Skip to main content
Erschienen in: American Journal of Cardiovascular Drugs 2/2007

01.03.2007 | Leading Article

The Next Generation of Drug-Eluting Stents

What’s on the Horizon?

verfasst von: Steve Ramcharitar, Sophia Vaina, Professor Patrick W. Serruys

Erschienen in: American Journal of Cardiovascular Drugs | Ausgabe 2/2007

Einloggen, um Zugang zu erhalten

Abstract

Drug-eluting stents have radically changed the way we treat coronary artery disease. They offer lower restenotic rates compared with the bare metal stents and this enables more challenging and complex lesions to be treated. However, there are still limitations as restenosis has not been completely abolished and there are concerns about stent thrombosis. The next generation stents offer the technology to address these pertinent issues. This review examines the new analogs of the sirolimus family and their use in novel stent platforms, including the use of biodegradable and bioabsorbable materials employed in both stents and on the polymer. ‘Reservoir stents’ that are specially designed to contain layers of drugs in pockets with different release profiles are discussed and an insight into the emerging field of bioengineered stents is highlighted.
Fußnoten
1
The use of trade names is for product identification purposes only and does not imply endorsement.
 
Literatur
1.
Zurück zum Zitat Morice MC, Serruys PW, Sousa JE, et al. A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med 2002; 346: 1773–80.PubMedCrossRef Morice MC, Serruys PW, Sousa JE, et al. A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med 2002; 346: 1773–80.PubMedCrossRef
2.
Zurück zum Zitat Stone GW, Ellis SG, Cox DA, et al. One-year clinical results with the slow-release, polymer-based, paclitaxel-eluting TAXUS stent: the TAXUS-IV trial. Circulation 2004; 109: 1942–7.PubMedCrossRef Stone GW, Ellis SG, Cox DA, et al. One-year clinical results with the slow-release, polymer-based, paclitaxel-eluting TAXUS stent: the TAXUS-IV trial. Circulation 2004; 109: 1942–7.PubMedCrossRef
3.
Zurück zum Zitat McFadden EP, Stabile E, Regar E, et al. Late thrombosis in drug-eluting coronary stents after discontinuation of antiplatelet therapy. Lancet 2004; 364: 1519–21.PubMedCrossRef McFadden EP, Stabile E, Regar E, et al. Late thrombosis in drug-eluting coronary stents after discontinuation of antiplatelet therapy. Lancet 2004; 364: 1519–21.PubMedCrossRef
4.
Zurück zum Zitat Ong AT, Hoye A, Aoki J, et al. Thirty-day incidence and six-month clinical outcome of thrombotic stent occlusion after bare-metal, sirolimus, or paclitaxel stent implantation. J Am Coll Cardiol 2005; 45: 947–53.PubMedCrossRef Ong AT, Hoye A, Aoki J, et al. Thirty-day incidence and six-month clinical outcome of thrombotic stent occlusion after bare-metal, sirolimus, or paclitaxel stent implantation. J Am Coll Cardiol 2005; 45: 947–53.PubMedCrossRef
5.
Zurück zum Zitat Ong AT, McFadden EP, Regar E, et al. Late angiographic stent thrombosis (LAST) events with drug-eluting stents. J Am Coll Cardiol 2005; 45: 2088–92.PubMedCrossRef Ong AT, McFadden EP, Regar E, et al. Late angiographic stent thrombosis (LAST) events with drug-eluting stents. J Am Coll Cardiol 2005; 45: 2088–92.PubMedCrossRef
6.
Zurück zum Zitat Iakovou I, Schmidt T, Bonizzoni E, et al. Incidence, predictors, and outcome of thrombosis after successful implantation of drug-eluting stents. JAMA 2005; 293: 2126–30.PubMedCrossRef Iakovou I, Schmidt T, Bonizzoni E, et al. Incidence, predictors, and outcome of thrombosis after successful implantation of drug-eluting stents. JAMA 2005; 293: 2126–30.PubMedCrossRef
7.
Zurück zum Zitat Hoye A, Iakovou I, Ge L, et al. Long-term outcomes after stenting of bifurcation lesions with the ‘crush’ technique: predictors of an adverse outcome. J Am Coll Cardiol 2006; 47: 1949–58.PubMedCrossRef Hoye A, Iakovou I, Ge L, et al. Long-term outcomes after stenting of bifurcation lesions with the ‘crush’ technique: predictors of an adverse outcome. J Am Coll Cardiol 2006; 47: 1949–58.PubMedCrossRef
8.
