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心血管支架:类型与未来前景

Cardiovascular Stents: Types and Future Landscape.

作者信息

Sahu Rohit A, Nashine Aparna, Mudey Abhay, Sahu Shreya A, Prasad Roshan

机构信息

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Obstretics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 13;15(8):e43438. doi: 10.7759/cureus.43438. eCollection 2023 Aug.

Abstract

One of the prominent reasons for mortality and morbidity worldwide is coronary artery disease (CAD), an ailment that manifests itself by the narrowing of the artery with the deposition of plaque. The definitive mode of action for dealing with this condition is using a medical device known as a stent at the affected location. This extremely important tubular equipment helps tremendously with vessel support. It also helps by keeping the path of blood flow clear for the heart muscle masses, its crucial nutrients, and oxygen supply. Several generations of stents have been continuously developed to improve patient outcomes and reduce side effects post-stent implantation. As we move from bare metal stents (BMSs) to drug-eluting stents (DESs) and, more recently, to bioabsorbable stents, the research area continues to develop. The use of this biomedical device has increased the standard of living in many cases; therefore, it is much needed to work on the possible growth areas in the cardiovascular stents and improve them to such an extent that the patients suffering from cardiovascular ailments get to live a comfortable life. Most articles deal with stents that are available for current use and their various types. They also cover the topic of stent optimization, as it is one of the key factors in enhancing stent usability and plays a prominent role in optimizing stent placement in the vessels of the body. To keep in touch with advances in stent technology over the past few decades, this article reviews advances in the devices, working on how available stents can be optimized to create new stents.

摘要

冠状动脉疾病(CAD)是全球范围内导致死亡和发病的主要原因之一,这种疾病通过动脉粥样硬化斑块沉积导致动脉狭窄来表现自身。治疗这种疾病的决定性作用方式是在受影响部位使用一种称为支架的医疗器械。这种极其重要的管状设备对血管支撑有极大帮助。它还通过为心肌组织、其关键营养物质和氧气供应保持血流路径畅通来发挥作用。几代支架不断得到开发,以改善患者预后并减少支架植入后的副作用。随着我们从裸金属支架(BMS)发展到药物洗脱支架(DES),以及最近发展到生物可吸收支架,该研究领域持续发展。在许多情况下,这种生物医学设备的使用提高了生活水平;因此,非常有必要研究心血管支架可能的增长领域,并将其改进到使患有心血管疾病的患者能够过上舒适生活的程度。大多数文章讨论的是当前可用的支架及其各种类型。它们还涵盖了支架优化的主题,因为这是提高支架可用性的关键因素之一,并且在优化支架在人体血管中的放置方面发挥着重要作用。为了跟上过去几十年支架技术的进步,本文回顾了这些设备的进展,探讨如何优化现有支架以制造新的支架。

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