Drug-Eluting Stents: Boom or Bust?
Authors: Warren K. Laskey
Journal: Annals of Internal Medicine (2014)

Ideas and Opinions18 November 2014Drug-Eluting Stents: Boom or Bust?Warren K. Laskey, MD, MPHWarren K. Laskey, MD, MPHFrom the University of New Mexico, Albuquerque, New Mexico.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M14-0874 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The BoomBare-metal coronary stents (BMSs) first appeared in Europe in the 1980s, and by 1994, the U.S. Food and Drug Administration (FDA) had approved 2 BMS devices for commercial use in this country—the first with an indication for “bailing out” plain old balloon angioplasty (POBA) procedures gone bad, and the second with an indication for reducing the double-digit risk for restenosis with POBA. As percutaneous coronary intervention (PCI) became the preferred method for managing many patients with coronary artery disease and its various manifestations, an increasing level of confidence pervaded the interventional cardiology community. Enthusiasm for PCI was further ...References1. Kandzari DE, Roe MT, Ohman EM, Milford-Beland S, Chen AY, Lytle BL, et al. Frequency, predictors, and outcomes of drug-eluting stent utilization in patients with high-risk non-ST-segment elevation acute coronary syndromes. Am J Cardiol. 2005;96:750-5. [PMID: 16169352] CrossrefMedlineGoogle Scholar2. Dehmer GJ, Weaver D, Roe MT, Milford-Beland S, Fitzgerald S, Hermann A, et al. A contemporary view of diagnostic cardiac catheterization and percutaneous coronary intervention in the United States: a report from the CathPCI Registry of the National Cardiovascular Data Registry, 2010 through June 2011. J Am Coll Cardiol. 2012;60:2017-31. [PMID: 23083784] doi:10.1016/j.jacc.2012.08.966 CrossrefMedlineGoogle Scholar3. Groeneveld PW, Polsky D, Yang F, Yang L, Epstein AJ. The impact of new cardiovascular device technology on health care costs. Arch Intern Med. 2011;171:1289-91. [PMID: 21518936] doi:10.1001/archinternmed.2011.141 CrossrefMedlineGoogle Scholar4. Boden WE, O'Rourke RA, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, et al; COURAGE Trial Research Group. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356:1503-16. [PMID: 17387127] CrossrefMedlineGoogle Scholar5. Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA; American College of Cardiology Foundation Appropriateness Criteria Task Force. ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization: a report by the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology Endorsed by the American Society of Echocardiography, the Heart Failure Society of America, and the Society of Cardiovascular Computed Tomography. J Am Coll Cardiol. 2009;53:530-53. [PMID: 19195618] doi:10.1016/j.jacc.2008.10.005 CrossrefMedlineGoogle Scholar6. Auerbach DI, Maeda JL, Steiner C. Hospital Stays with Cardiac Stents, 2009. HCUP statistical brief no. 128. Rockville, MD: Agency for Healthcare Research and Quality; 2012. Google Scholar7. Bangalore S, Kumar S, Fusaro M, Amoroso N, Attubato MJ, Feit F, et al. Short- and long-term outcomes with drug-eluting and bare-metal coronary stents: a mixed-treatment comparison analysis of 117 762 patient-years of follow-up from randomized trials. Circulation. 2012;125:2873-91. [PMID: 22586281] doi:10.1161/CIRCULATIONAHA.112.097014 CrossrefMedlineGoogle Scholar8. Laskey WK, Yancy CW, Maisel WH. Thrombosis in coronary drug-eluting stents: report from the meeting of the Circulatory System Medical Devices Advisory Panel of the Food and Drug Administration Center for Devices and Radiologic Health, December 7-8, 2006. Circulation. 2007;115:2352-7. [PMID: 17470710] CrossrefMedlineGoogle Scholar9. Grines CL, Bonow RO, Casey DE, Gardner TJ, Lockhart PB, Moliterno DJ, et al; American Heart Association. Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians. Circulation. 2007;115:813-8. [PMID: 17224480] MedlineGoogle Scholar10. Stefanini GG, Holmes DR. Drug-eluting coronary-artery stents. N Engl J Med. 2013;368:254-65. [PMID: 23323902] doi:10.1056/NEJMra1210816 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of New Mexico, Albuquerque, New Mexico.Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=M14-0874.Corresponding Author: Warren K. Laskey, MD, MPH, Division of Cardiology, Department of Internal Medicine, University of New Mexico, MSC10-5550, 1 University of New Mexico, Albuquerque, NM 87131; e-mail, [email protected]unm.edu.Author Contributions:Conception and design: W.K. Laskey.Analysis and interpretation of the data: W.K. Laskey.Drafting of the article: W.K. Laskey.Critical revision of the article for important intellectual content: W.K. Laskey.Final approval of the article: W.K. Laskey.Obtaining of funding: W.K. Laskey.Administrative, technical, or logistic support: W.K. Laskey.Collection and assembly of data: W.K. Laskey. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 18 November 2014Volume 161, Issue 10Page: 740-741KeywordsCoronary heart diseaseDrugsHemorrhagePercutaneous coronary interventionRevascularizationSafetyStable coronary artery diseaseStent implantationThrombosis ePublished: 18 November 2014 Issue Published: 18 November 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...