PMID- 25600779 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20161230 IS - 1827-1618 (Electronic) IS - 0026-4725 (Linking) VI - 63 IP - 1 DP - 2015 Feb TI - The TITAN-AMI multicenter registry evaluating the usage of Titan2 stent in patients with ST segment elevation myocardial infarction. Final result at 12-month follow-up. PG - 11-20 AB - AIM: Primary percutaneous coronary intervention with stent implantation is the recommended treatment for patients with ST elevation myocardial infarction (STEMI). Data from randomised trials showed good performance by a titanium-nitric-oxide coated stent in this context. The aim of this study was to confirm these data. METHODS: A multicentre registry was compiled in 23 hospitals in Spain in an all-comers population. We selected patients with STEMI from a global Titan AMI registry that included patients with acute coronary syndrome. Primary endpoint was the composite of cardiac death, non-fatal myocardial infarction, stent thrombosis and target lesion revascularisation, at 12-month follow-up. RESULTS: The study included 893 patients with STEMI. We included all possibilities for PCI: 86.6% primary, 5% facilitated after successful fibrinolysis and 8.4% rescue PCI after failed fibrinolysis. The primary endpoint was reached in 8.4% of the patients: cardiac death 2.7%, reinfarction 3.4%, target lesion revascularisation 3.5% and definite or probable stent thrombosis 2.8%. The majority of stent thromboses presented in the first 30 days after PCI. CONCLUSION: A bioactive stent (titanium-nitric-oxide coated stent) is a possible alternative for the treatment of patients with STEMI. One-year follow-up showed better results than those presented by a regular bare-metal stent or first-generation drug-eluting stent in terms of stent thrombosis. FAU - Gomez-Hospital, J A AU - Gomez-Hospital JA FAU - Mauri, J AU - Mauri J FAU - Pinar, E AU - Pinar E FAU - Goicolea, J AU - Goicolea J FAU - Garcia Del Blanco, B AU - Garcia Del Blanco B FAU - Serra, A AU - Serra A FAU - Tizon-Marcos, H AU - Tizon-Marcos H FAU - Molina, E AU - Molina E FAU - Sanchez, E AU - Sanchez E FAU - Aragon, V AU - Aragon V FAU - Masotti, M AU - Masotti M FAU - Rodriguez, J AU - Rodriguez J FAU - Jimenez, J AU - Jimenez J FAU - Ortas, R AU - Ortas R FAU - Martinez, P AU - Martinez P FAU - Serra, B AU - Serra B FAU - Moreu, J AU - Moreu J FAU - Diego Nieto, G AU - Diego Nieto G FAU - Bossa, F AU - Bossa F FAU - Nogales, J M AU - Nogales JM FAU - Bassaganyas, J AU - Bassaganyas J FAU - Diaz, J AU - Diaz J FAU - Cascon, J D AU - Cascon JD LA - eng PT - Journal Article PT - Multicenter Study PL - Italy TA - Minerva Cardioangiol JT - Minerva cardioangiologica JID - 0400725 RN - 0 (titanium-nitride-oxide) RN - D1JT611TNE (Titanium) SB - IM MH - Acute Coronary Syndrome/*surgery MH - Aged MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*surgery MH - Percutaneous Coronary Intervention/*methods MH - Registries MH - Spain MH - *Stents MH - Thrombosis/epidemiology/etiology MH - Time Factors MH - Titanium/chemistry MH - Treatment Outcome EDAT- 2015/01/21 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/01/21 06:00 PHST- 2015/01/21 06:00 [entrez] PHST- 2015/01/21 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - R05Y9999N00A150002 [pii] PST - ppublish SO - Minerva Cardioangiol. 2015 Feb;63(1):11-20.