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Online Table 1. Clinical Outcomes During Follow-up in ST-elevation MI Patients Following Primary Percutaneous Coronary Intervention
(n=5492)
OutcomesBP-DES group
(n=1166)
Second-generation
DP-DES group (n=4326)
Adjusted HR
(95% CI)p
All-cause death 74 (6.3%) 349 (8.1%) 0.806 (0.633-0.972) 0.039
Cardiac death 50 (4.3%) 264 (6.1%) 0.784 (0.588-0.946) 0.048
Non-cardiac death 24 (2.1%) 85 (2.0%) 1.035 (0.658-1.629) 0.839
Recurrent MI 16 (1.4%) 101 (2.3%) 0.587 (0.346-0.995) 0.043
Any revascularization 61 (5.2%) 266 (6.1%) 0.894 (0.549-1.856) 0.218
Re-PCI 57 (4.9%) 256 (5.9%) 0.822 (0.617-1.096) 0.178
CABG 4 (0.3%) 10 (0.2%) 1.513 (0.474-4.829) 0.501
Stroke 10 (0.9%) 69 (1.6%) 0.535 (0.276-0.838) 0.036
HF readmission 20 (1.7%) 128 (3.0%) 0.572 (0.357-0.917) 0.020
Definite/probable ST 5 (0.4%) 27 (0.6%) 0.682 (0.263-1.772) 0.437
Late ST 3 (0.3%) 10 (0.2%) 0.797 (0.552-1.876) 0.215
Very late ST 1 (0.1%) 8 (0.2%) 0.336 (0.043-2.606) 0.297
Late/very late ST 4 (0.3%) 18 (0.4%) 0.774 (0.263-2.276) 0.642
MACEs* 151 (13.0%) 716 (16.6%) 0.827 (0.563-0.915) 0.017
NACEs† 186 (15.9%) 940 (21.7%) 0.766 (0.647-0.907) 0.002
Values are shown as n (%). BP-DES, biodegradable polymer drug-eluting stent; CABG, coronary artery bypass graft; CI, confidence interval; DP-DES, durable
polymer drug-eluting stent; HF, heart failure; HR, hazard ratios; MACEs, major adverse cardiac events; MI, myocardial infarction; NACEs, net adverse clinical
events; Re-PCI, repeat percutaneous coronary intervention; ST, stent thrombosis.
*MACEs included all-cause death, recurrent MI, or any revascularization with Re-PCI or CABG
†NACEs included all-cause death, recurrent MI, any revascularization with Re-PCI or CABG, stroke, HF readmission, or definite/probable ST.
Online Figure Legend
Online Figure 1. Independent predictors of MACE
Entire (A) and Propensity score-matched (B) cohorts.
BP-DES, biodegradable polymer drug-eluting stent; CI, confidence interval; HR, hazard ratio; MACE, major adverse cardiac events.
Online Figure 2. Subgroup analysis of major adverse cardiac events.
Standard Cox regression (A), Propensity score–matched (B), and Propensity score-adjusted (C) analyses.
BP-DES, biodegradable polymer drug-eluting stent; CI, confidence interval; DP-DES, durable polymer drug-eluting stent; HR, hazard ratio;
LVEF, left ventricular ejection fraction; STEMI, ST-elevation myocardial infarction.
Online Table 2. Medications Received at Discharge, 1-year Follow-up, and 2-year Follow-up
BP-DES group
(n=2261)
Second-generation
DP-DES group (n=8182)p
Discharge medications
Aspirin 2256 (99.8%) 8166 (99.8%) 0.792
Clopidogrel 1342 (59.4%) 5220 (63.8%) 0.727
Ticagrelor 533 (23.6%) 1963 (24.0%) 0.302
Prasugrel 381 (16.8%) 982 (12.0%) <0.001
DAPT 2256 (99.8%) 8166 (99.8%) 0.792
Cilostazol 247 (10.9%) 904 (11.0%) 0.907
Beta-blocker 1894 (83.8%) 6942 (84.8%) 0.211
Calcium channel blocker 110 (4.9%) 469 (5.7%) 0.121
ACEi or ARB 1817 (80.4%) 6606 (80.7%) 0.201
Statin 2116 (93.6%) 7588 (92.7%) 0.180
1-year follow-up
Aspirin 2024 (89.5%) 7446 (91.0%) 0.083
Clopidogrel 1311 (58.0%) 4852 (59.3%) 0.235
Ticagrelor 115 (5.1%) 475 (5.8%) 0.225
Prasugrel 163 (7.2%) 401 (4.9%) <0.001
DAPT 1589 (70.3%) 5727 (70.0%) 0.164
Cilostazol 45 (2.0%) 278 (3.4%) 0.001
Beta-blocker 1773 (78.4%) 6529 (79.8%) 0.174
Calcium channel blocker 289 (12.8%) 1129 (13.8%) 0.243
ACEi or ARB 1698 (75.1%) 6096 (74.5%) 0.566
Statin 2116 (93.6%) 7658 (93.6%) 0.959
2-year follow-up
Aspirin 1572 (69.5%) 5662 (69.2%) 0.661
Clopidogrel 1183 (52.3%) 4279 (52.3%) 0.651
Ticagrelor 32 (1.4%) 90 (1.1%) 0.004
Prasugrel 81 (3.6%) 196 (2.4%) 0.119
DAPT 949 (42.0%) 3409 (41.7%) 0.920
Cilostazol 70 (3.1%) 221 (2.7%) 0.383
Beta-blocker 1712 (75.7%) 6227 (76.1%) 0.695
Calcium channel blocker 350 (15.5%) 1374 (16.8%) 0.198
ACEi or ARB 1655 (73.2%) 5883 (71.9%) 0.261
Statin 2116 (93.6%) 7617 (93.1%) 0.443
Values are presented as n (%).
