History of development and comparative evaluation of modern stents for coronary arteries
Operations of myocardial revascularization include aorta-coronary or mammarocoronary bypassing and stenting of coronary arteries. Currently, coronary stenting is the most common method of revascularization, but during the operation of this method, the incidence of late complications, such as resteno...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Meshalkin National Medical Research Center
2019-05-01
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| Series: | Патология кровообращения и кардиохирургия |
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| Online Access: | https://journalmeshalkin.ru/index.php/heartjournal/article/view/646 |
| _version_ | 1797725739631509504 |
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| author | K. A. Smirnov A. V. Biryukov R. D. Ivanchenko D. V. Ovcharenko A. A. Voronkov I. S. Trusov E. M. Nifontov |
| author_facet | K. A. Smirnov A. V. Biryukov R. D. Ivanchenko D. V. Ovcharenko A. A. Voronkov I. S. Trusov E. M. Nifontov |
| author_sort | K. A. Smirnov |
| collection | DOAJ |
| description | Operations of myocardial revascularization include aorta-coronary or mammarocoronary bypassing and stenting of coronary arteries. Currently, coronary stenting is the most common method of revascularization, but during the operation of this method, the incidence of late complications, such as restenoses and late coronary thrombosis, has increased. The causes of these complications depend on a number of factors, including the type of stent. While vessel wall injury correlated with restenosis in the bare metal stents (BMS) era, its impact has been minimised by the use of drug eluting stents (DES), which is likely related to the use of powerful antiproliferatives with prolonged release kinetics which profoundly inhibit the reparative response to arterial injury. However, at the same time, vessel injury secondary to drug toxicity or inflammation caused by polymer is observed following DES implantation. In the clinical practice, there is a huge variety of types and models of stents, which have different indications and contraindications for use. An important factor influencing the risk of developing late complications is neointimal vascular healing, which can be assessed using various methods of intravascular imaging, such as optical coherent tomography. The purpose of this literature review, describing the evolution of coronary stents, is to systematize the main research results on the use of various stents platforms. In addition, the review presents the modern methods of evaluating the proliferation neontimy, and introduces the concept of healing index (healing score), reflects the process of vascular healing and influencing the characteristics and duration of dual antiplatelet therapy |
| first_indexed | 2024-03-12T10:35:36Z |
| format | Article |
| id | doaj.art-69bc9e276aa44be8b2be600ed01d262a |
| institution | Directory Open Access Journal |
| issn | 1681-3472 2500-3119 |
| language | English |
| last_indexed | 2024-03-12T10:35:36Z |
| publishDate | 2019-05-01 |
| publisher | Meshalkin National Medical Research Center |
| record_format | Article |
| series | Патология кровообращения и кардиохирургия |
| spelling | doaj.art-69bc9e276aa44be8b2be600ed01d262a2023-09-02T08:46:41ZengMeshalkin National Medical Research CenterПатология кровообращения и кардиохирургия1681-34722500-31192019-05-01231S10.21688/1681-3472-2019-1S-S9-S171232History of development and comparative evaluation of modern stents for coronary arteriesK. A. Smirnov0A. V. Biryukov1R. D. Ivanchenko2D. V. Ovcharenko3A. A. Voronkov4I. S. Trusov5E. M. Nifontov6ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации, Санкт-Петербург, Российская ФедерацияOperations of myocardial revascularization include aorta-coronary or mammarocoronary bypassing and stenting of coronary arteries. Currently, coronary stenting is the most common method of revascularization, but during the operation of this method, the incidence of late complications, such as restenoses and late coronary thrombosis, has increased. The causes of these complications depend on a number of factors, including the type of stent. While vessel wall injury correlated with restenosis in the bare metal stents (BMS) era, its impact has been minimised by the use of drug eluting stents (DES), which is likely related to the use of powerful antiproliferatives with prolonged release kinetics which profoundly inhibit the reparative response to arterial injury. However, at the same time, vessel injury secondary to drug toxicity or inflammation caused by polymer is observed following DES implantation. In the clinical practice, there is a huge variety of types and models of stents, which have different indications and contraindications for use. An important factor influencing the risk of developing late complications is neointimal vascular healing, which can be assessed using various methods of intravascular imaging, such as optical coherent tomography. The purpose of this literature review, describing the evolution of coronary stents, is to systematize the main research results on the use of various stents platforms. In addition, the review presents the modern methods of evaluating the proliferation neontimy, and introduces the concept of healing index (healing score), reflects the process of vascular healing and influencing the characteristics and duration of dual antiplatelet therapyhttps://journalmeshalkin.ru/index.php/heartjournal/article/view/646голометаллический стентиндекс сосудистого заживленияоптическая когерентная томографиястент с лекарственным покрытиемстентированиесосудистое заживлениесосудистый каркас |
| spellingShingle | K. A. Smirnov A. V. Biryukov R. D. Ivanchenko D. V. Ovcharenko A. A. Voronkov I. S. Trusov E. M. Nifontov History of development and comparative evaluation of modern stents for coronary arteries Патология кровообращения и кардиохирургия голометаллический стент индекс сосудистого заживления оптическая когерентная томография стент с лекарственным покрытием стентирование сосудистое заживление сосудистый каркас |
| title | History of development and comparative evaluation of modern stents for coronary arteries |
| title_full | History of development and comparative evaluation of modern stents for coronary arteries |
| title_fullStr | History of development and comparative evaluation of modern stents for coronary arteries |
| title_full_unstemmed | History of development and comparative evaluation of modern stents for coronary arteries |
| title_short | History of development and comparative evaluation of modern stents for coronary arteries |
| title_sort | history of development and comparative evaluation of modern stents for coronary arteries |
| topic | голометаллический стент индекс сосудистого заживления оптическая когерентная томография стент с лекарственным покрытием стентирование сосудистое заживление сосудистый каркас |
| url | https://journalmeshalkin.ru/index.php/heartjournal/article/view/646 |
| work_keys_str_mv | AT kasmirnov historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries AT avbiryukov historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries AT rdivanchenko historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries AT dvovcharenko historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries AT aavoronkov historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries AT istrusov historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries AT emnifontov historyofdevelopmentandcomparativeevaluationofmodernstentsforcoronaryarteries |