Change in enrollment patterns, patient selection, and clinical outcomes with the availability of drug-eluting stents in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial Journal Article

Local Library Link: Find It @ Loyola

Authors: Shah, B; Srinivas, V. S.; Lu, J; Brooks, M. M.; Bates, E. R.; Nedeljkovic, Z. S.; Escobedo, J.; Das, G. S.; Lopez, J. J.; Feit, F.
Article Title: Change in enrollment patterns, patient selection, and clinical outcomes with the availability of drug-eluting stents in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial
Abstract: BACKGROUND: In the BARI 2D trial, patients with type 2 diabetes and stable coronary artery disease were randomized to prompt revascularization versus intensive medical therapy (IMT). This analysis sought to evaluate how the availability of drug-eluting stents (DESs) has changed practice and outcomes. METHODS: In BARI 2D, 1,605 patients were in the percutaneous coronary intervention (PCI)-intended stratum. As DES became available midway through recruitment, we report clinical outcomes among patients who underwent IMT versus prompt PCI with bare-metal stents (BMSs) or DES up to 4 years. RESULTS: In North America, after DES became available, selection for the PCI-intended stratum increased from 73% to 79% (P = .003). Fewer BMS than DES patients had total occlusions treated or underwent rotational atherectomy (5.6% vs 9.7%, P = .02, and 1.2% vs 3.7%, P .01, respectively). Subsequent revascularization (IMT 39%, BMS 29%, DES 21%, P .01) and target vessel revascularization (BMS 16.1% vs DES 9.6%, P = .03) were lower with DES. Angina at 2 years tended to be less common with DES (IMT 39%, BMS 37%, DES 29%, P = .04, for 3 groups, P = .07 for DES vs BMS). The composite of death, myocardial infarction, or stroke was IMT 16.0%, BMS 20.5%, DES 17.5%; P = .80. CONCLUSIONS: When DES became available in North America, patients were more likely to be selected into the PCI-intended stratum. Compared with patients receiving BMS, those receiving DES tended to have less target vessel revascularization and angina.
Journal Title: American Heart Journal
Volume: 166
Issue: 3
ISSN: 1097-6744; 0002-8703
Publisher: Mosby, Inc  
Journal Place: United States
Date Published: 2013
Start Page: 519
End Page: 526.e2
Language: eng
DOI/URL:

10.1016/j.ahj.2013.05.017

10.1016/j.ahj.2013.05.017
Notes: CI: Copyright (c) 2013; JID: 0370465; 2012/12/21 [received]; 2013/05/24 [accepted]; 2013/08/06 [aheadofprint]; ppublish