Clinical use of sirolimus-eluting stents.

作者: Ajay J. Kirtane , Martin B. Leon

DOI: 10.1111/J.1527-3466.2007.00024.X

关键词:

摘要: Drug-eluting stents, or intracoronary stents that combine the local delivery of antirestenotic pharmacologic therapies while maintaining mechanical advantage bare metal over balloon angioplasty alone, are a highly complex technology have profoundly affected practice percutaneous coronary intervention last 5 years. These devices were designed specifically to treat neointimal hyperplasia occurring after conventional stent placement, and been remarkably successful in this regard. However, recent concerns raised regarding long-term safety these devices, particularly when used outside specific patient lesion subsets studied pivotal randomized trials led device approval by regulatory bodies within United States abroad. This review aims present brief description sirolimus-eluting platform its mechanism action, followed an overview current data efficacy clinical use technology.

参考文章(83)
Stephen G. Ellis, Patrick Coleman, Carolyn Hill, Chunxue Shi, Donald E. Cutlip, Richard E. Kuntz, Jeffrey W. Moses, Giora Weisz, Martin B. Leon, David R. Holmes, Dean J. Kereiakes, Mel R. Clark, Barry M. Cohen, Two-Year Outcomes After Sirolimus-Eluting Stent Implantation Journal of the American College of Cardiology. ,vol. 47, pp. 1350- 1355 ,(2006) , 10.1016/J.JACC.2005.11.077
Shpend Elezi, Alban Dibra, Julinda Mehilli, Jürgen Pache, Rainer Wessely, Albert Schömig, Adnan Kastrati, Vessel size and outcome after coronary drug-eluting stent placement: results from a large cohort of patients treated with sirolimus- or paclitaxel-eluting stents. Journal of the American College of Cardiology. ,vol. 48, pp. 1304- 1309 ,(2006) , 10.1016/J.JACC.2006.05.068
Jonathan R. Nebeker, Renu Virmani, Charles L. Bennett, Jennifer M. Hoffman, Matthew H. Samore, Jorge Alvarez, Charles J. Davidson, June M. McKoy, Dennis W. Raisch, Brian K. Whisenant, Paul R. Yarnold, Steven M. Belknap, Dennis P. West, Jonathan E. Gage, Richard E. Morse, Gordana Gligoric, Laura Davidson, Marc D. Feldman, Hypersensitivity Cases Associated With Drug-Eluting Coronary Stents: A Review of Available Cases From the Research on Adverse Drug Events and Reports (RADAR) Project Journal of the American College of Cardiology. ,vol. 47, pp. 175- 181 ,(2006) , 10.1016/J.JACC.2005.07.071
Jun-ichi Kotani, Masaki Awata, Shinsuke Nanto, Masaaki Uematsu, Fusako Oshima, Hitoshi Minamiguchi, Gary S. Mintz, Seiki Nagata, Incomplete Neointimal Coverage of Sirolimus-Eluting Stents Journal of the American College of Cardiology. ,vol. 47, pp. 2108- 2111 ,(2006) , 10.1016/J.JACC.2005.11.092
Paul Vermeersch, Pierfrancesco Agostoni, Stefan Verheye, Paul Van den Heuvel, Carl Convens, Nico Bruining, Frank Van den Branden, Glenn Van Langenhove, Randomized Double-Blind Comparison of Sirolimus-Eluting Stent Versus Bare-Metal Stent Implantation in Diseased Saphenous Vein Grafts Journal of the American College of Cardiology. ,vol. 48, pp. 2423- 2431 ,(2006) , 10.1016/J.JACC.2006.09.021
Michael Joner, Aloke V. Finn, Andrew Farb, Erik K. Mont, Frank D. Kolodgie, Elena Ladich, Robert Kutys, Kristi Skorija, Herman K. Gold, Renu Virmani, Pathology of Drug-Eluting Stents in Humans: Delayed Healing and Late Thrombotic Risk Journal of the American College of Cardiology. ,vol. 48, pp. 193- 202 ,(2006) , 10.1016/J.JACC.2006.03.042
Beat H. Walpoth, Otto M. Hess, Late Coronary Thrombosis Secondary to a Sirolimus-Eluting Stent Circulation. ,vol. 110, ,(2004) , 10.1161/01.CIR.0000141422.05934.DC
Alban Dibra, Adnan Kastrati, Julinda Mehilli, Jürgen Pache, Helmut Schühlen, Nicolas von Beckerath, Kurt Ulm, Rainer Wessely, Josef Dirschinger, Albert Schömig, Paclitaxel-Eluting or Sirolimus-Eluting Stents to Prevent Restenosis in Diabetic Patients The New England Journal of Medicine. ,vol. 353, pp. 663- 670 ,(2005) , 10.1056/NEJMOA044372
P. Jimenez-Quevedo, M. Sabate, D. J. Angiolillo, F. Alfonso, R. Hernandez-Antolin, M. SanMartin, J. A. Gomez-Hospital, C. Banuelos, J. Escaned, R. Moreno, C. Fernandez, F. Fernandez-Aviles, C. Macaya, , Long-term clinical benefit of sirolimus-eluting stent implantation in diabetic patients with de novo coronary stenoses: long-term results of the DIABETES trial European Heart Journal. ,vol. 28, pp. 1946- 1952 ,(2007) , 10.1093/EURHEARTJ/EHM197