Zurück zum Zitat Kuchulakanti PK, Chu WW, Torguson R, et al. Correlates and long-term outcomes of angiographically proven stent thrombosis with sirolimus- and paclitaxel-eluting stents. Circulation 2006; 113: 1108–13.PubMedCrossRef Kuchulakanti PK, Chu WW, Torguson R, et al. Correlates and long-term outcomes of angiographically proven stent thrombosis with sirolimus- and paclitaxel-eluting stents. Circulation 2006; 113: 1108–13.PubMedCrossRef
9.
Zurück zum Zitat Smith Jr SC, Feldman TE, Hirshfeld Jr JW, et al. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update 2001 Guidelines for Percutaneous Coronary Intervention). Circulation 2006; 113: el66–286. Smith Jr SC, Feldman TE, Hirshfeld Jr JW, et al. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update 2001 Guidelines for Percutaneous Coronary Intervention). Circulation 2006; 113: el66–286.
10.
Zurück zum Zitat Kim YH, Park SW, Hong MK, et al. Comparison of simple and complex stenting techniques in the treatment of unprotected left main coronary artery bifurcation stenosis. Am J Cardiol 2006; 97: 1597–601.PubMedCrossRef Kim YH, Park SW, Hong MK, et al. Comparison of simple and complex stenting techniques in the treatment of unprotected left main coronary artery bifurcation stenosis. Am J Cardiol 2006; 97: 1597–601.PubMedCrossRef
11.
Zurück zum Zitat Mehilli J, Dibra A, Kastrati A, et al. Randomized trial of paclitaxel- and sirolimus-eluting stents in small coronary vessels. Eur Heart J 2006; 27: 260–6.PubMedCrossRef Mehilli J, Dibra A, Kastrati A, et al. Randomized trial of paclitaxel- and sirolimus-eluting stents in small coronary vessels. Eur Heart J 2006; 27: 260–6.PubMedCrossRef
12.
Zurück zum Zitat Hoye A, Tanabe K, Lemos PA, et al. Significant reduction in restenosis after the use of sirolimus-eluting stents in the treatment of chronic total occlusions. J Am Coll Cardiol 2004; 43: 1954–8.PubMedCrossRef Hoye A, Tanabe K, Lemos PA, et al. Significant reduction in restenosis after the use of sirolimus-eluting stents in the treatment of chronic total occlusions. J Am Coll Cardiol 2004; 43: 1954–8.PubMedCrossRef
13.
Zurück zum Zitat Ge L, Iakovou I, Cosgrave J, et al. Immediate and mid-term outcomes of sirolimus-eluting stent implantation for chronic total occlusions. Eur Heart J 2005; 26: 1056–62.PubMedCrossRef Ge L, Iakovou I, Cosgrave J, et al. Immediate and mid-term outcomes of sirolimus-eluting stent implantation for chronic total occlusions. Eur Heart J 2005; 26: 1056–62.PubMedCrossRef
14.
Zurück zum Zitat Burke SE, Kuntz RE, Schwartz LB. Zotarolimus (ABT-578) eluting stents. Adv Drug Deliv Rev 2006; 58(3): 437–46.PubMedCrossRef Burke SE, Kuntz RE, Schwartz LB. Zotarolimus (ABT-578) eluting stents. Adv Drug Deliv Rev 2006; 58(3): 437–46.PubMedCrossRef
15.
Zurück zum Zitat Meredith IT, Ormiston J, Whitbourn R, et al. Endeavor I, ‘first in man’, safety and efficacy study, 12 months clinical, angiographin and intravescular ultrasound results [abstract no. 2623]. Circulation 2004; 110: III–563–4. Meredith IT, Ormiston J, Whitbourn R, et al. Endeavor I, ‘first in man’, safety and efficacy study, 12 months clinical, angiographin and intravescular ultrasound results [abstract no. 2623]. Circulation 2004; 110: III–563–4.
16.
Zurück zum Zitat Fajadet J, Wijns W, Laarman GJ, et al. Randomized, double-blind, multicenter study of the Endeavor zotarolimus-eluting phosphorylcholine-encapsulated stent for treatment of native coronary artery lesions: clinical and angiographic results of the ENDEAVOR II trial. Circulation 2006; 114: 798–806.PubMedCrossRef Fajadet J, Wijns W, Laarman GJ, et al. Randomized, double-blind, multicenter study of the Endeavor zotarolimus-eluting phosphorylcholine-encapsulated stent for treatment of native coronary artery lesions: clinical and angiographic results of the ENDEAVOR II trial. Circulation 2006; 114: 798–806.PubMedCrossRef
17.
