Department of Mechanical Engineering, Dublin Institute of Technology, Bolton St., Dublin 1, Ireland.
Med Eng Phys. 2011 Mar;33(2):148-63. doi: 10.1016/j.medengphy.2010.10.009.
Over the past decade the introduction of drug-eluting stents (DESs) has revolutionised the treatment of coronary artery disease. However, in recent years concern has arisen over the long-term safety and efficacy of DESs due to the occurrence of late adverse clinical events such as stent thrombosis. With this concern in mind, research and development is currently centred on increasing the long-term safety and efficacy of DESs. The aim of this paper is to provide a thorough review of currently approved and promising investigational DESs. With dozens of companies involved in the development of new and innovative anti-restenotic agents, polymeric coatings and stent platforms, it is intended that this review paper will provide a clear indication of how DESs are currently evolving and prove a valuable reference tool for future research in this area.
在过去的十年中,药物洗脱支架 (DESs) 的引入彻底改变了冠状动脉疾病的治疗方法。然而,近年来,由于支架血栓等晚期不良临床事件的发生,人们对 DESs 的长期安全性和疗效产生了担忧。考虑到这一点,目前的研究和开发工作集中在提高 DESs 的长期安全性和疗效上。本文的目的是对目前批准和有前途的研究性 DESs 进行全面综述。目前有数十家公司参与新型和创新的抗再狭窄药物、聚合物涂层和支架平台的开发,预计本文综述将清楚地表明 DESs 目前的发展情况,并为该领域未来的研究提供有价值的参考工具。