2005
DOI: 10.1056/nejmoa051175
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Sirolimus-Eluting and Paclitaxel-Eluting Stents for Coronary Revascularization

Abstract: As compared with paclitaxel-eluting stents, the use of sirolimus-eluting stents results in fewer major adverse cardiac events, primarily by decreasing the rates of clinical and angiographic restenosis.

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Cited by 539 publications
(351 citation statements)
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“…Stent thrombosis remains a major concern after drug-eluting stent deployment because of its high morbidity and mortality. 5,6,43 TF may be induced by stenting and is a key factor in the pathogenesis of stent thrombosis 1 ; both antiproliferative agents used on drug-eluting stents, paclitaxel and rapamycin, do indeed enhance endothelial TF expression and thereby promote thrombus formation. 7,8 Similar to rapamycin and paclitaxel, cardiac glycosides exerts antiproliferative effects on human vascular smooth muscle cells, 12 but in contrast suppresses endothelial TF expression and thereby may reduce late stent thrombosis.…”
Section: Discussionmentioning
confidence: 99%
“…Stent thrombosis remains a major concern after drug-eluting stent deployment because of its high morbidity and mortality. 5,6,43 TF may be induced by stenting and is a key factor in the pathogenesis of stent thrombosis 1 ; both antiproliferative agents used on drug-eluting stents, paclitaxel and rapamycin, do indeed enhance endothelial TF expression and thereby promote thrombus formation. 7,8 Similar to rapamycin and paclitaxel, cardiac glycosides exerts antiproliferative effects on human vascular smooth muscle cells, 12 but in contrast suppresses endothelial TF expression and thereby may reduce late stent thrombosis.…”
Section: Discussionmentioning
confidence: 99%
“…82,[107][108][109][110][111][112][113][114][115][116][117] Of these eight RCTs, only one (TAXi) was identified in our initial electronic search of bibliographic databases, five (SIRTAX, REALITY, ISAR-DIABETES, CORPAL, BASKET 82,107,108,[110][111][112][113][114][115][116][117] ) through handsearching activities and two (DOMINO and ISAR-TEST 118,119 ) from manufacturer submissions to NICE.…”
Section: Description Of Included Studiesmentioning
confidence: 99%
“…Many previous randomized studies have compared paclitaxel-and sirolimus-eluting stents [15][16][17][18][19][20][21][22][23][24][25] . However, in addition to the drug, the stents used in those studies differed in all other characteristics (coating and platform), which consequently prevented a more conclusive evaluation of the effects of the drugs themselves.…”
Section: Discussionmentioning
confidence: 99%