A New Wave in Treatment of Vascular Occlusive Disease: Biodegradable Stents-Clinical Experience and Scientific Principles

被引:40
作者
Brown, David A. [1 ]
Lee, Edward W. [1 ]
Loh, Christopher T. [1 ]
Kee, Stephen T. [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Radiol, Div Intervent Radiol,Med Ctr, Los Angeles, CA 90095 USA
关键词
PORCINE CORONARY-ARTERIES; DRUG-ELUTING STENTS; MONOCYTE CHEMOATTRACTANT PROTEIN-1; SERIAL INTRAVASCULAR ULTRASOUND; INTERVENTIONAL THERMAL-INJURY; CONGENITAL HEART-DISEASE; ANGIOGRAPHIC FOLLOW-UP; L-LACTIDE STENT; GENE DELIVERY; IN-VIVO;
D O I
10.1016/j.jvir.2008.11.007
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Stent-based therapies in percutaneous vascular intervention are associated with significant long-term complications related to in-stent restenosis. A growing body of literature demonstrates the feasibility of biodegradable materials for endovascular stents, which may, in theory, circumvent many of the immunologic and inflammatory response issues seen with long-term metallic stent failure in coronary and peripheral applications. This review describes the history of endovascular stents and the challenges encountered with metallic, drug-eluting, and biodegradable stents. A review of the basic engineering principles of biodegradable stents is provided, along with a discussion of the cellular mechanisms of restenosis.
引用
收藏
页码:315 / 324
页数:10
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