title: [Clinical restenosis in diabetic patients treated with drug eluting stents for de novo lesions].
abstract: We evaluated immediate and mid-term clinical and angiographic results in diabetic patients with percutaneous coronary intervention with deployment of drug eluting stents.
  
  
  METHODS
  Between November of 2004 and June of 2005 percutaneous coronary interventions were performed 860 with the deployment of 112 drug eluting stents to 42 diabetic patients. The mean of stents was 2.6 per patient, and the type of drug eluting stent was paclitaxel in 60% and sirolimus in 40%. The average of age was 51.2 +/- 9.6 years old. The gender was male in 25 (60%) of patients and female in 17 (40%). The indication of coronary angiography was unstable angina in 15 (35%) patients and stable angina in 27 (65%). There was history of anterior myocardial infarction in 20 (47%), inferior myocardial infarction in 8 (20%) and multiple vessel disease in 16 (38%). The stenosis severity of the lesion was 85.9% +/- 12.2% and the left ventricular function was (55 +/- 10). The hospital stay was 7 +/- 5.4 days.
  
  
  RESULTS
  Both clinical and angiographic immediate success was 100%. The average follow was 7.6 +/- 3.3 months in 34 patients (80.9%). The target lesion revascularization (TLR) was 7.1%. (3 patients). Death, myocardial infarction or reinfarction (0%).
  
  
  RESULTS
  One patient (2.3%) developed contrast induced nephropathy.
  
  
  CONCLUSIONS
  These results suggest that the use of drug eluting stents (paclitaxel or sirolimus) in diabetic patients has a high rate of success with good angiographic and clinical results and with a low rate of complications or restenosis in this high risk group of patients.
authors: Médico del Servicio de Hemodinamia, Hospital de Cardiología del Centro Medico Nacional Siglo XXI IMSS, México.
authors: José Antonio
authors: JA
authors: Palomo Villada
authors: Enrique
authors: E
authors: Bernal
authors: Jaime
authors: J
authors: Santiago
authors: Arturo
authors: A
authors: Abundes Velasco
authors: Armando
authors: A
authors: Montoya Silvestre
authors: Jesús
authors: J
authors: Flores Flores
authors: Belinda
authors: B
authors: González Díaz
authors: Raúl
authors: R
authors: Astudillo Sandoval
authors: Joel
authors: J
authors: Estrada Gallegos
authors: Javier
authors: J
authors: Farell Campa
mesh_terms: D023903:Coronary Restenosis / Q000453:epidemiology*; D003925:Diabetic Angiopathies; D016503:Drug Delivery Systems; D005260:Female; D006801:Humans; D008297:Male; D015607:Stents