生物聚合物DES vs BMS.pdf

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Bioresorbable DES Update CCVVC 2015 Mathew Samuel, MD, DM Apollo Hospitals, Chennai, Lilavati Hospital, Mumbai, India CONFLICT OF INTEREST: I, Dr Samuel Mathew DO NOT have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or a arent conflict of interest in the context of the subject of this presentation. First: Why Do We Need BVS? Stents vs. Balloon Angioplasty for STEMI: Very-Late Events Greater for Metallic Stents ( 1 yr) Stent or Lesion Thrombosis Target Vessel Reinfarction Brodie et al, J Interven Cardiol 2014:27: 21-28 BEST Trial: MV XV DES v CABG After 1 year, TLF occurs at a rate of 2.2% per year, year after year, with no flattening of the slope The Future in PCI is to Move Away from Permanent Implants to Fully Resorbable Devices ® 1 2 Caution: Investigational device. Limited by Federal U.S. law to investigational use only. 1. in vitro drug elution model. 2. J. Lane, et. al., Long Term Vascular Safety of an Everolimus-eluting BVS With Benign Positive Remodeling and Late Luminal Gain in Porcine Coronary Arteries as Assessed by OCT , IVUS, and Histology. Poster, PCR 2013. Note: Histology im

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