PMID- 17541725 OWN - NLM STAT- MEDLINE DCOM- 20080410 LR - 20181113 IS - 1569-5794 (Print) IS - 1569-5794 (Linking) VI - 24 IP - 2 DP - 2008 Feb TI - Angiographic and 3D intravascular ultrasound assessment of overlapping bare metal stent and three different formulations of drug-eluting stents in patients with diabetes mellitus. PG - 125-32 AB - OBJECTIVES: The aim of this study was to examine the impact of overlapping bare-metal stent (BMS) and three different formulations of drug-eluting stent (DES) on intimal hyperplasia (IH) response of patients with diabetes mellitus (DM). METHODS: Forty-nine DM patients treated with overlapping BMS (19 lesions), sirolimus-eluting stent (SES 12 lesions), paclitaxel-eluting stent (PES 8 lesions) or tacrolimus-eluting stent (TES 10 lesions) were studied. Baseline and 9-month follow-up volumetric intravascular vascular ultrasound (IVUS) and quantitative coronary angiography (QCA) analysis were performed in the entire stented segment and in the overlapped (OL) and non-overlapped (non-OL) subsegments. Clinical outcomes were evaluated at 1-year follow-up. RESULTS: Post-procedure (PO-) QCA measurements were similar in all stent groups, and between OL and non-OL subsegments in each individual type of stents. Percent IH was lower in SES and PES vs. BMS (p < 0.05). Percent IH was significantly greater in OL subsegment compared with non-OL subsegment in BMS (p < 0.05), but not in all type of DES groups. SES showed significantly less %IH compared with PES and TES in OL and non-OL subsegments. Vessel area at the OL remained unchanged from PO to FU in all type of DES and BMS groups. There were no aneurysm formation and no stent thrombosis up to 1-year follow-up. CONCLUSIONS: Overlapping BMS is associated with enhanced IH response in diabetic patients, whereas overlapping DES, particularly SES and PES, appear effective to inhibit IH without detectable late vascular adverse effects. FAU - Kawaguchi, Ren AU - Kawaguchi R AD - Division of Cardiology and Cardiovascular Imaging Core Laboratories, University of Florida Shands Jacksonville, Jacksonville, FL 32209, USA. FAU - Sabate, Manel AU - Sabate M FAU - Angiolillo, Dominick J AU - Angiolillo DJ FAU - Jimenez-Quevedo, Pilar AU - Jimenez-Quevedo P FAU - Suzuki, Nobuaki AU - Suzuki N FAU - Corros, Cecilia AU - Corros C FAU - Futamatsu, Hideki AU - Futamatsu H FAU - Alfonso, Fernando AU - Alfonso F FAU - Hernandez-Antolin, Rosana AU - Hernandez-Antolin R FAU - Macaya, Carlos AU - Macaya C FAU - Bass, Theodore A AU - Bass TA FAU - Costa, Marco A AU - Costa MA LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20070531 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 RN - P88XT4IS4D (Paclitaxel) RN - W36ZG6FT64 (Sirolimus) RN - WM0HAQ4WNM (Tacrolimus) SB - IM MH - Analysis of Variance MH - *Coronary Angiography MH - Coronary Disease/diagnostic imaging/*therapy MH - Diabetes Complications/diagnostic imaging/*therapy MH - *Drug-Eluting Stents MH - Female MH - Humans MH - Hyperplasia/prevention & control MH - *Imaging, Three-Dimensional MH - Male MH - Paclitaxel/administration & dosage MH - Prospective Studies MH - Sirolimus/administration & dosage MH - *Stents MH - Tacrolimus/administration & dosage MH - Treatment Outcome MH - Tunica Intima/diagnostic imaging/*drug effects MH - *Ultrasonography, Interventional EDAT- 2007/06/02 09:00 MHDA- 2008/04/11 09:00 CRDT- 2007/06/02 09:00 PHST- 2007/02/01 00:00 [received] PHST- 2007/05/04 00:00 [accepted] PHST- 2007/06/02 09:00 [pubmed] PHST- 2008/04/11 09:00 [medline] PHST- 2007/06/02 09:00 [entrez] AID - 10.1007/s10554-007-9235-7 [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2008 Feb;24(2):125-32. doi: 10.1007/s10554-007-9235-7. Epub 2007 May 31.