Long-term outcomes following bioresorbable vascular scaffolds

被引：0
作者：
Miyashita, Kotaro [1 ,2 ]
Ninomiya, Kai [1 ,2 ]
Tobe, Akihiro [1 ,2 ]
Masuda, Shinichiro [1 ,2 ]
Kotoku, Nozomi [1 ,2 ]
Kageyama, Shigetaka [1 ,2 ]
Revaiah, Pruthvi C. [1 ,2 ]
Tsai, Tsung-Ying [1 ,2 ]
Wang, Bo [1 ,2 ]
Garg, Scot [3 ]
Serruys, Patrick W. [1 ,2 ]
Onuma, Yoshinobu [1 ,2 ]
机构：
[1] Univ Galway, Coll Med Nursing & Hlth Sci, Univ Rd, Galway H91 TK33, Ireland
[2] Univ Galway, CORRIB Res Ctr Adv Imaging & Core Lab, Galway, Ireland
[3] Royal Blackburn Hosp, Dept Cardiol, Blackburn, England
来源：
EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2024年 / 22卷 / 08期
关键词：
Drug-eluting stents; bioresorbable scaffold; new generation scaffold; long term outcomes for bioresorbable scaffold; peripheral artery disease; CORONARY-ARTERY-DISEASE; EVEROLIMUS-ELUTING STENTS; OPTICAL COHERENCE TOMOGRAPHY; 2-YEAR CLINICAL-OUTCOMES; METALLIC STENT; 1ST-IN-HUMAN EVALUATION; IMAGING OUTCOMES; ABSORB; IMPLANTATION; LESIONS;
D O I：
10.1080/14779072.2024.2375340
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
IntroductionThe higher scaffold thrombosis rates observed with the first-generation bioresorbable scaffolds (BRSs) compared to conventional drug-eluting stents were likely due in part to bioresorbable polymers having insufficient radial strength, necessitating larger strut profiles. Meta-analysis of the long-term outcomes from the first-generation Absorb bioresorbable vascular scaffold (BVS) showed that this period of excess risk ended at 3 years. Therefore, current attention has been focused on improving early outcomes by increasing the scaffold's tensile strength and reducing strut thickness.Areas coveredThis review summaries the lessons learned from the first-generation BRS. It updates the long-term clinical outcomes of trials evaluating the ABSORB BVS and metallic alloy-based BRS. In addition, it reviews the next-generation BRSs manufactured in Asia.Expert opinionCritical areas to improve the performance and safety of biodegradable scaffolds include further development in material science, surface modification, delivery systems, and long-term follow-up studies.
引用
收藏
页码：391 / 407
页数：17
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