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经皮冠状动脉介入治疗新型药物洗脱支架的转化研究。

Translational research on novel drug-eluting stents in percutaneous coronary intervention.

机构信息

Department of Cardiology, General Hospital of Shenyang Military Region, PLA, Shenyang 110840, China.

出版信息

Front Med. 2011 Dec;5(4):395-400. doi: 10.1007/s11684-011-0167-1. Epub 2011 Dec 27.

DOI:10.1007/s11684-011-0167-1
PMID:22198751
Abstract

Although first-generation drug-eluting stents (DES) have markedly reduced restenosis, complications of late and very late in-stent thrombosis have emerged as prime limitations to this technology. The development of new DES is a key process to prevent these complications. Translational research plays a very important role in experiments which determine the safety and efficacy of DES before human clinical trials. The present review focuses on translational research of novel DES, including drug discovery, creation of preclinical research models, planning and conducting of first-in-man studies, and developing next-generation DES systems.

摘要

虽然第一代药物洗脱支架(DES)显著降低了再狭窄,但晚期和极晚期支架内血栓形成的并发症已成为该技术的主要限制因素。开发新型 DES 是预防这些并发症的关键过程。转化研究在确定 DES 在人体临床试验前的安全性和疗效的实验中起着非常重要的作用。本文重点介绍新型 DES 的转化研究,包括药物发现、临床前研究模型的建立、首例人体研究的规划和开展以及下一代 DES 系统的开发。

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2
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本文引用的文献

1
The pathology of neoatherosclerosis in human coronary implants bare-metal and drug-eluting stents.人类冠状动脉植入物中金属裸支架和药物洗脱支架的新生动脉粥样硬化的病理学。
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2
Comparison of dual drug-eluting Cilotax stent and paclitaxel-eluting Taxus Liberte stent in native coronary artery lesions.比较新型双药物洗脱西罗莫司涂层依维莫司洗脱支架与紫杉醇洗脱 Taxus Liberte 支架治疗冠状动脉原发病变的疗效。
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Evaluation of the second generation of a bioresorbable everolimus drug-eluting vascular scaffold for treatment of de novo coronary artery stenosis: six-month clinical and imaging outcomes.
第二代生物可吸收依维莫司药物洗脱血管支架治疗冠状动脉原发狭窄的临床和影像学 6 个月随访结果。
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New drug-eluting stents: an overview on biodegradable and polymer-free next-generation stent systems.新型药物洗脱支架:可生物降解及无聚合物的下一代支架系统概述
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Nuclear receptor Nurr1 is expressed in and is associated with human restenosis and inhibits vascular lesion formation in mice involving inhibition of smooth muscle cell proliferation and inflammation.核受体 Nurr1 表达于并与人类再狭窄相关,可抑制血管损伤形成,涉及抑制平滑肌细胞增殖和炎症。
Circulation. 2010 May 11;121(18):2023-32. doi: 10.1161/CIRCULATIONAHA.109.885673. Epub 2010 Apr 26.
6
New drug-eluting stent concepts.新型药物洗脱支架概念。
Nat Rev Cardiol. 2010 Apr;7(4):194-203. doi: 10.1038/nrcardio.2010.14. Epub 2010 Mar 2.
7
Development of a functionalized polymer for stent coating in the arterial delivery of small interfering RNA.用于小干扰 RNA 动脉递送的支架涂层功能化聚合物的开发。
Biomacromolecules. 2009 Nov 9;10(11):3074-80. doi: 10.1021/bm900740g.
8
The pre-clinical animal model in the translational research of interventional cardiology.介入心脏病学转化研究中的临床前动物模型。
JACC Cardiovasc Interv. 2009 May;2(5):373-83. doi: 10.1016/j.jcin.2009.03.004.
9
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J Vasc Surg. 2008 Jul;48(1):201-9. doi: 10.1016/j.jvs.2008.01.061. Epub 2008 May 9.