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TAXUS WOMAN. A Pooled Analysis of Outcomes with Paclitaxel-eluting Stents in Women and Men Simon Corbett Interventional Fellow St Mary’s Hospital. Background (1).
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TAXUS WOMAN A Pooled Analysis of Outcomes with Paclitaxel-eluting Stents in Women and Men Simon Corbett Interventional Fellow St Mary’s Hospital
Background (1) • Previous trial and registry data have consistently shown worse outcomes in women compared to men undergoing coronary revascularisation • This is usually attributed to an adverse risk profile in women – they tend to be older, smaller and have more diabetes, hypertension and heart failure
Background (2) • The efficacy of drug-eluting stents in reducing clinical restenosis across a wide range of lesion subsets is well-established • However, the efficacy of DES in women is assumed, not proven
Aim of this Study • To assess the safety and efficacy of the paclitaxel-eluting TaxusTM stent in women
Methodology • Pooled analysis of the Results from the TAXUS II, IV, V and VI randomized, controlled trials
Results • Between June 2001 and March 2004, 3445 patients were enrolled into the TAXUS II, IV, V and VI trials • Women comprised 27.7% (955 patients) • Stents received: Taxus 480, 475 bare metal • Men comprised 72.3% (2490 patients) • Stents received: Taxus 1238, 1252 bare metal • Follow-up is complete to 3 years for TAXUS II and IV, 2 years for TAXUS VI and 1 year for TAXUS V
Baseline Patient Characteristics *P-value=non-significant for all comparisons between the Taxus and Control groups in women and men (data not shown)
Baseline Lesion and Procedural Characteristics *P-value=non-significant for all comparisons between the Taxus and Control groups in women and men (data not shown)
Conclusions • The Taxus stent is as effective at reducing repeat revascularization in women as men • The Taxus stent is safe in women • Long-term clinical outcomes in women and men treated in these contemporary PCI studies are equivalent despite the adverse risk profile of women at baseline • Women treated with the Taxus stent have a lower rate of late stent thrombosis than men