Zurück zum Zitat Kandzari DE, Leon MB, Popma JJ, et al. Comparison of zotarolimus-eluting and sirolimus-eluting stents in patients with native coronary artery disease: a randomized controlled trial. J Am Coll Cardiol 2006; 48: 2440–7.PubMedCrossRef Kandzari DE, Leon MB, Popma JJ, et al. Comparison of zotarolimus-eluting and sirolimus-eluting stents in patients with native coronary artery disease: a randomized controlled trial. J Am Coll Cardiol 2006; 48: 2440–7.PubMedCrossRef
18.
Zurück zum Zitat Agostoni P, Valgimigli M, Abbate A, et al. Is late luminal loss an accurate predictor of the clinical effectiveness of drug-eluting stents in the coronary arteries? Am J Cardiol 2006; 97: 603–5.PubMedCrossRef Agostoni P, Valgimigli M, Abbate A, et al. Is late luminal loss an accurate predictor of the clinical effectiveness of drug-eluting stents in the coronary arteries? Am J Cardiol 2006; 97: 603–5.PubMedCrossRef
19.
Zurück zum Zitat Kandzari DE, Leon MB. Overview of pharmacology and clinical trials program with the zotarolimus-eluting endeavor stent. J Interv Cardiol 2006; 19: 405–13.PubMedCrossRef Kandzari DE, Leon MB. Overview of pharmacology and clinical trials program with the zotarolimus-eluting endeavor stent. J Interv Cardiol 2006; 19: 405–13.PubMedCrossRef
20.
Zurück zum Zitat Chevalier B. The ZoMaxx clinical trial programme. Paris: EuroPCR, 2006. Chevalier B. The ZoMaxx clinical trial programme. Paris: EuroPCR, 2006.
21.
Zurück zum Zitat Abizaid A, Lansky A, Fitzgerald P, et al. Percutaneous coronary revascularization using a trilayer phosphorylcholine-coated zotarolimus-eluting stent: the ZoMaxx IVUS trial [lecture]. 55th Annual Scientific Session of the American College of the Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006. Abizaid A, Lansky A, Fitzgerald P, et al. Percutaneous coronary revascularization using a trilayer phosphorylcholine-coated zotarolimus-eluting stent: the ZoMaxx IVUS trial [lecture]. 55th Annual Scientific Session of the American College of the Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006.
22.
Zurück zum Zitat TCT daily: ZOMAXX I: mixed results with zotarolimus-eluting stent. J Interv Cardiol 2007; 20: 35.CrossRef TCT daily: ZOMAXX I: mixed results with zotarolimus-eluting stent. J Interv Cardiol 2007; 20: 35.CrossRef
23.
Zurück zum Zitat Tsuchida K, Pick JJ, Neumann FJ, et al. One-year results of a durable polymerever-olimus-eluting stent in de novo coronary narrowings (the SPIRIT FIRST trial). Eurointervention 2005; 1: 266–72.PubMed Tsuchida K, Pick JJ, Neumann FJ, et al. One-year results of a durable polymerever-olimus-eluting stent in de novo coronary narrowings (the SPIRIT FIRST trial). Eurointervention 2005; 1: 266–72.PubMed
24.
Zurück zum Zitat Serruys PW, Wiemer M, Carrie D, et al. The SPIRIT II trial. Eurointervention 2006; 2: 286–94.PubMed Serruys PW, Wiemer M, Carrie D, et al. The SPIRIT II trial. Eurointervention 2006; 2: 286–94.PubMed
25.
Zurück zum Zitat Stone G. SPIRIT III nine-month pivotal clinical data results i2 [lecture]. Summit American College of Cardiology’s 56th Annual Scientific Session; 2007 Mar 24–27; New Orleans (LA): American College of Cardiology, 2007. Stone G. SPIRIT III nine-month pivotal clinical data results i2 [lecture]. Summit American College of Cardiology’s 56th Annual Scientific Session; 2007 Mar 24–27; New Orleans (LA): American College of Cardiology, 2007.
26.
