January 11th, 2010

COMPARE: Everolimus vs paclitaxel stents

In the recently published COMPARE trial, the use of second-generation everolimus-eluting stents, when compared with paclitaxel-eluting stents, was associated with a significant reduction in the risk of major adverse cardiac events at 1 year.  This difference was driven by a reduction in the rate of MI and repeat target vessel revascularization.  Interestingly, this reduction was already apparent at 1 month and attributable to a significantly lower rate of early stent thrombosis.

Based on these results, the authors suggest that paclitaxel-eluting stents should no longer be used in everyday clinical practice.  Do you plan to stop using paclitaxel-eluting stents?

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