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The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

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Page 1: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…
Page 2: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The Stent of Choice in

ACS patients

Page 3: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The Stent of Choice in ACS

1) The Rationale…

Page 4: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

1) The Rationale:

Titanium-Nitride-Oxide Coating

• Absolute Lowest Thrombogenicity• Effective Restenosis Reduction

• Shortest DAP Therapy

Helicoidal Design

• Improved Trackability & Crossability

The Stent of Choice in ACS

Page 5: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The Stent of Choice in ACS

2) The Clinical Evidence…

Titan2 vs. The Latest DES Generation

Page 6: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS Randomized Trial

BAS vs EES12-Month Clinical Follow-Up

TiTAN-2 XIENCE-V

SOURCE: The BASE-ACS Randomized Controlled Trial Late Breaking Trial EuroPCR 2011

Page 7: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS Randomized Trial

ACS Population

827 Patients

100% Patients Follow-UpSOURCE: The BASE-ACS Randomized Controlled Trial

Late Breaking Trial EuroPCR 2011

Titan2 vs. The Latest DES Generation

Page 8: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS RCT

MACE @ 12 months

MACE: Cardiac Death, nonfatal MI or TLR

7.2%

2.6%

6.8%3.9%

TITAN-2

XIENCE-V

%

1 6 120

5

10

15

2.6%

7.2%9.6%

3.9% 6.8%9.0%

Titan-2 BAS (n=417)Xience-V EES (n=410)

Months after Index Procedure

% Pnon-inferiority = 0.001HR 0.94 (0.59-1.50)

Page 9: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

TiTAN2 is Non-Inferior

to XIENCE V at 12 months

BAS EES0

5

10

15

20

9.6% 9.0%

The BASE-ACS RCT

MAC

E (%

)

Pnon-inferiority = 0.001

TiTAN-2 XIENCE-V

Page 10: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS Randomized Trial

BAS vs EES18-Month Clinical Follow-Up

TiTAN-2 XIENCE-V

SOURCE: The BASE-ACS Randomized Controlled Trial Late Breaking Trial ASIA PCR 2012

Page 11: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS RCT

MACE: Cardiac Death, nonfatal MI or TLR

7.2%

2.6%

6.8%3.9%

TITAN-2

XIENCE-V

%

1 6 120

5

10

15

2.6%

7.2%

9.6%

3.9%6.8%

9.0%

Titan-2 BAS (n=417)Xience-V EES (n=410)

%

MACE @ 18 months

Months after Index Procedure

Page 12: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS RCT

MACE @ 18 months

MACE: Cardiac Death, nonfatal MI or TLR

7.2%

2.6%

6.8%3.9%

Days after Index Procedure

TITAN-2

XIENCE-V

%

1 6 12 180

5

10

15

2.6%

7.2%

9.6%

3.9%6.8%

9.0%

Titan-2 BAS (n=417)Xience-V EES (n=410)

%

Months after Index Procedure

11.7%

10.8%

P = 0.74HR 0.96 (0.78-1.18)

Page 13: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

TiTAN2 vs. XIENCE V

at 18 months

BAS EES0

5

10

15

20

10.8%11.7%

The BASE-ACS RCT

MACE (%)

P =

0.7

4

BAS EES0

5

10

15

20

2.6%

6.3%

BAS EES0

5

10

15

20

1.2%3,7%P

= 0

.01

P =

0.0

21

* Definite & Probable

AMI (%) *Thrombosis (%)

TiTAN-2 XIENCE-V TiTAN-2 XIENCE-V TiTAN-2 XIENCE-V

Page 14: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The BASE-ACS RCT

Titan2 vs. The Latest DES Generation

* Definite & Probable

At 12 months Titan-2 BAS demonstrates its Non-Inferiority vs.Xience-V EES in terms of MACE (9.6% vs 9.0%) in patients with ACS

At 18 months Titan2-BAS improves its MACE score vs. EES

(10.8% vs. 11.7%) due to a significantly better safety profile in terms of hard clinical endpoints:

• AMI (2.6% vs. 6.3%, p=0.01) • Thrombosis* (1.2% vs. 3.7%, p=0.021)

(with significantly less DAPT duration: 8.7 vs.10.2 months, p<0.001)

Page 15: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

The Evidence-Based Choice for Your

ACS patients !

Page 16: The Stent of Choice in ACS patients The Stent of Choice in ACS 1) The Rationale…

All cited trademarks are the property of their respective owners.This material is not intended for use in the United-States and certain other countries.Caution: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. ©2012 Hexacath or its affiliates.


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