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- W1998601098 abstract "No more effective than regular drug eluting stents, and potentially less safe In pooled analyses of randomised trials, two linked papers (doi:10.1136/bmj.f6625; doi:10.1136/bmj.f6530) compare intracoronary stents, with a particular focus on the latest development—drug eluting stents with biodegradable polymer.1 2 The development of bare metal coronary stents in 1986 was a milestone in the treatment of coronary artery disease. It overcame serious limitations of plain balloon angioplasty, such as high rates of restenosis, vessel recoil, and impaired coronary flow owing to local dissections. However, these stents were associated with a high risk of restenosis—10-20%.3 The introduction of drug coated stents, using antimitotic agents, reduced the restenosis rate by about half.3 First generation drug eluting stent became available in 2003. After the initial excitement, however, studies showed worrying signals of an increased risk of stent thrombosis for drug eluting stents, especially late events. Antimitotic drugs can impair the re-endothelialisation of the stent,4 and late stent thromboses may be related to the polymer used to attach the drug to the stent (possibly an allergic reaction). Drug eluting stents with a bioabsorbable polymer were therefore developed with the aim that once all the antimitotic drug had been released and the …" @default.
- W1998601098 created "2016-06-24" @default.
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- W1998601098 date "2013-11-27" @default.
- W1998601098 modified "2023-09-26" @default.
- W1998601098 title "Bioabsorbable drug eluting stent: winner or sinner?" @default.
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- W1998601098 doi "https://doi.org/10.1136/bmj.f7091" @default.
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