| WASHINGTON, March 18
WASHINGTON, March 18 Patients who received
Abbott Laboratories' novel dissolving vascular stent had
a significantly higher rate of serious adverse heart events than
those treated with the company's widely used Xience drug-coated
metal stent two years after implantation, according to data
presented on Saturday.
New guidelines for blood vessel size and proper implantation
techniques put in place for the new Absorb stent since the study
began, however, should lead to better results, researchers said.
They reported that 19 percent of those who received Absorb
in the 2,008-patient trial had it implanted in blood vessels now
deemed too small for the device, hurting overall results.
"The difference between Absorb and Xience when they're both
implanted in properly-sized vessels with good procedural
technique is likely to be quite modest and possibly not
clinically important," said Dr. Stephen Ellis, who presented the
data at the American College of Cardiology scientific meeting in
Washington. Ellis is director of interventional cardiology at
the Cleveland Clinic.
Stents are tiny tubes used to prop open diseased arteries
that have been cleared of blockages. The two stents demonstrated
similar safety between one and two years, but a difference
turned up by the end of year two.
Absorb, which is larger than traditional metal stents, is
made of a plastic designed to fully dissolve over the course of
about three years, leaving a naturally flexible blood vessel.
After two years in the trial, called Absorb III, 10.9
percent of Absorb patients had experienced target lesion
failure, versus 7.9 percent of those in the Xience group, a
statistically significant difference.
TLF is defined as a combination of heart-related death,
heart attack related to the treated vessel and need for repeat
procedure due to reclogging of the treated part of the artery.
The result was driven by a higher rate of target vessel heart
attacks - 7.3 percent versus 4.9 percent for Xience.
The difference between the two stents declined and was no
longer statistically significant when the smaller-vessel
patients were excluded, researchers reported.
Absorb won U.S. approval last July, but longer-term data may
be needed to assess its true value.
All of the benefit of using the larger, more-difficult-to-
place stent, "if there is going to be a benefit, will come after
it has been fully absorbed," said Ellis.
"We await long-term outcomes," he said. "If this device
doesn't produce better long-term outcomes, there's no point in
(Reporting by Bill Berkrot; Editing by Dan Grebler)