TY - JOUR
T1 - Procedural and clinical outcomes after use of the glycoprotein IIb/IIIa inhibitor abciximab for saphenous vein graft interventions
AU - Harskamp, R. E.
AU - Hoedemaker, Niels
AU - Newby, L. K.
AU - Woudstra, P.
AU - Grundeken, M. J.
AU - Beijk, M. A.
AU - Tijssen, J.G.
AU - Mehta, R. H.
AU - de Winter, Robbert J.
N1 - M1 - 1
ISI Document Delivery No.: EA9KD Times Cited: 1 Cited Reference Count: 21 Harskamp, Ralf E. Hoedemaker, Niels Newby, L. Kristin Woudstra, Pier Grundeken, Maik J. Beijk, Marcel A. Piek, Jan J. Tijssen, Jan G. Mehta, Rajendra H. de Winter, Robbert J. 1 0 ELSEVIER INC SAN DIEGO CARDIOVASC REVASCULA
PY - 2016
Y1 - 2016
N2 - Background: Percutaneous coronary intervention (PCI) of saphenous vein grafts (SVG) poses a high-risk for distal coronary thromboembolic events. Glycoprotein IIb/IIIa inhibitors are frequently used in hope of reducing the impact of this, although the safety and efficacy of these drugs to improve outcomes in this setting are understudied. Methods: Patients were included if they had prior coronary artery bypass surgery and subsequently underwent PCI of >= 1 SVG graft at a Dutch academic center between 1997 and 2008. These patients were matched 1: 1 based on peri-procedural use of abciximab using a propensity-score matching algorithm based on 17 variables. Conditional logistic regression and Cox regression stratified on matched pairs were performed to evaluate the association between abciximab use and MACCE (the composite measure of mortality, myocardial infarction, stroke and repeat revascularization) at 30 days and up to 1 year. Results: The composite of 30-day MACCE occurred in 18 patients (15.3%) in the abciximab group and 16 patients (13.6%) in the propensity matched control group (OR: 1.13, 95% CI: 0.57-2.21, p = 0.73). At 1-year follow-up, MACCE rates were also similar (32.5% vs. 33.9%, HR: 0.97, 95% CI: 0.59-1.59). Major bleeding (BARC types 3a-c) was higher in the abciximab group (11.9% vs. 4.2%, OR: 2.80, 95% CI: 1.01-7.77). Ischemic outcomes did not differ among patients with acute coronary syndromes. Conclusion: The use of intravenous abciximab was not associated with improved clinical outcomes up to 1-year among patients undergoing SVG PCI, but was related to more bleeding. (C) 2015 Elsevier Inc. All rights reserved.
AB - Background: Percutaneous coronary intervention (PCI) of saphenous vein grafts (SVG) poses a high-risk for distal coronary thromboembolic events. Glycoprotein IIb/IIIa inhibitors are frequently used in hope of reducing the impact of this, although the safety and efficacy of these drugs to improve outcomes in this setting are understudied. Methods: Patients were included if they had prior coronary artery bypass surgery and subsequently underwent PCI of >= 1 SVG graft at a Dutch academic center between 1997 and 2008. These patients were matched 1: 1 based on peri-procedural use of abciximab using a propensity-score matching algorithm based on 17 variables. Conditional logistic regression and Cox regression stratified on matched pairs were performed to evaluate the association between abciximab use and MACCE (the composite measure of mortality, myocardial infarction, stroke and repeat revascularization) at 30 days and up to 1 year. Results: The composite of 30-day MACCE occurred in 18 patients (15.3%) in the abciximab group and 16 patients (13.6%) in the propensity matched control group (OR: 1.13, 95% CI: 0.57-2.21, p = 0.73). At 1-year follow-up, MACCE rates were also similar (32.5% vs. 33.9%, HR: 0.97, 95% CI: 0.59-1.59). Major bleeding (BARC types 3a-c) was higher in the abciximab group (11.9% vs. 4.2%, OR: 2.80, 95% CI: 1.01-7.77). Ischemic outcomes did not differ among patients with acute coronary syndromes. Conclusion: The use of intravenous abciximab was not associated with improved clinical outcomes up to 1-year among patients undergoing SVG PCI, but was related to more bleeding. (C) 2015 Elsevier Inc. All rights reserved.
U2 - 10.1016/j.carrev.2015.09.005
DO - 10.1016/j.carrev.2015.09.005
M3 - Article
C2 - 26626961
SN - 1553-8389
VL - 17
SP - 19
EP - 23
JO - Cardiovasc. Revascularization Med.
JF - Cardiovasc. Revascularization Med.
ER -