PCI in Diabetic Patients

Diabetes as a key risk factor for cardiovascular disease has and will continue to be a pressing
health issue, since:

  • The incidence of diabetes is sharply increasing worldwide.
  • The total number of people with diabetes is projected to rise from 285 million in 2010 to 439 million in 2030.2 
  • Nearly half of U.S. adults with diabetes, for example, fail to meet recommended guidelines for diabetes care.3 

Many diabetic patients will therefore undergo revascularization for coronary artery disease at some point in their lives. Yet because diabetic patients' risk of adverse events is higher than in nondiabetic patients,4 it is incumbent on physicians to implant a stent that will ensure long-term patient safety.

XIENCE Data in Diabetic Patients

Everolimus-Eluting Coronary Stents in Diabetes 

XIENCE Data in Diabetic Patients

Everolimus-Eluting Coronary Stents in Diabetes 

Multiple Trials Reveal XIENCE Stent Efficacy and Safety in Patients with Diabetes

Several stent trials reported on cohorts of diabetic patients—and they point to the solid performance of XIENCE in this patient population.

TUXEDO Trial Establishes XIENCE's Superiority in Diabetes Patients

“Everolimus-eluting stents [XIENCE] were superior to paclitaxel-eluting stents [Taxus] with regard to several endpoints, including target vessel failure, myocardial infarction and stent thrombosis.” 

—Upendra Kaul, MD, TUXEDO Trial9 

Unlike the studies illustrated above, the TUXEDO trial focused solely on patients with diabetes. The authors designed TUXEDO in this way since several prior stent trials were not sufficiently powered to determine if stent type affected outcomes.9

Event Rates at 2 Years

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† Bench test data shows that XIENCE Sierra performed better in crossability and was not statistically different in trackability and pushability compared to Resolute Onyx and SYNERGY stents. Bench test results may not necessarily be indicative of clinical performance. Test performed by and data on file at Abbott. Testing performed on XIENCE Sierra Everolimus Eluting Coronary Stent System (3.0 x 18 mm) n=5, SYNERGY Stent System (3.0 x 20 mm) n=5, Resolute Onyx Stent System (3.0 x 18 mm) n=5. Catheter performance crossability test measures average force to cross a challenging lesion model.

‡ Increased maximum expansion compared to other XIENCE Everolimus Eluting Coronary Stent System.

  1. Matheus AS. Int J Hypertens. 2013. doi: 10.1155/2013/653789.
  2. Mozaffarian D, et al. for the AHA. Circulation. 2015;133:e38-e360. doi: 10.1161/CIR.0000000000000350.
  3. Ali MK, et al. N Engl J Med. 2013;368:1613–1624.
  4. Tandjung K. TWENTE Trial. TCT 2012. 15.9%
  5. Kaul U. TUXEDO Trial 2-year data. TCT 2016.  
  6. Based on percentage of diabetic patients in trials registered on clinicaltrials.gov. Data on file at Abbott.
  7. Jensen LO. SORT OUT IV Trial. ACC 2015.
  8. Lefevre, T. BIOFLOW II Trial 5-Year Outcomes. JACC 2018. Vol 11, No. 10.2018.  May 28, 2018:995-1002
  9. U Kaul. Paclitaxel-eluting stents versus everolimus-eluting coronary stents in a diabetic
    population: the TUXEDO-India trial
    . Express Pharma (New Dehli, India); p:1-1; 10/20/2015

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