Three-year clinical follow-up of an unselected patient population treated with the genous endothelial progenitor cell capturing stent

J Interv Cardiol. 2011 Oct;24(5):442-9. doi: 10.1111/j.1540-8183.2011.00665.x.

Abstract

Background: We assessed the 3-year clinical outcome in our single-center cohort of mainly unselected patients treated with the endothelial progenitor cell capturing stent (ECS). The ECS is coated with CD34+ antibodies specifically targeting the circulating endothelial progenitor cells population to accelerate endothelialization that in turn may prevent the occurrence of in-stent restenosis and stent thrombosis (ST).

Methods: All patients in our study had coronary artery lesions that were treated with an ECS. The majority of patients had complex lesions with an estimated high risk of restenosis.

Results: A total of 405 patients were enrolled. The primary end-point of target lesion failure (TLF) was defined as the composite of cardiac death, myocardial infarction, and target lesion revascularization (TLR). At 3 years, TLF was 18.3% and TLR was 14.2%. Early ST occurred in 2 patients. No cases of late and very late definite ST were reported.

Conclusions: This single-center study demonstrates the safety at 3 years of the ECS in an unselected patient population, including a fair number of patients with complex lesions, reflecting daily practice. Our data compare well with drug-eluting stent and bare metal stent registries enrolling unselected patient populations. Importantly, in our analysis, no cases of late or very late definite ST were reported.

MeSH terms

  • Antigens, CD34 / immunology*
  • Coronary Angiography
  • Coronary Restenosis / prevention & control*
  • Endothelial Cells / cytology*
  • Endothelium, Vascular / cytology*
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Prospective Studies
  • Risk Factors
  • Stem Cells / cytology*
  • Stents*
  • Time Factors

Substances

  • Antigens, CD34