Impact of Diabetes on the Efficacy of Drug-Eluting Stents (DES): A Meta-Analysis

Authors

  • Nandana Thekkepat Pillai

Keywords:

N\A

Abstract

The advent of drug-eluting stents (DES) revolutionized percutaneous coronary interventions (PCI) by reducing restenosis rates compared to bare-metal stents (BMS). However, diabetes mellitus (DM), a known independent risk factor for cardiovascular diseases, complicates the therapeutic outcomes post-DES implantation. This meta-analysis systematically reviews and analyzes clinical outcomes to assess whether diabetes compromises the efficacy of DES, focusing on restenosis rates, target lesion revascularization (TLR), stent thrombosis (ST), and major adverse cardiac events (MACE). Data from randomized controlled trials (RCTs) and observational studies (2005–2024) were aggregated and analyzed. The findings suggest that while DES offers significant benefits to diabetic patients, they remain at a higher risk of adverse outcomes compared to non-diabetic patients, warranting careful patient selection and post-implantation management...

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References

Bangalore S, et al. "Outcomes with Drug-Eluting Stents in Diabetic Patients." J Am Coll Cardiol, 2013.

Cutlip DE, et al. "Clinical end points in coronary stent trials." Circulation, 2007.

Stone GW, et al. "Everolimus-Eluting versus Paclitaxel-Eluting Stents in Diabetics." N Engl J Med, 2010.

Windecker S, et al. "Stent thrombosis in patients with diabetes." Eur Heart J, 2015.

Iqbal J, et al. "Drug-Eluting Stents in Diabetic Patients." Circ Cardiovasc Interv, 2014.

Natsuaki M, et al. "Long-Term Safety and Efficacy of DES in Diabetics." JACC Cardiovasc Interv, 2013.

Bhatt DL, et al. "Stent thrombosis and dual antiplatelet therapy." JAMA, 2010.

Garg S, Serruys PW. "Coronary stents: current status." J Am Coll Cardiol, 2010.

Bittl JA, et al. "Percutaneous coronary intervention in diabetics." JACC, 2016.

Palmerini T, et al. "DES in diabetics: a meta-analysis." Circulation, 2012.

Park SJ, et al. "Impact of Diabetes on DES Outcomes." Circulation, 2011.

Steg PG, et al. "ST Outcomes in Diabetics." Eur Heart J, 2013.

Sabaté M, et al. "Bioresorbable Scaffolds in Diabetics." J Am Coll Cardiol, 2016.

Wijns W, et al. "PCI Guidelines in Diabetes." Eur Heart J, 2018.

De Caterina R, et al. "Antithrombotic Therapy in Diabetics." Circulation, 2020.

Byrne RA, et al. "DES and Coronary Thrombosis." Lancet, 2015.

Hannan EL, et al. "DES Use in High-Risk Patients." JACC, 2014.

Mauri L, et al. "Long-term follow-up with DES." NEJM, 2014.

Angiolillo DJ, et al. "Antiplatelet Therapy in Diabetics." J Am Coll Cardiol, 2021.

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Published

2025-08-06

How to Cite

1.
Thekkepat Pillai N. Impact of Diabetes on the Efficacy of Drug-Eluting Stents (DES): A Meta-Analysis. J Neonatal Surg [Internet]. 2025Aug.6 [cited 2025Oct.14];14(32S):7070-8. Available from: https://jneonatalsurg.com/index.php/jns/article/view/8759