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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
The Stent of Choice in ACS
2) The Clinical Evidence…
Titan2 vs. The Latest DES Generation
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
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
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)
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
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
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
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)
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
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)
The Evidence-Based Choice for Your
ACS patients !
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