Ozaki Yuichi, Garcia-Garcia Hector M, Shlofmitz Evan, Hideo-Kajita Alexandre, Waksman Ron
Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA.
Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA.
Cardiovasc Revasc Med. 2020 Jan;21(1):127-136. doi: 10.1016/j.carrev.2019.10.012. Epub 2019 Oct 22.
Since October 8, 2013, the second-generation drug-eluting resorbable magnesium scaffold (RMS) has been used to treat coronary lesions. At present, the second-generation drug-eluting RMS is clinically available in Europe, some South American countries, and some Asian and African countries. Furthermore, patients are currently being enrolled in ongoing post-marketing trials. This device has the potential to be an alternative to drug-eluting stents in the future, but there is not yet sufficient evidence. This review provides the latest available evidence, comparison with other bioresorbable scaffolds, future perspectives, and discussion of clinical case reports with second-generation drug-eluting RMS. SUMMARY: Favorable outcomes have been reported after second-generation drug-eluting RMS implantation. More long-term clinical outcomes for this novel device are still required in the future.
自2013年10月8日起,第二代药物洗脱可吸收镁支架(RMS)已被用于治疗冠状动脉病变。目前,第二代药物洗脱RMS在欧洲、一些南美国家以及一些亚非国家已投入临床使用。此外,患者目前正在参与正在进行的上市后试验。该装置未来有可能成为药物洗脱支架的替代品,但目前尚无足够证据。本综述提供了最新可得证据、与其他生物可吸收支架的比较、未来展望以及对第二代药物洗脱RMS临床病例报告的讨论。总结:第二代药物洗脱RMS植入术后已报告了良好的结果。未来仍需要更多关于这种新型装置的长期临床结果。