Virmani R, Kolodgie F D, Farb A, Lafont A
Department of Cardiovascular Pathology, Armed Forces Institute of Pathology, Washington DC 20306-6000, USA.
Heart. 2003 Feb;89(2):133-8. doi: 10.1136/heart.89.2.133.
Animal models of stenting probably predict human responses as the stages of healing are remarkably similar. What is characteristically different is the temporal response to healing, which is substantially prolonged in humans. The prevention of restenosis in recent clinical trials of drug eluting stents may represent a near absent or incomplete phase of intimal healing. Continued long term follow up of patients with drug eluting stents for major adverse cardiac events and angiographic restenosis is therefore imperative.
由于愈合阶段非常相似,支架置入的动物模型可能预测人类的反应。典型的不同之处在于对愈合的时间反应,这在人类中显著延长。药物洗脱支架近期临床试验中对再狭窄的预防可能代表内膜愈合几乎不存在或不完整的阶段。因此,对药物洗脱支架患者进行长期随访以观察主要不良心脏事件和血管造影再狭窄情况势在必行。