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J Am Coll Cardiol, 2007; 49:1676-1683, doi:10.1016/j.jacc.2007.01.069 (Published online 3 April 2007).
© 2007 by the American College of Cardiology Foundation
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Polymer-Based, Paclitaxel-Eluting TAXUS Liberté Stent in De Novo Lesions

The Pivotal TAXUS ATLAS Trial

Mark A. Turco, MD*,*, John A. Ormiston, MBChB{dagger}, Jeffrey J. Popma, MD{ddagger}, Lazar Mandinov, MD§, Charles D. O’Shaughnessy, MD||, Tift Mann, MD, Thomas F. McGarry, MD#, Chiung-Jen Wu, MD**, Charles Chan, MD{dagger}{dagger}, Mark W.I. Webster, MBChB{ddagger}{ddagger}, Jack J. Hall, MD§§, Gregory J. Mishkel, MD||||, Louis A. Cannon, MD¶¶, Donald S. Baim, MD§ and Joerg Koglin, MD§

* Center for Cardiac & Vascular Research, Washington Adventist Hospital, Takoma Park, Maryland
{dagger} Mercy Angiography Unit, Mercy Hospital, Auckland, New Zealand
{ddagger} Department of Internal Medicine (Cardiovascular Division), Brigham and Women’s Hospital, Boston, Massachusetts
§ Boston Scientific Corporation, Marlborough, Massachusetts
|| Elyria Memorial Hospital, Elyria, Ohio
Wake Heart Associates, Wake Medical Center, Raleigh, North Carolina
# Oklahoma Foundation for Cardiovascular Research, Oklahoma Heart Hospital, Oklahoma City, Oklahoma
** Cardiology Section, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan
{dagger}{dagger} National Heart Centre, Singapore, Singapore
{ddagger}{ddagger} Cardiac Investigations Unit, Auckland City Hospital, Auckland, New Zealand
§§ The Heart Center, St. Vincent’s Hospital, Indianapolis, Indiana
|||| Prairie Heart Institute, St. John’s Hospital, Springfield, Illinois
¶¶ Cardiac & Vascular Research Center, Northern Michigan Hospital, Petoskey, Michigan.


Figure 1
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Figure 1 Study Devices

(A) TAXUS Express. (B) TAXUS Liberté.

 

Figure 2
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Figure 2 Study Flow and Control Group Selection

(A) The TAXUS ATLAS study flow. (B) Selection of the TAXUS Express control group. Patients from the TAXUS IV and V trials were selected based on entry criteria for the TAXUS ATLAS trial. All 662 TAXUS Express patients from the TAXUS IV trial were included. Of the 577 TAXUS Express patients in the TAXUS V trial, 248 were excluded for reference vessel diameter (RVD) <2.5 mm, lesion length >28 mm, or >1 study stent planned for implantation. *Based on visual estimate. Angio = angiography; F/U = follow-up; ITT = intention-to-treat population; IVUS = intravascular ultrasound; PP = per-protocol population.

 

Figure 3
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Figure 3 Antiplatelet Medication Usage in the Intention-to-Treat Population (n = 1,862)

Dual therapy: aspirin plus clopidogrel or ticlopidine.

 

Figure 4
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Figure 4 Cumulative Freedom-From-Event Rates

(A) Major adverse cardiac events (MACE) or (B) target vessel revascularization (TVR). Data shown are for the per-protocol population (n = 1,845).

 

Figure 5
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Figure 5 Angiographic Measures

(A) In-stent or in-lesion minimum lumen diameter (MLD) measures over time. Data from the intention-to-treat population (n = 1,862) at pre- and post-procedure, and from the angiographic subset (n = 1,247) at 9 months. (B) Cumulative frequency distribution curves for in-stent late loss as determined by quantitative coronary angiography in the angiographic subset (n = 1,247).

 




 
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