Zurück zum Zitat Grube E, Hauptmann K, Buellesfeld L, et al. Six-month results of a randomized study to evaluate safety and efficacy of a Biolimus A9™ eluting stent with a biodegradablepolymer coating. Eurointervention 2005; 1: 53–7.PubMed Grube E, Hauptmann K, Buellesfeld L, et al. Six-month results of a randomized study to evaluate safety and efficacy of a Biolimus A9™ eluting stent with a biodegradablepolymer coating. Eurointervention 2005; 1: 53–7.PubMed
27.
Zurück zum Zitat Chevalier B, Serruys PW, Siber S, et al. Randomised comparison of Nobori, biolimus A9-eluting coronary stent with a Taxus, paclitaxel-eluting coronary stent inpatients with stenosis in native arteries: the Nobori 1 trial. Eurolntervention 2007; 2: 426–34. Chevalier B, Serruys PW, Siber S, et al. Randomised comparison of Nobori, biolimus A9-eluting coronary stent with a Taxus, paclitaxel-eluting coronary stent inpatients with stenosis in native arteries: the Nobori 1 trial. Eurolntervention 2007; 2: 426–34.
28.
Zurück zum Zitat Costa RA, Lansky AJ, Mintz GS, et al. Angiographie results of the first human experience with everolimus-eluting stents for the treatment of coronary lesions (the FUTURE I trial). Am J Cardiol 2005; 95: 113–6.PubMedCrossRef Costa RA, Lansky AJ, Mintz GS, et al. Angiographie results of the first human experience with everolimus-eluting stents for the treatment of coronary lesions (the FUTURE I trial). Am J Cardiol 2005; 95: 113–6.PubMedCrossRef
29.
Zurück zum Zitat Tsuchiya Y, Lansky AJ, Costa RA, et al. Effect of everolimus-eluting stents in different vessel sizes (from the pooled FUTURE I and II trials). Am J Cardiol 2006; 98: 464–9.PubMedCrossRef Tsuchiya Y, Lansky AJ, Costa RA, et al. Effect of everolimus-eluting stents in different vessel sizes (from the pooled FUTURE I and II trials). Am J Cardiol 2006; 98: 464–9.PubMedCrossRef
30.
Zurück zum Zitat Morice MC, Bestehorn HP, Carrie D, et al. Direct stenting of the de novo coronary stenoses with tacrolimus-eluting versus carbon-coated carbostents: the randomized JUPITER II trial. Eurointervention 2006; 2: 45–52.PubMed Morice MC, Bestehorn HP, Carrie D, et al. Direct stenting of the de novo coronary stenoses with tacrolimus-eluting versus carbon-coated carbostents: the randomized JUPITER II trial. Eurointervention 2006; 2: 45–52.PubMed
31.
Zurück zum Zitat FDA happenings/around the industry. J Interven Cardiol 2006; 19: 472–4. FDA happenings/around the industry. J Interven Cardiol 2006; 19: 472–4.
32.
Zurück zum Zitat Dawkins K. The Eurostar trial [lecture]. Paris Course on Revascularization; 2005 May 24–27; Paris: EuroPCR, 2005. Dawkins K. The Eurostar trial [lecture]. Paris Course on Revascularization; 2005 May 24–27; Paris: EuroPCR, 2005.
33.
Zurück zum Zitat van der Giessen WJ, Lincoff AM, Schwartz RS, et al. Marked inflammatory sequelae to implantation of biodegradable and nonbiodegradable polymers in porcine coronary arteries. Circulation 1996; 94: 1690–7.PubMedCrossRef van der Giessen WJ, Lincoff AM, Schwartz RS, et al. Marked inflammatory sequelae to implantation of biodegradable and nonbiodegradable polymers in porcine coronary arteries. Circulation 1996; 94: 1690–7.PubMedCrossRef
34.
Zurück zum Zitat Di Mario C, Griffiths H, Goktekin O, et al. Drug-eluting bioabsorbable magnesium stent. J Interv Cardiol 2004; 17: 391–5.PubMedCrossRef Di Mario C, Griffiths H, Goktekin O, et al. Drug-eluting bioabsorbable magnesium stent. J Interv Cardiol 2004; 17: 391–5.PubMedCrossRef
35.
Zurück zum Zitat Erbel R. Coronary results of the first absorable metal stent: the PROGRESS-I trial [abstract 2405–9]. 55th Annual Scientific Session of the American College of Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006. Erbel R. Coronary results of the first absorable metal stent: the PROGRESS-I trial [abstract 2405–9]. 55th Annual Scientific Session of the American College of Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006.
