FDA Adverse Event Injury Summary report: N

RESOLUTE INTEGRITY RX

MDR report key: 12340817 · Received August 19, 2021

Report

Report Number
9612164-2021-03195
Event Type
Injury
Date Received
August 19, 2021
Date of Event
July 17, 2020
Report Date
August 19, 2021
Manufacturer
MEDTRONIC IRELAND
Product Code
NIQ
PMA / PMN Number
P110013
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

JOURNAL ARTICLE: INDEPENDENT FACTORS FOR IN-HOSPITAL DEATH FOLLOWING DRUG-ELUTING STENT THROMBOSIS FROM THE JAPANESE ADVERSE EVENT REPORT SYSTEM AUTHORS: YOSHIAKI MITSUTAKE, AKIHIDE KONISHI, NOBUHIRO HANDA, MAMI HO, HARUKI SHIRATO, TAKUYA ITO, KAZUHISA KOIKE, SHUICHI MOCHIZUKI, KENSUKE ISHII YEAR: 2020 REFERENCE: DOI:10.1253/CIRCJ.CJ-20-0133 PATIENT DEATHS WERE ALSO INCLUDED IN THE RESULTS OF THE JOURNAL ARTICLE, HOWEVER NO CAUSAL LINK SUGGESTING THAT THE MEDTRONIC DEVICES USED IN THE PATIENT COHORT MAY HAVE CAUSED OR CONTRIBUTED TO THE DEATHS WAS PROVIDED. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

A JOURNAL ARTICLE TITLED - INDEPENDENT FACTORS FOR IN-HOSPITAL DEATH FOLLOWING DRUG-ELUTING STENT THROMBOSIS FROM THE JAPANESE ADVERSE EVENT REPORT SYSTEM - WAS SUBMITTED FOR REVIEW. THIS STUDY AIMED TO SURVEY THE CHARACTERISTICS OF STENT THROMBOSIS (ST) CASES AND EVALUATE INDEPENDENT FACTORS FOR IN-HOSPITAL DEATH SUBSEQUENT TO DRUG-ELUTING STENT (DES) ST, USING DATA FROM THE JAPANESE ADVERSE EVENT REPORTING SYSTEM. DEFINITE ST WAS CATEGORIZED ACCORDING TO THE TIME OF OCCURRENCE: EARLY ST (EST) WAS DEFINED AS WITHIN 30 DAYS AFTER STENT IMPLANTATION, LATE ST (LST) AS 31¿365 DAYS AFTER STENT DEPLOYMENT, AND VERY LATE ST (VLST) AS >365 DAYS AFTER STENT IMPLANTATION. MEDTRONIC'S ENDEAVOR RX DES AND RESOLUTE INTEGRITY DES WERE AMONG THE DES USED IN THE STUDY POPULATION. A TOTAL OF 2,045 PATIENTS WERE IDENTIFIED AS HAVING ANGIOGRAPHIC DEFINITE ST. THERE WERE 1,288 PATIENTS WITH EST, 307 WITH LST, AND 450 WITH VLST. THERE WERE 286 IN-HOSPITAL DEATHS AFTER ST OCCURRENCE. PERCUTANEOUS CORONARY INTERVENTION (PCI) WAS PERFORMED FOR >90% OF PATIENTS AS TREATMENT FOR ST. MOST PATIENTS UNDERWENT THROMBUS ASPIRATION AND BALLOON ANGIOPLASTY. OTHER INTERVENTIONAL PROCEDURES INCLUDED INTRA-AORTIC BALLOON PUMPING (IABP), CORONARY ARTERY BYPASS SURGERY (CABG) AND PERCUTANEOUS CARDIOPULMONARY SUPPORT (PCPS). IT WAS EVALUATED THAT LEFT MAIN TRUNK (LMT) DISEASE, CHRONIC HEART FAILURE (CHF), HEMODIALYSIS, PRIOR STROKE, AND AGED OVER 70 YEARS OLD WERE INDEPENDENT FACTORS FOR IN-HOSPITAL DEATH AFTER DES-ST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1242384 RESOLUTE INTEGRITY RX CORONARY DRUG-ELUTING STENT NIQ MEDTRONIC IRELAND

Patients

Seq Age Sex Outcome Treatment
1 67 YR Required Intervention