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February 24, 2004Circulation

Randomized Study to Evaluate Sirolimus-Eluting Stents Implanted at Coronary Bifurcation Lesions

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Why the study?

Do sirolimus-eluting stents improve outcomes compared with bare metal stents in coronary bifurcation lesions?

Population

Patients with coronary bifurcation lesions

Comparison

Sirolimus-eluting stents (Cypher stent) vs Historical controls using bare metal stents

Design

RCT, Randomized

Authors

Antonio Colombo
Antonio ColomboInterventional / Structural Cardiology
Jeffrey W. Moses
Jeffrey W. MosesInterventional / Structural Cardiology
MMMarie Claude MoriceBrigham and Women's Hospital

Discussion

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Implication

Sirolimus-eluting stents merit randomized trials in bifurcations; observational data should not yet change practice.

Structured PICO

Do sirolimus-eluting stents improve outcomes compared with bare metal stents in coronary bifurcation lesions?

P
Population
Patients with coronary bifurcation lesions
I
Intervention
Sirolimus-eluting stents (Cypher stent)
C
Comparator
Historical controls using bare metal stents

Sirolimus-eluting stents offer improvement over bare metal stents for coronary bifurcation lesions, but side branch restenosis remains a challenge.

Limitations

  • No statement can be made regarding the most appropriate technique to use when treating bifurcations with the Cypher stent

Cite This Study

Colombo et al. (2004) studied this question.

synapsesocial.com/papers/69d8a5b48c03fbaff8befbf6https://doi.org/10.1161/01.cir.0000118474.71662.e3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stenting of bifurcation lesions: Classification, treatments, and results2000 · 386 citations
  2. 2Lack of Neointimal Proliferation After Implantation of Sirolimus-Coated Stents in Human Coronary Arteries2001 · 794 citations
  3. 3Modified T‐stenting technique with crushing for bifurcation lesions: Immediate results and 30‐day outcome2003 · 275 citations
  4. 4A Randomized Comparison of a Sirolimus-Eluting Stent with a Standard Stent for Coronary Revascularization2002 · 4,046 citations
  5. 5Sirolimus-Eluting Stents versus Standard Stents in Patients with Stenosis in a Native Coronary Artery2003 · 4,241 citations