36.
Zurück zum Zitat Vogt F, Stein A, Rettemeier G, et al. Long-term assessment of a novel biodegradable paclitaxel-eluting coronary polylactide stent. Eur Heart J 2004; 25: 1330–40.PubMedCrossRef Vogt F, Stein A, Rettemeier G, et al. Long-term assessment of a novel biodegradable paclitaxel-eluting coronary polylactide stent. Eur Heart J 2004; 25: 1330–40.PubMedCrossRef
37.
Zurück zum Zitat Tamai H, Igaki K, Kyo E, et al. Initial and 6-month results of biodegradable poly-1-lactic acid coronary stents in humans. Circulation 2000; 102: 399–404.PubMedCrossRef Tamai H, Igaki K, Kyo E, et al. Initial and 6-month results of biodegradable poly-1-lactic acid coronary stents in humans. Circulation 2000; 102: 399–404.PubMedCrossRef
38.
Zurück zum Zitat Ormiston JA, Webster MW, Armstrong G. First-in-human implantation of a fully bioabsorbable drug-eluting stent: the BVS poly-L-lactic acid everolimus-eluting coronary stent. Catheter Cardiovasc Interv 2007; 69: 128–31.PubMedCrossRef Ormiston JA, Webster MW, Armstrong G. First-in-human implantation of a fully bioabsorbable drug-eluting stent: the BVS poly-L-lactic acid everolimus-eluting coronary stent. Catheter Cardiovasc Interv 2007; 69: 128–31.PubMedCrossRef
39.
Zurück zum Zitat Grube E, Sonoda S, Ikeno F, et al. Six- and twelve-month results from first human experience using everolimus-eluting stents with bioabsorbable polymer. Circulation 2004; 109: 2168–71.PubMedCrossRef Grube E, Sonoda S, Ikeno F, et al. Six- and twelve-month results from first human experience using everolimus-eluting stents with bioabsorbable polymer. Circulation 2004; 109: 2168–71.PubMedCrossRef
40.
Zurück zum Zitat Serruys P. Emerging technology 1: stents. New drugs [lecture]. 55th Annual Scientific Session of the American College of Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006. Serruys P. Emerging technology 1: stents. New drugs [lecture]. 55th Annual Scientific Session of the American College of Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006.
41.
Zurück zum Zitat Gambhir DS. The infinnium polymere-based paclitaxel drug-eluting stent: results from real world clinical trials SIMPLE 1 and SIMPLE 2 [lecture]. 16th Transcatheter Cardiovascular Therapeutics (TCT 2004) Annual Scientific Symposium; 2004 Sep 27–Oct 1; Washington, DC: Cardiovascular Research Foundation, 2004. Gambhir DS. The infinnium polymere-based paclitaxel drug-eluting stent: results from real world clinical trials SIMPLE 1 and SIMPLE 2 [lecture]. 16th Transcatheter Cardiovascular Therapeutics (TCT 2004) Annual Scientific Symposium; 2004 Sep 27–Oct 1; Washington, DC: Cardiovascular Research Foundation, 2004.
42.
Zurück zum Zitat Vranckx P, Serruys PW, Gambhir S, et al Biodegradable-polymer-based, paclitaxel-eluting Infinnium™ stent: 9-month clinical and angiographic follow-up results from the SIMPLE II prospectivemulti-centre registry study. Eurointervention 2006; 2: 310–7.PubMed Vranckx P, Serruys PW, Gambhir S, et al Biodegradable-polymer-based, paclitaxel-eluting Infinnium™ stent: 9-month clinical and angiographic follow-up results from the SIMPLE II prospectivemulti-centre registry study. Eurointervention 2006; 2: 310–7.PubMed
43.
Zurück zum Zitat Dani SI. A biodegradable polymer-based sirolimus-eluting stent for treatment of secondary complication in patients with coronary artery disease [abstract no. AS-64]. Angioplasty Summit 2006-TCT Asia; 2006 Apr 26–28; Seoul, Korea: Cardiovascular Research Foundation, 2006. Dani SI. A biodegradable polymer-based sirolimus-eluting stent for treatment of secondary complication in patients with coronary artery disease [abstract no. AS-64]. Angioplasty Summit 2006-TCT Asia; 2006 Apr 26–28; Seoul, Korea: Cardiovascular Research Foundation, 2006.
44.
