School of Pharmacy, Queen's University Belfast, Belfast, UK.
School of Pharmacy and Pharmaceutical Sciences, Ulster University, Coleraine, UK.
Expert Opin Drug Deliv. 2023 Apr;20(4):507-522. doi: 10.1080/17425247.2023.2190580. Epub 2023 Mar 28.
It is widely acknowledged that cardiovascular diseases (CVDs) continue to be the leading cause of death globally. Furthermore, CVDs are the leading cause of diminished quality of life for patients, frequently as a result of their progressive deterioration. Medical implants that release drugs into the body are active implants that do more than just provide mechanical support; they also have a therapeutic role. Primarily, this is achieved through the controlled release of active pharmaceutical ingredients (API) at the implementation site.
In this review, the authors discuss drug-eluting stents, drug-eluting vascular grafts, and drug-eluting cardiac patches with the aim of providing a broad overview of the three most common types of cardiac implant.
Drug eluting implants are an ideal alternative to traditional drug delivery because they allow for accurate drug release, local drug delivery to the target tissue, and minimize the adverse side effects associated with systemic administration. Despite the fact that there are still challenges that need to be addressed, the ever-evolving new technologies are making the fabrication of drug-eluting implants a rewarding therapeutic endeavor with the possibility for even greater advances.
众所周知,心血管疾病(CVDs)仍然是全球范围内的主要死亡原因。此外,CVD 还导致患者的生活质量下降,这通常是由于疾病的逐渐恶化所致。向体内释放药物的医疗植入物是一种主动植入物,其作用不仅仅是提供机械支撑;它们还具有治疗作用。主要是通过在实施部位控制释放活性药物成分(API)来实现这一点。
在这篇综述中,作者讨论了载药支架、载药血管移植物和载药心脏补片,旨在对三种最常见的心脏植入物进行全面概述。
与传统的药物输送相比,药物洗脱植入物是一种理想的替代方法,因为它们允许精确释放药物、将药物局部递送到目标组织,并最大限度地减少与全身给药相关的不良反应。尽管仍然存在需要解决的挑战,但不断发展的新技术正在使药物洗脱植入物的制造成为一项有益的治疗尝试,甚至有可能取得更大的进展。