ACEi, angiotensin-converting-enzyme inhibitor; ARB, angiotensin receptor blockers; BP-DES, biodegradable polymer drug-eluting stent;
DAPT, Dual antiplatelet therapy; DP-DES, durable polymer drug-eluting stent.
Online Table 3. Clinical Outcomes According to Stent Type During Follow-up
BP-BES
(n=1951)
BP-SES
(n=310)
DP-EES
(n=5623)
DP-ZES
(n=2559)
Adjusted HR
(95% CI)
BP-BES
vs. DP-EES
Adjusted HR
(95% CI)
BP-BES
vs. DP-ZES
Adjusted HR
(95% CI)
BP-SES
vs. DP-EES
Adjusted HR
(95% CI)
BP-SES
vs. DP-ZES
All-cause death 115 (5.9%) 16 (5.2%) 438 (7.8%) 176 (6.9%) 0.731 (0.599-0.892) 0.860 (0.683-0.983) 0.725 (0.440-0.979) 0.824 (0.507-0.938)
Cardiac death 69 (3.5%) 12 (3.9%) 296 (5.3%) 120 (4.7%) 0.589 (0.456-0.761) 0.725 (0.540-0.972) 0.655 (0.368-0.967) 0.805 (0.445-0.945)
Non-cardiac death 46 (2.4%) 4 (1.3%) 142 (2.5%) 56 (2.2%) 0.973 0.786-1.490) 0.898 (0.788-1.671) 0.832 (0.367-1.886) 0.864 (0.372-2.006)
Recurrent MI 32 (1.6%) 3 (1.0%) 148 (2.6%) 54 (2.1%) 0.647 (0.442-0.946) 0.766 (0.495-1.184) 0.518 (0.192-0.901) 0.616 (0.223-0.937)
Any revascularization 90 (4.6%) 17 (5.5%) 281 (5.0%) 122 (4.8%) 0.874 (0.672-1.554) 0.745 (0.437-1.478) 0.984 (0.673-3.786) 0.915 (0.468-5.353)
Re-PCI 84 (4.3%) 15 (4.8%) 263 (4.7%) 112 (4.4%) 0.904 (0.722-1.131) 0.847 (0.658-1.092) 0.964 (0.662-1.712) 1.000 (0.612-1.631)
CABG 6 (0.3%) 2 (0.6%) 18 (0.3%) 10 (0.4%) 0.649 (0.793-2.151) 0.671 (0.225-2.003) 0.321 (0.094-1.095) 0.741 (0.457-5.468)
Stroke 23 (1.2%) 4 (1.3%) 80 (1.4%) 45 (1.8%) 0.779 (0.490-1.238) 0.580 (0.353-0.953) 0.906 (0.332-2.473) 0.654 (0.236-1.813)
HF readmission 32 (1.6%) 5 (1.6%) 170 (3.0%) 68 (2.7%) 0.557 (0.387-0.802) 0.638 (0.423-0.961) 0.525 (0.216-1.078) 0.603 (0.243-1.196)
Definite/probable ST 10 (0.5%) 2 (0.6%) 29 (0.5%) 16 (0.6%) 0.851 (0.536-2.344) 0.793 (0.503-2.902) 0.804 (0.355-6.364) 0.894 (0.351-4.306)
MACEs* 237 (12.1%) 36 (11.6%) 867 (15.4%) 352 (13.8%) 0.814 (0.593-0.921) 0.825 (0.629-0.942) 0.836 (0.575-0.937) 0.826 (0.614-0.925)
NACEs† 302 (15.5%) 47 (15.2%) 1144 (20.3%) 480 (18.8%) 0.757 (0.662-0.866) 0.803 (0.689-0.936) 0.810 (0.632-0.942) 0.797 (0.661-0.974)
Values are shown as n (%). BP-BES, biodegradable polymer biolimus-eluting stent; BP-SES, biodegradable polymer sirolimus-eluting stent; CABG, coronary
artery bypass graft; CI, confidence interval; DP-EES, durable polymer everolimus-eluting stent; DP-ZES, durable polymer zotarolimus-eluting stent; HF, heart
failure; HR, hazard ratios; MACEs, major adverse cardiac events; MI, myocardial infarction; NACEs, net adverse clinical events; Re-PCI, repeat percutaneous
coronary intervention; ST, stent thrombosis.
