225
PP-EES
n=231
p Value
Age, years 65.8±10.4 66.9±11.3 .31
Male gender 77.8 84.0 .09
Body mass index, kg/m2 27.3±4.2 26.8±4.2 .27
Slent Ischemla 16.4 16.5 .99
Stable angina 48.9 42.9 .20
Unstable angina 12 9.1 .31
STEMI 4.9 7.4 .27
NSTEMI 17.8 24.2 .09
Dlabetes melltus,
  IDDM
  NIDDM
37.3
21.4
78.6
33.3
18.2
81.8
.37
.61
.61
Dyslipidemia 71.0 71.1 .99
Hypertonsion 74.1 71.2 .49
Smoker, current 19.6 24.3 .23
Smoker, previous 48.9 37.6 .02
Renal insufficiency, 4.0 3.0 .57
Fanmily history of CAD 31.9 32.9 .83
History of PCI 44.4 40.3 .37
History of CABG 7.1 6.5 .79
History of MIl 31.1 32.5 .76
Charlson comorbidity index 1.5±1.8 1.3±1.6 .39
Vassels diseased (LM included) 2.3±0.5 2.3±0.5 .16
Number of vessels diseased (LM included)
  2
  3
  4


75.1
23.6
1.3


69.3
28.6
2.2
.15
Vessels treated 1.4±0.5 1.4±0.6 .87
Number of vassals treated
  1
  2
  3

59.6
39.1
1.3

59.3
38.1
2.6
.76
SYNTAX score 12.7±8.7 12.3±7.6 .91
  BP-SES
N patients 225
N lesions364
PP-EES
N patients 231
N lesions 374
p Value
Lesions detectod 3.1±1.5 3.1±1.3 .57
Leslons treated 1.6±0.8 1.6±0.8 .93
Lesion lacation
  RCA
  LAD
  CFX
  LM
  Graft

30.5
37.9
28.3
2.5
0.8

32.4
34.2
30.8
2.4
0.3
.80
Ostial 7.5 9.9 .24
Calcification
  None/mild
  Moderate
   Severe

76.2
16.1
7.8

81.8
11.6
6.6
.32
Thrombus present 3.7 3.9 .93
Blfurcatlon 14.8 10.7 .09
CTO 2.2 0.3 .02
ACC/AHA classification
  A
  B1
  B2
  C

3.5
12.1
48.9
35.6

2.8
16.9
49.7
30.7
.14
Access site
  Radial
  Femoral
  Brachial

69.8
28.9
1.3

68.4
30.3
1.3
.77
Pre-dilatation 76.1 76.2 .97
Post dilatation 51 49.5 .68
Stents Implanted per patient 1.9±1.0 2.0±1.1 .30
Total Implanted stent
length per patient, mm
36.5±20.1 37.5±22.4 .93
Delivery success per stent 98.3 99.4 .15
Procedure success 97.3 97.8 .73
Note. Values represent either mean + SD or % of either per patient or perlesion calculation.
Abbreviations: ACC/AHA, American College of Cardiology/American Heart Association; CFX, left circumflex coronary artery; CTO, chronic totalocclusion; LAD, left anterior descending coronary artery; LM, left main coronary artery; RCA, right coronary artery. 

Result

5-year clinical outcomes

clinical_evidence_century_ll_multivessel_disease_clinical_outcomes_1clinical_evidence_century_ll_multivessel_disease_clinical_outcomes_2

Reference