A prospective evaluation of the safety and efficacy of TAXUS Element paclitaxel-eluting coronary stent implantation for the treatment of de novo coronary artery lesions in small vessels: the PERSEUS Small Vessel trial

• Published in: EuroIntervention Vol. 6; no. 8; pp. 920 - 927
• Main Authors: CANNON, Louis A, KEREIAKES, Dean J, MCGARRY, Thomas, RING, Michael E, KELLETT, Mirle A, UNDERWOOD, Paul, DAWKINS, Keith D, MANN, Tift, POPMA, Jeffrey J, MOONEY, Michael R, MISHKEL, Gregory J, LEE, Tommy C, HADLEY WILSON, B, STUCKEY, Thomas D, ORLOW, Steven
• Format: Journal Article
• Language: English
• Published: Toulouse Société Europa Edition 01-03-2011
• Subjects: Aged; Angioplasty, Balloon, Coronary - mortality; Biological and medical sciences; Cardiology. Vascular system; Chromium Compounds; Coronary Artery Disease - mortality; Coronary Artery Disease - therapy; Coronary heart disease; Coronary Restenosis - mortality; Coronary Vessels - drug effects; Drug-Eluting Stents - adverse effects; Equipment Failure Analysis; Female; Heart; Humans; Male; Medical sciences; Middle Aged; Myocardial Infarction - mortality; Myocardial Infarction - therapy; Paclitaxel - therapeutic use; Platinum Compounds; Prospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Antineoplastic agent; Cardiovascular disease; Elements; Prospective; Efficiency; Taxane derivatives; Blood vessel; Gymnospermae; Paclitaxel; platinum chromium; Complication; Safety; Antimitotic; Drug eluting stent; Platinum II Complexes; Evaluation; coronary restenosis; drug-eluting stents; Taxus; Coronary artery; Instrumentation therapy; small vessel; Implantation; Coronary vessel; Coronary heart disease; Cisplatin; De novo; thin-strut; Restenosis; Alkylating agent; Carboplatin; Chromium; Coniferales; Spermatophyta; Lesion
• ISSN: 1774-024X; 1969-6213
• DOI: 10.4244/EIJV6I8A161

Small reference vessel diameter predicts adverse outcomes following coronary stenting. TAXUS Express and TAXUS Liberté paclitaxel-eluting stents (PES) reduce restenosis compared to bare metal stents (BMS) in small diameter vessels. TAXUS Element is a novel thin-strut, platinum chromium stent designed to enhance visibility, conformability, and drug delivery in small diameter vessels.
The PERSEUS Small Vessel (SV) prospective, single-arm, superiority trial evaluates the TAXUS Element PES in 224 subjects with target lesion length≤20 mm and vessel diameter≥2.25 to <2.75 mm, compared to 125 lesion-matched historical Express BMS control subjects from the TAXUS V trial. The primary endpoint was nine-month in-stent late loss. The secondary endpoint was 12-month target lesion failure (TLF) compared to a pre-specified performance goal (PG). Outcomes were analysed with and without propensity-score adjustment. TAXUS Element was superior to the Express BMS for late loss (0.38±0.51 versus 0.80±0.53 mm respectively; P<0.001), and TLF (7.3%) was significantly less than the 19.5% PG (P<0.001). No differences in mortality, myocardial infarction, or stent thrombosis were observed through 12 months. Results were similar after adjustment.
PERSEUS SV supports the efficacy and safety of the platinum chromium, thin-strut TAXUS Element stent in small coronary vessels.