Armazones vasculares bioabsorbibles en la práctica habitualresultados a largo plazo

  1. Ricardo Mori Junco 1
  2. Luis Furuya-Kanamori 2
  3. Pablo Salinas Sanguino 1
  4. L. Nombela Franco 1
  5. Pilar Jiménez-Quevedo 1
  6. Hernán D. Mejía Rentería 1
  7. Nieves Gonzalo 1
  8. Javier Escaned 1
  9. María J. Pérez Vizcayno 1
  10. Antonio Fernández-Ortiz 1
  11. Carlos Macaya Miguel 1
  12. Iván Javier Núñez Gil 1
  1. 1 Cardiología Intervencionista, Instituto Cardiovascular, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
  2. 2 Research School of Population Health, Australian National University, Canberra, Australia
Revista:
REC: Interventional Cardiology

ISSN: 2604-7276,  2604-7306

Año de publicación: 2020

Volumen: 2

Número: 3

Páginas: 168-174

Tipo: Artículo

DOI: 10.24875/RECIC.M20000098 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: REC: Interventional Cardiology

Objetivos de desarrollo sostenible

Resumen

Introducción y objetivos: Las publicaciones sugieren que los armazones vasculares bioabsorbibles (AVB) conllevan un exceso de complicaciones trombóticas. Se describen los resultados en la vida real y a largo plazo de una serie de pacientes a los que se implantó un AVB Absorb (Abbott Vascular, EE.UU.). Métodos: Se analizaron 213 pacientes consecutivos que recibieron al menos un AVB entre mayo de 2012 y diciembre de 2016. El objetivo principal del estudio fue la incidencia de fracaso del vaso diana, un evento compuesto que incluye infarto de miocardio, revascularización del vaso diana y muerte cardiaca. Resultados: El 75% de los pacientes eran varones (edad media, 61,4 años). La causa más común de ingreso fue el infarto sin elevación del ST (53,52%). La mediana de seguimiento fue de 44 meses [28 meses]. La incidencia del evento primario fue del 6,57% durante los primeros 24 meses y del 7,98% al final del seguimiento. Respecto al dispositivo, hubo 6 casos (2,81%) de trombosis (definitiva, probable o posible) y 10 casos (4,69%) de reestenosis. Los pacientes con antecedentes de diabetes mellitus (HR = 1,72; IC95%, 1,01-2,95; p = 0,05) o con anticoagulación oral crónica (HR = 5,71; IC95%, 1,12-28,94; p = 0,04) tuvieron mayor riesgo de fracaso del vaso diana. Conclusiones: En esta serie de pacientes, la incidencia de fracaso del vaso diana fue comparable a la descrita previamente en ensayos clínicos aleatorizados. Los eventos adversos fueron más frecuentes en los primeros 2 años de seguimiento y en presencia de mayor comorbilidad cardiovascular.

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