Everolimus-eluting coronary stents
Alejandro Saez, Raul MorenoDivision of Interventional Cardiology, University Hospital La Paz, Madrid, SpainAbstract: Bare metal stents enabled a reduction in the risk of early procedural complications and restenosis in comparison with balloon angioplasty alone, but introduced a new and device-specif...
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Dove Medical Press
2010
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oai:doaj.org-article:58e5f8bf2e784670ad59cc7bfeaafea32021-12-02T08:41:59ZEverolimus-eluting coronary stents1179-1470https://doaj.org/article/58e5f8bf2e784670ad59cc7bfeaafea32010-09-01T00:00:00Zhttp://www.dovepress.com/everolimus-eluting-coronary-stents-a5268https://doaj.org/toc/1179-1470Alejandro Saez, Raul MorenoDivision of Interventional Cardiology, University Hospital La Paz, Madrid, SpainAbstract: Bare metal stents enabled a reduction in the risk of early procedural complications and restenosis in comparison with balloon angioplasty alone, but introduced a new and device-specific iatrogenic condition, ie, in-stent restenosis due to increased neointimal hyperplasia. Sirolimus- and paclitaxel-eluting stents reduce restenosis and the need for new revascularizations in comparison with bare metal stents, although at the cost of a slight increase in the risk of late stent thrombosis and a need for prolonged dual antiplatelet therapy. Everolimus is an analog of sirolimus with an increased solubility. In this review, the currently available evidence for everolimus-eluting stents is revised, including randomized trials against bare metal stents, and head-to-head trials comparing this stent with other drug-eluting stents.Keywords: coronary stents, restenosis, everolimus, review Alejandro SaezRaul MorenoDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2010, Iss default, Pp 51-56 (2010) |
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Medical technology R855-855.5 Alejandro Saez Raul Moreno Everolimus-eluting coronary stents |
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Alejandro Saez, Raul MorenoDivision of Interventional Cardiology, University Hospital La Paz, Madrid, SpainAbstract: Bare metal stents enabled a reduction in the risk of early procedural complications and restenosis in comparison with balloon angioplasty alone, but introduced a new and device-specific iatrogenic condition, ie, in-stent restenosis due to increased neointimal hyperplasia. Sirolimus- and paclitaxel-eluting stents reduce restenosis and the need for new revascularizations in comparison with bare metal stents, although at the cost of a slight increase in the risk of late stent thrombosis and a need for prolonged dual antiplatelet therapy. Everolimus is an analog of sirolimus with an increased solubility. In this review, the currently available evidence for everolimus-eluting stents is revised, including randomized trials against bare metal stents, and head-to-head trials comparing this stent with other drug-eluting stents.Keywords: coronary stents, restenosis, everolimus, review |
format |
article |
author |
Alejandro Saez Raul Moreno |
author_facet |
Alejandro Saez Raul Moreno |
author_sort |
Alejandro Saez |
title |
Everolimus-eluting coronary stents |
title_short |
Everolimus-eluting coronary stents |
title_full |
Everolimus-eluting coronary stents |
title_fullStr |
Everolimus-eluting coronary stents |
title_full_unstemmed |
Everolimus-eluting coronary stents |
title_sort |
everolimus-eluting coronary stents |
publisher |
Dove Medical Press |
publishDate |
2010 |
url |
https://doaj.org/article/58e5f8bf2e784670ad59cc7bfeaafea3 |
work_keys_str_mv |
AT alejandrosaez everolimuselutingcoronarystents AT raulmoreno everolimuselutingcoronarystents |
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1718398417709826048 |