Zurück zum Zitat Lele S. Heparin sirolimus stent [lecture]. Paris: EuroPCR, 2006. Lele S. Heparin sirolimus stent [lecture]. Paris: EuroPCR, 2006.
45.
Zurück zum Zitat Virmani R. Atrium medical bioabsorbable oil based delivery of a sirolimus analogue from a stent and balloon [lecture]. 17th Transcatheter Cardiovascular Therapeutics (TCT 2005) Scientific Sessions; 2005 Oct 16–21; Washington, DC: Cardiovascular Research Foundation, 2005. Virmani R. Atrium medical bioabsorbable oil based delivery of a sirolimus analogue from a stent and balloon [lecture]. 17th Transcatheter Cardiovascular Therapeutics (TCT 2005) Scientific Sessions; 2005 Oct 16–21; Washington, DC: Cardiovascular Research Foundation, 2005.
46.
Zurück zum Zitat Wieneke H, Dirsch O, Sawitowski T, et al. Synergistic effects of a novel nanoporous stent coating and tacrolimus on intima proliferation in rabbits. Catheter Cardiovasc Interv 2003; 60: 399–407.PubMedCrossRef Wieneke H, Dirsch O, Sawitowski T, et al. Synergistic effects of a novel nanoporous stent coating and tacrolimus on intima proliferation in rabbits. Catheter Cardiovasc Interv 2003; 60: 399–407.PubMedCrossRef
47.
Zurück zum Zitat Kollum M, Farb A, Schreiber R, et al. Particle debris from a nanoporous stent coating obscures potential antiproliferative effects of tacrolimus-eluting stents in a porcine model of restenosis. Catheter Cardiovasc Interv 2005; 64: 85–90.PubMedCrossRef Kollum M, Farb A, Schreiber R, et al. Particle debris from a nanoporous stent coating obscures potential antiproliferative effects of tacrolimus-eluting stents in a porcine model of restenosis. Catheter Cardiovasc Interv 2005; 64: 85–90.PubMedCrossRef
48.
Zurück zum Zitat Gerckens U, Buellesfeld L, Horskotte D, et al. Evaluation of a tacrolimus-eluting coronary stent with nanoporous ceramic coating in treatment of native coronary artery lesions: phase I and II of the PRESENT study [abstract]. J Am Coll Cardiol 2003; 41 (Suppl. A): 7A.CrossRef Gerckens U, Buellesfeld L, Horskotte D, et al. Evaluation of a tacrolimus-eluting coronary stent with nanoporous ceramic coating in treatment of native coronary artery lesions: phase I and II of the PRESENT study [abstract]. J Am Coll Cardiol 2003; 41 (Suppl. A): 7A.CrossRef
49.
Zurück zum Zitat Wessely R, Hausleiter J, Michaelis C, et al. Inhibition of neointima formation by a novel drug-eluting stent system that allows for dose-adjustable, multiple, and on-site stent coating. Arterioscler Thromb Vasc Biol 2005; 25: 748–53.PubMedCrossRef Wessely R, Hausleiter J, Michaelis C, et al. Inhibition of neointima formation by a novel drug-eluting stent system that allows for dose-adjustable, multiple, and on-site stent coating. Arterioscler Thromb Vasc Biol 2005; 25: 748–53.PubMedCrossRef
50.
Zurück zum Zitat Hausleiter J, Kastrati A, Wessely R, et al. Prevention of restenosis by a novel drug-eluting stent system with a dose-adjustable, polymer-free, on-site stent coating. Eur Heart J 2005; 26: 1475–81.PubMedCrossRef Hausleiter J, Kastrati A, Wessely R, et al. Prevention of restenosis by a novel drug-eluting stent system with a dose-adjustable, polymer-free, on-site stent coating. Eur Heart J 2005; 26: 1475–81.PubMedCrossRef
51.
Zurück zum Zitat Conor Medsystems. Clinical, clinical trials [online]. Available from URL: http:// www.conormed.com/clin/ [Accessed 2007 Apr 26]. Conor Medsystems. Clinical, clinical trials [online]. Available from URL: http:// www.conormed.com/clin/ [Accessed 2007 Apr 26].
52.
