Related trials
ZEST AMI (vs SES), 2009 - zotarolimus ES vs sirolimus ES
TRIANA, 2009 - primary ballon angioplasty vs tenecteplase
DEBATER (SES vs BMS), 2009 - sirolimus ES vs bare-metal stent
NORDISTEMI, 2009 - thrombolysis + angioplasty vs immediate thrombolysis
Juwana, 2009 - sirolimus ES vs paclitaxel ES
ZEST AMI (vs PES), 2009 - zotarolimus ES vs paclitaxel ES
PASEO, 2009 - drug ES vs bare-metal stent
CARESS, 2008 - thrombolysis + angioplasty vs immediate thrombolysis
HORIZONS-AMI Stent, 2008 - paclitaxel ES vs bare-metal stent
MISSION, 2008 - sirolimus ES vs bare-metal stent
DEDICATION, 2008 - drug ES vs bare-metal stent
Díaz de la Llera, 2007 - sirolimus ES vs bare-metal stent
SESAMI, 2007 - sirolimus ES vs bare-metal stent
TYPHOON, 2006 - sirolimus ES vs bare-metal stent
PROSIT, 2006 - sirolimus ES vs paclitaxel ES
HAAMU-STENT, 2006 - paclitaxel ES vs bare-metal stent
PASSION, 2006 - paclitaxel ES vs bare-metal stent
WEST, 2006 - systematic PCI (+stent) vs no systematic PCI
CAPITAL AMI, 2005 - thrombolysis + angioplasty vs immediate thrombolysis
Di Lorenzo et al., 2005 - sirolimus ES vs paclitaxel ES
ZWOLLE 6, 2005 - primary stenting vs ballon angioplasty
CAPITAL AMI, 2005 - systematic PCI (+stent) vs no systematic PCI
senior PAMI, 2005 - primary PCI vs thrombolytic therapy
STOPAMI 3, 2004 - primary stenting vs ballon angioplasty
GRACIA-1, 2004 - systematic PCI (+stent) vs no systematic PCI
See also:
All acute myocardial infarction clinical trials
All clinical trials of PCI
All clinical trials of primary stenting
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STENTIM-2 (Maillard) study, 2000
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Treatments
| Studied treatment |
systematic stenting with Stent Wiktor
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| Control treatment |
conventional balloon angioplasty
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| Concomittant treatment |
Ticlopidine 500 mg/d for 4 weeks in stent group only |
| Treatments description |
| Crossover from Balloon Angioplasty to Stenting (%) |
36 |
| stent type |
Wiktor GX |
|
Patients
| Patients |
patients with AMI <12 h from symptom onset, with an occluded native coronary artery |
| Baseline characteristics |
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Method and design
| Randomized effectives |
101 / 110 (studied vs. control) |
| Design |
Parallel groups |
| Blinding |
open |
| Follow-up duration |
12 months |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
Long term death
3 / 101
2 / 110
classic
1,63 [0,28;9,58]
reinfarction
4 / 101
4 / 110
classic
1,09 [0,28;4,24]
Revascularization
5 / 101
6 / 110
classic
0,91 [0,29;2,88]
Bleeding
2 / 101
3 / 110
classic
0,73 [0,12;4,26]
All cause death
1 / 101
0 / 110
classic
5,45 [0,07;395,61]
long term MI
4 / 101
6 / 110
classic
0,73 [0,21;2,50]
long term revascularization
17 / 101
30 / 110
0,62 [0,36;1,05]
0
2
1.0
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Relative risks
|
| Endpoint |
Events (%) |
Relative Risk |
95% CI |
Endpoint definition in the trial |
Ref |
| Studied treat. |
Control treat. |
|
Long term death
|
3 / 101 (3,0%) |
2 / 110 (1,8%) |
1,63 |
[0,28;9,58] |
|
7028 |
|
reinfarction
|
4 / 101 (4,0%) |
4 / 110 (3,6%) |
1,09 |
[0,28;4,24] |
|
7028 |
|
Revascularization
|
5 / 101 (5,0%) |
6 / 110 (5,5%) |
0,91 |
[0,29;2,88] |
|
7028 |
|
Bleeding
|
2 / 101 (2,0%) |
3 / 110 (2,7%) |
0,73 |
[0,12;4,26] |
|
7028 |
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All cause death
|
1 / 101 (1,0%) |
0 / 110 (0,5%) |
2,18 |
[0,07;64,24] |
|
7028 |
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long term MI
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4 / 101 (4,0%) |
6 / 110 (5,5%) |
0,73 |
[0,21;2,50] |
|
7028 |
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long term revascularization
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17 / 101 (16,8%) |
30 / 110 (27,3%) |
0,62 |
[0,36;1,05] |
|
7028 |
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The primary endpoint (if exists) appears in blod characters
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Reference(s) used for data extraction:
7028: Nordmann AJ, Bucher H, Hengstler P, Harr T, Young JPrimary stenting versus primary balloon angioplasty for treating acute myocardial infarction.Cochrane Database Syst Rev 2005;:CD005313
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| Endpoint |
studied treat. |
control treat. |
mean diff |
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Absolute risk reduction
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| Endpoint |
Events rate |
Absolute risk reduction (ARR) |
| Studied treat. |
Control treat. |
| Long term death |
2,97% |
1,82% |
1,2%
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| reinfarction |
3,96% |
3,64% |
3,2‰
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| Revascularization |
4,95% |
5,45% |
-5,0‰
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| Bleeding |
1,98% |
2,73% |
-7,5‰
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| long term MI |
3,96% |
5,45% |
-14,9‰
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| long term revascularization |
16,83% |
27,27% |
-104,4‰
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Reference(s)
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Maillard L, Hamon M, Khalife K, Steg PG, Beygui F, Guermonprez JL, Spaulding CM, Boulenc JM, Lipiecki J, Lafont A, Brunel P, Grollier G, Koning R, Coste P, Favereau X, Lancelin B, Van Belle E, Serruys P, Monassier JP, Raynaud P.
A comparison of systematic stenting and conventional balloon angioplasty during primary percutaneous transluminal coronary angioplasty for acute myocardial infarction. STENTIM-2 Investigators..
J Am Coll Cardiol 2000;35:1729-36
Pubmed
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Hubmed
| Fulltext
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