A randomized trial comparing the hand‐mounted JoStent with the premounted Multi‐Link Duet stent in patients with coronary artery disease

Abstract

The objective of this multicenter randomized study was to compare the angiographic and clinical results achieved 1 year after coronary placement of two stent models: the hand‐mounted JoStent and the premounted Multi‐Link Duet stent. We included 505 patients who were randomly assigned to receive either the hand‐mounted JoStent (n = 252) or the premounted Multi‐Link Duet stent (n = 253). The primary endpoint of the study, late lumen loss, measured 1.12 mm in the JoStent group and 1.17 mm in the Multi‐Link Duet group. These values were statistically equivalent (P = 0.02 from the equivalence test). No significant difference was observed in the incidence of restenosis, 24.2% in the JoStent and 25.2% in the Multi‐Link Duet stent group, and target vessel revascularization, 13.9% in the JoStent and 15.4% in the Multi‐Link Duet patients. In conclusion, the hand‐mounted JoStent and the premounted Multi‐Link Duet stent enable excellent procedural success rates and equally favorable 1‐year angiographic and clinical outcomes. Cathet Cardiovasc Intervent 2001;54:414–419.