Incidência e preditores de revascularização da lesão-alvo no seguimento clínico de longo prazo: análise crítica do Registro DESIRE

Cavalcante, Luciano Pessoa; Sousa, Amanda G. M. R.; Costa, Ricardo; Moreira, Adriana; Costa, J. Ribamar; Maldonado, Galo; Cano, Manuel; Campos, C Sáenz de la Calzada; Carballo, Mariana Teixeira; Berwanger, Otávio; Jatene, Adib; Sousa, J. Eduardo

doi:10.1590/s2179-83972010000200009

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…[15][16][17] The observation of a poorer prognosis in diabetic patients is more consistent in the late outcome after PCI, which may be explained by higher rates of restenosis and disease progression in this group of patients. 1,[8][9][10] In Brazil, the Drug-Eluting Stent in the Real World (DESIRE registry), 18 which assessed the predictors of target lesion revascularisation in a long-term clinical follow-up, demonstrated that diabetes mellitus predisposes individuals to a greater need for new procedures. A subanalysis of the same registry, which evaluated the late outcome after PCI with drug-eluting stents in diabetic patients, showed that, when analysed in combination, major cardiac events occurred more frequently in the diabetic group, although still at very low rates.…”

Section: Discussionmentioning

confidence: 99%

Resultados hospitalares da intervenção coronária percutânea em diabéticos

Coelho¹,

Cantarelli²,

Castello³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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Background: There are few available reports in the literature assessing in-hospital outcomes of diabetic patients currently undergoing percutaneous coronary intervention (PCI). This article aimed to assess the acute post-PCI outcomes of a large series of diabetic and non-diabetic patients treated consecutively. Methods: From August 2006 to February 2012, 6,011 patients were submitted to PCI and included in the registry of the Hospital Bandeirantes. The techniques and devices for the procedure were chosen by the surgeons. Clinical outcomes were registered at the time of hospital discharge. Results: Diabetic patients were older and more frequently females, with a higher prevalence of comorbidities and risk factors for coronary artery disease, except for smoking. However, most of the characteristics related to lesion complexity did not differ between groups. In diabetics, the number of treated vessels (1.6 ± 0.8 vs. 1.4 ± 0.7; P < 0.01) was higher, and the use of smaller stents (2.9 ± 0.5 mm vs. 3 ± 0.5 mm; P < 0.01) was more frequent. A procedural success rate of 95.5% was achieved in both groups. In-hospital outcomes did not differ in the incidence of major adverse cardiac and cerebrovascular events (3.

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