Zurück zum Zitat Serruys PW, Sianos G, Abizaid A, et al. The effect of variable dose and release kinetics on neointimal hyperplasia using a novel paclitaxel-eluting stent platform: the Paclitaxel In-Stent Controlled Elution Study (PISCES). J Am Coll Cardiol 2005; 46: 253–60.PubMedCrossRef Serruys PW, Sianos G, Abizaid A, et al. The effect of variable dose and release kinetics on neointimal hyperplasia using a novel paclitaxel-eluting stent platform: the Paclitaxel In-Stent Controlled Elution Study (PISCES). J Am Coll Cardiol 2005; 46: 253–60.PubMedCrossRef
53.
Zurück zum Zitat Aoki J, Ong AT, Abizaid A, et al. One-year clinical outcome of various doses and pharmacokinetic release formulations of paclitaxel eluted from an erodable polymer: insight in the Paclitaxel In-Stent Controlled Elution Study (PISCES). Eurointervention 2005; 2: 165–72. Aoki J, Ong AT, Abizaid A, et al. One-year clinical outcome of various doses and pharmacokinetic release formulations of paclitaxel eluted from an erodable polymer: insight in the Paclitaxel In-Stent Controlled Elution Study (PISCES). Eurointervention 2005; 2: 165–72.
54.
Zurück zum Zitat Kaul U. Erodablepolymer-reservoir paclitaxel drug eluting stents: II. Cobalt chromium platforms in complex lesions [lecture]. 16th Transcatheter Cardiovascular Therapeutics (TCT 2004) Annual Scientific Symposium; 2004 Sep 27–Oct 1; Washington, DC: Cardiovascular Research Foundation, 2004. Kaul U. Erodablepolymer-reservoir paclitaxel drug eluting stents: II. Cobalt chromium platforms in complex lesions [lecture]. 16th Transcatheter Cardiovascular Therapeutics (TCT 2004) Annual Scientific Symposium; 2004 Sep 27–Oct 1; Washington, DC: Cardiovascular Research Foundation, 2004.
55.
Zurück zum Zitat Serruys PW. The new CoStar™ stent: 12 month results with the new DES technology [lecture]. Paris Course on Revascularisation; 2005 May 24–27; Paris: EuroPCR, 2005. Serruys PW. The new CoStar™ stent: 12 month results with the new DES technology [lecture]. Paris Course on Revascularisation; 2005 May 24–27; Paris: EuroPCR, 2005.
56.
Zurück zum Zitat Wijns W. CoStar™ Paclitaxel-eluting stent: relevance in drug-eluting stent clinical data landscape [lecture]. Paris Course on Revascularization; 2006 May 10–19; Paris: EuroPCR, 2006. Wijns W. CoStar™ Paclitaxel-eluting stent: relevance in drug-eluting stent clinical data landscape [lecture]. Paris Course on Revascularization; 2006 May 10–19; Paris: EuroPCR, 2006.
57.
Zurück zum Zitat Serruys PW. Drug-eluting stents: results from clinical trials. The PISCES trials [lecture]. 55th Annual Scientific Session of the American College of Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006. Serruys PW. Drug-eluting stents: results from clinical trials. The PISCES trials [lecture]. 55th Annual Scientific Session of the American College of Cardiology; 2006 Mar 11–14; Atlanta (GA): American College of Cardiology, 2006.
58.
Zurück zum Zitat Aoki J, Serruys PW, van Beusekom H, et al. Endothelial progenitor cell capture by stents coated with antibody against CD34: the HEALING-FIM (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth-First In Man) registry. J Am Coll Cardiol 2005; 45: 1574–9.PubMedCrossRef Aoki J, Serruys PW, van Beusekom H, et al. Endothelial progenitor cell capture by stents coated with antibody against CD34: the HEALING-FIM (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth-First In Man) registry. J Am Coll Cardiol 2005; 45: 1574–9.PubMedCrossRef
59.
Zurück zum Zitat Serruys PW, On behalf of the HEALING II Investigators. The genous endothelial capture system. Final results from the HEALING II Study [abstract]. TCT2005, The Drug-Eluting Stent Summit; 2005 Oct 16–21; Washington, DC: The Cardiovascular Foundation, 2005. Serruys PW, On behalf of the HEALING II Investigators. The genous endothelial capture system. Final results from the HEALING II Study [abstract]. TCT2005, The Drug-Eluting Stent Summit; 2005 Oct 16–21; Washington, DC: The Cardiovascular Foundation, 2005.
60.
