Department of Science and Engineering of Oxide Materials and Nanomaterials, Faculty of Chemical Engineering and Biotechnologies, National University of Science and Technology Politehnica Bucharest, 1-7 Polizu St., 011061 Bucharest, Romania.
Department of Cardiology, Clinical Emergency Hospital of Bucharest, Calea Floreasca 8, 014461 Bucharest, Romania.
Int J Mol Sci. 2024 Jan 30;25(3):1715. doi: 10.3390/ijms25031715.
The primary objective of this paper is to delineate and elucidate the contemporary advancements, developments, and prevailing trajectories concerning intrastent restenosis (ISR). We aim to provide a thorough overview of the most recent developments in this area, covering various aspects such as pathophysiological insights, therapeutic approaches, and new strategies for tackling the complex challenges of ISR in modern clinical settings. The authors have undertaken a study to address a relatively new medical challenge, recognizing its significant impact on the morbidity and mortality of individuals with cardiovascular diseases. This effort is driven by the need to fully understand, analyze, and possibly improve the outcomes of this emerging medical issue within the cardiovascular disease field. We acknowledge its considerable clinical implications and the necessity for innovative methods to mitigate its effects on patient outcomes. Therefore, our emphasis was directed towards elucidating the principal facets of the condition's prevalence, expounding upon the foundational mechanisms underscoring conspicuous restenosis, and delineating the risk factors relevant in shaping the contemporary landscape of diagnostic and therapeutic modalities. This thorough examination aims to provide a comprehensive understanding of the various dimensions of the condition, including epidemiological data, pathophysiological complexities, and clinical considerations critical for evaluating and enhancing current diagnostic and treatment approaches.
本文的主要目的是描述和阐明支架内再狭窄(ISR)的当代进展、发展和主要趋势。我们旨在全面概述该领域的最新进展,涵盖病理生理学见解、治疗方法以及在现代临床环境中应对 ISR 复杂挑战的新策略等各个方面。作者研究了一个相对较新的医学挑战,认识到它对心血管疾病患者发病率和死亡率的重大影响。这是因为需要充分了解、分析并可能改进心血管疾病领域这一新兴医学问题的结果。我们认识到它具有重要的临床意义,需要创新方法来减轻其对患者结果的影响。因此,我们的重点是阐明该病症流行的主要方面,阐述支持明显再狭窄的基本机制,并描述形成当代诊断和治疗方式格局的相关风险因素。这种全面的检查旨在全面了解该病症的各个方面,包括流行病学数据、病理生理学复杂性以及评估和增强当前诊断和治疗方法的关键临床考虑因素。