Long-term effectiveness and safety of sirolimus drug-eluting stents
Mahesh Bikkina, Jayanth KoneruSt Joseph Regional Medical Center, Paterson, Seton Hall University, NJ, USAAbstract: The root cause of coronary artery disease is atherosclerosis, ie, intraluminal narrowing (stenosis) of the arteries that supply blood to tissues of the heart. The introduction of the dr...
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Dove Medical Press
2011
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oai:doaj.org-article:5f48c0a8c9a04317ab1e277c88dea1982021-12-02T00:11:57ZLong-term effectiveness and safety of sirolimus drug-eluting stents1179-1470https://doaj.org/article/5f48c0a8c9a04317ab1e277c88dea1982011-08-01T00:00:00Zhttp://www.dovepress.com/long-term-effectiveness-and-safety-of-sirolimus-drug-eluting-stents-a8082https://doaj.org/toc/1179-1470Mahesh Bikkina, Jayanth KoneruSt Joseph Regional Medical Center, Paterson, Seton Hall University, NJ, USAAbstract: The root cause of coronary artery disease is atherosclerosis, ie, intraluminal narrowing (stenosis) of the arteries that supply blood to tissues of the heart. The introduction of the drug-eluting stent over the past decade has revolutionized the field of interventional cardiology. It is used extensively in clinical practice for the treatment of coronary artery disease. The first drug-eluting stent to receive US Food and Drug Administration approval was the sirolimus-eluting stent. Recently, two other stent analogs of sirolimus were approved, ie, the zotarolimus-eluting stent and the everolimus-eluting stent. However, concern has arisen in recent years about the long-term safety and efficacy of drug-eluting stents, due to the occurrence of late adverse clinical events, such as stent thrombosis. This review focuses on clinical studies that have been performed with the sirolimus-eluting stent or its analogs. We discuss the pharmacology, safety, and various therapeutic options that exist when choosing stents for coronary artery disease. Our aim is to provide a thorough review of the long-term efficacy and safety of sirolimus drug-eluting stents, and also to discuss currently approved and promising investigational drug-eluting stents, in an effort to provide insight into how these stents are currently evolving and generate further investigation in this area.Keywords: drug-eluting stent, long-term safety, sirolimus Bikkina MKoneru JDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2011, Iss default, Pp 117-124 (2011) |
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Medical technology R855-855.5 Bikkina M Koneru J Long-term effectiveness and safety of sirolimus drug-eluting stents |
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Mahesh Bikkina, Jayanth KoneruSt Joseph Regional Medical Center, Paterson, Seton Hall University, NJ, USAAbstract: The root cause of coronary artery disease is atherosclerosis, ie, intraluminal narrowing (stenosis) of the arteries that supply blood to tissues of the heart. The introduction of the drug-eluting stent over the past decade has revolutionized the field of interventional cardiology. It is used extensively in clinical practice for the treatment of coronary artery disease. The first drug-eluting stent to receive US Food and Drug Administration approval was the sirolimus-eluting stent. Recently, two other stent analogs of sirolimus were approved, ie, the zotarolimus-eluting stent and the everolimus-eluting stent. However, concern has arisen in recent years about the long-term safety and efficacy of drug-eluting stents, due to the occurrence of late adverse clinical events, such as stent thrombosis. This review focuses on clinical studies that have been performed with the sirolimus-eluting stent or its analogs. We discuss the pharmacology, safety, and various therapeutic options that exist when choosing stents for coronary artery disease. Our aim is to provide a thorough review of the long-term efficacy and safety of sirolimus drug-eluting stents, and also to discuss currently approved and promising investigational drug-eluting stents, in an effort to provide insight into how these stents are currently evolving and generate further investigation in this area.Keywords: drug-eluting stent, long-term safety, sirolimus  |
format |
article |
author |
Bikkina M Koneru J |
author_facet |
Bikkina M Koneru J |
author_sort |
Bikkina M |
title |
Long-term effectiveness and safety of sirolimus drug-eluting stents |
title_short |
Long-term effectiveness and safety of sirolimus drug-eluting stents |
title_full |
Long-term effectiveness and safety of sirolimus drug-eluting stents |
title_fullStr |
Long-term effectiveness and safety of sirolimus drug-eluting stents |
title_full_unstemmed |
Long-term effectiveness and safety of sirolimus drug-eluting stents |
title_sort |
long-term effectiveness and safety of sirolimus drug-eluting stents |
publisher |
Dove Medical Press |
publishDate |
2011 |
url |
https://doaj.org/article/5f48c0a8c9a04317ab1e277c88dea198 |
work_keys_str_mv |
AT bikkinam longtermeffectivenessandsafetyofsirolimusdrugelutingstents AT koneruj longtermeffectivenessandsafetyofsirolimusdrugelutingstents |
_version_ |
1718403869345579008 |