Coronary disease & ACS

Ultrathin-strut versus thin-strut stent healing and outcomes in preclinical and clinical subjects

EuroInterventionPublished Mechanistic study and individual-patient pooled analysis of the BIOSCIENCE and BIOSTEMI randomised trials

Authors' conclusion

Ultrathin-strut and thin-strut BP-SES demonstrate similar early arterial healing profiles and 30-day and 1-year clinical outcomes.

Study context

Population
Rabbits implanted with biodegradable-polymer sirolimus-eluting stents (BP-SES) in the infrarenal aorta; patients undergoing percutaneous coronary intervention (PCI) in the BIOSCIENCE and BIOSTEMI trialsplus 8 rabbits
Participants
504 rabbits
Comparison
Ultrathin-strut vs thin-strut BP-SES
  • Ultrathin-strutn = 282
  • Thin-strutn = 222reference
Outcome
Target lesion failure (TLF)
Follow-up
1 year
Methodological detailspreclinical rabbit study, near-infrared fluorescence optical coherence tomography (NIRF-OCT) imaging and histopathology, landmark analysis at 30 days
  • Preclinical rabbit study
  • NIRF-OCT imaging and histopathology
  • Landmark analysis at 30 days

Pooled result

As reported in the abstract

TLF

P = 0.88

Further pooled results

TLF (landmark) · 30 days

P = 0.62

Stent fibrin deposition and uncovered struts (NIRF-OCT, rabbits) · day 7

Similar stent fibrin deposition
P = 0.49
Similar percentage of uncovered stent struts
P = 0.63
Histopathological assessments corroborated these findings
  • 8 rabbits

Original publication

Ultrathin-strut versus thin-strut stent healing and outcomes in preclinical and clinical subjects. EuroIntervention. Published 20 May 2024. doi:10.4244/eij-d-23-00563

Summarised from the published abstract; every number is checked against it

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