Zurück zum Zitat Duckers H, Aoki J, de Heer H, et al. Circulating endothelial progenitor cells predict angiographic and intravascular ultrasound outcome following percutaneous coronary interventions: an interim analysis of the HEALING II trial using an endothelial progenitor cell capturing stent (Genous R Stent) [abstract no. TCT15]. Am J Cardiol 2005; 96 Suppl. 7A: 7H. Duckers H, Aoki J, de Heer H, et al. Circulating endothelial progenitor cells predict angiographic and intravascular ultrasound outcome following percutaneous coronary interventions: an interim analysis of the HEALING II trial using an endothelial progenitor cell capturing stent (Genous R Stent) [abstract no. TCT15]. Am J Cardiol 2005; 96 Suppl. 7A: 7H.
61.
Zurück zum Zitat Windecker S, Mayer I, De Pasquale G, et al. Stent coating with titanium-nitride-oxide for reduction of neointimal hyperplasia. Circulation 2001; 104: 928–33.PubMedCrossRef Windecker S, Mayer I, De Pasquale G, et al. Stent coating with titanium-nitride-oxide for reduction of neointimal hyperplasia. Circulation 2001; 104: 928–33.PubMedCrossRef
62.
Zurück zum Zitat Windecker S, Simon R, Lins M, et al. Randomized comparison of a titanium-nitride-oxide-coated stent with a stainless steel stent for coronary revascularization: the TiNOX trial. Circulation 2005; 111: 2617–22.PubMedCrossRef Windecker S, Simon R, Lins M, et al. Randomized comparison of a titanium-nitride-oxide-coated stent with a stainless steel stent for coronary revascularization: the TiNOX trial. Circulation 2005; 111: 2617–22.PubMedCrossRef
63.
Zurück zum Zitat Dibra A, Kastrati A, Alfonso F, et al. Effectiveness of drug-eluting stents in patients with bare-metal in-stent restenosis: meta-analysis of randomized trials. J Am Coll Cardiol 2007; 49: 616–23.PubMedCrossRef Dibra A, Kastrati A, Alfonso F, et al. Effectiveness of drug-eluting stents in patients with bare-metal in-stent restenosis: meta-analysis of randomized trials. J Am Coll Cardiol 2007; 49: 616–23.PubMedCrossRef
64.
Zurück zum Zitat Liu X, Huang Y, Hanet C, et al. Study of antirestenosis with the BiodivYsio dexamethasone-eluting stent (STRIDE): a first-in-human multicenter pilot trial. Catheter Cardiovasc Interv 2003; 60: 172–8.PubMedCrossRef Liu X, Huang Y, Hanet C, et al. Study of antirestenosis with the BiodivYsio dexamethasone-eluting stent (STRIDE): a first-in-human multicenter pilot trial. Catheter Cardiovasc Interv 2003; 60: 172–8.PubMedCrossRef
65.
Zurück zum Zitat De Scheerder I. The Abbott vascular devices dexamethasone eluting stent: from STRIDE to the ‘real-world’ SAFE registry [lecture]. 15th Annual Transcatheter Cardiovascular Therapeutics (TCT 2003) Scientific Symposium; 2003 Sep 15–19; Washington, DC: Cardiovascular Research Foundation, 2003. De Scheerder I. The Abbott vascular devices dexamethasone eluting stent: from STRIDE to the ‘real-world’ SAFE registry [lecture]. 15th Annual Transcatheter Cardiovascular Therapeutics (TCT 2003) Scientific Symposium; 2003 Sep 15–19; Washington, DC: Cardiovascular Research Foundation, 2003.
Metadaten
Titel
The Next Generation of Drug-Eluting Stents
What’s on the Horizon?
verfasst von
Steve Ramcharitar
Sophia Vaina
Professor Patrick W. Serruys
Publikationsdatum
01.03.2007
Verlag
Springer International Publishing
Erschienen in
American Journal of Cardiovascular Drugs / Ausgabe 2/2007
Print ISSN: 1175-3277
Elektronische ISSN: 1179-187X
DOI
https://doi.org/10.2165/00129784-200707020-00001

Weitere Artikel der Ausgabe 2/2007

American Journal of Cardiovascular Drugs 2/2007 Zur Ausgabe

Erhöhtes Risiko fürs Herz unter Checkpointhemmer-Therapie

28.05.2024 Nebenwirkungen der Krebstherapie Nachrichten

Kardiotoxische Nebenwirkungen einer Therapie mit Immuncheckpointhemmern mögen selten sein – wenn sie aber auftreten, wird es für Patienten oft lebensgefährlich. Voruntersuchung und Monitoring sind daher obligat.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.