*MACEs included all-cause death, recurrent MI, or any revascularization with Re-PCI or CABG
†NACEs included all-cause death, recurrent MI, any revascularization with Re-PCI or CABG, stroke, HF readmission, or definite/probable ST.
Online Table 4. Clinical Outcomes According to Stent Strut Thickness
Outcomes 60 µm vs. 81
µm
60 µm vs. 91
µm
60 µm vs. 120
µm
81 µm vs. 91
µm
81 µm vs. 120
µm
91 µm vs. 120
µm
All-cause death 0.758 (0.547-
0.962)
0.837 (0.672-
0.981)
0.815 (0.653-
0.938)
0.917 (0.624-
1.476)
0.935 (0.619-
1.524)
0.816 (0.695-
1.314)
Cardiac death 0.694 (0.426-
0.971)
0.722 (0.458-
0.965)
0.738 (0.507-
0.973)
0.924 (0.598-
1.384)
0.828 (0.563-
1.612)
0.854 (0.574-
1.247)
Non-cardiac
death
0.853 (0.417-
1.614)
0.848 (0.425-
1.947)
0.914 (0.493-
1.874)
0.903 (0.716-
1.418)
0.912 (0.704-
1.379)
0.823 (0.682-
1.544)
Recurrent MI 0.567 (0.324-
0.946)
0.551 (0.341-
0.972)
0.683 (0.418-
0.926)
0.846 (0.579-
1.752)
0.754 (0.522-
1.967)
0.647 (0.454-
1.824)
Any
revascularization
0.991 (0.734-
3.165)
0.891 (0.617-
3.815)
0.934 (0.684-
3.649)
0.893 (0.517-
1.479)
0.818 (0.598-
1.692)
0.852 (0.493-
1.527)
Re-PCI 0.979 (0.716-
1.541)
0.984 (0.681-
1.357)
0.968 (0.615-
1.348)
0.912 (0.545-
1.392)
0.885 (0.612-
1.384)
0.877 (0.518-
1.409)
CABG 0.632 (0.345-
1.157)
0.628 (0.562-
4.176)
0.674 (0.394-
2.457)
0.704 (0.457-
2.483)
0.697 (0.414-
2.521)
0.716 (0.352-
2.348)
Stroke 0.964 (0.418-
2.239)
0.716 (0.386-
1.531)
0.791 (0.427-
1.942)
0.907 (0.586-
1.745)
0.915 (0.528-
1.825)
0.892 (0.437-
1.573)
HF readmission 0.654 (0.368-
1.182)
0.724 (0.358-
1.364)
0.633 (0.419-
1.586)
0.791 (0.478-
1.684)
0.784 (0.429-
1.236)
0.793 (0.548-
1.614)
Definite/probable
ST
0.825 (0.455-
4.824)
0.843 (0.501-
3.672)
0.847 (0.525-
5.637)
0.876 (0.549-
1.962)
0.923 (0.694-
2.548)
0.849 (0.529-
2.245)
MACEs* 0.868 (0.591- 0.798 (0.685- 0.881 (0.612- 0.957 (0.607- 0.907 (0.643- 0.926 (0.627-
0.988) 0.953) 0.973) 1.746) 1.224) 1.435)
NACEs†0.832 (0.613-
0.974)
0.807 (0.642-
0.987)
0.893 (0.579-
0.994)
0.882 (0.541-
1.483)
0.975 (0.568-
1.636)
0.932 (0.585-
1.582)
Values are shown as adjusted hazard ratios (95% confidence interval). CABG, coronary artery bypass graft; HF, heart failure; MACEs, major
adverse cardiac events; MI, myocardial infarction; NACEs, net adverse clinical events; Re-PCI, repeat percutaneous coronary intervention; ST,
stent thrombosis.
*MACEs included all-cause death, recurrent MI, or any revascularization with Re-PCI or CABG
†NACEs included all-cause death, recurrent MI, any revascularization with Re-PCI or CABG, stroke, HF readmission, or definite/probable ST.