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, years65.8±10.466.9±11.3.31
Male gender77.884.0.09
Body mass index, kg/m227.3±4.226.8±4.2.27
Slent Ischemla16.416.5.99
Stable angina48.942.9.20
Unstable angina129.1.31
STEMI4.97.4.27
NSTEMI17.824.2.09
Dlabetes melltus,
  IDDM
  NIDDM
37.3
21.4
78.6
33.3
18.2
81.8
.37
.61
.61
Dyslipidemia71.071.1.99
Hypertonsion74.171.2.49
Smoker, current19.624.3.23
Smoker, previous48.937.6.02
Renal insufficiency,4.03.0.57
Fanmily history of CAD31.932.9.83
History of PCI44.440.3.37
History of CABG7.16.5.79
History of MIl31.132.5.76
Charlson comorbidity index1.5±1.81.3±1.6.39
Vassels diseased (LM included)2.3±0.52.3±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 treated1.4±0.51.4±0.6.87
Number of vassals treated
  1
  2
  3

59.6
39.1
1.3

59.3
38.1
2.6
.76
SYNTAX score12.7±8.712.3±7.6.91
 BP-SES
N patients 225
N lesions364
PP-EES
N patients 231
N lesions 374
p Value
Lesions detectod3.1±1.53.1±1.3.57
Leslons treated1.6±0.81.6±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
Ostial7.59.9.24
Calcification
  None/mild
  Moderate
   Severe

76.2
16.1
7.8

81.8
11.6
6.6
.32
Thrombus present3.73.9.93
Blfurcatlon14.810.7.09
CTO2.20.3.02
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-dilatation76.176.2.97
Post dilatation5149.5.68
Stents Implanted per patient1.9±1.02.0±1.1.30
Total Implanted stent
length per patient, mm
36.5±20.137.5±22.4.93
Delivery success per stent98.399.4.15
Procedure success97.397.8.73
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