Thromb Haemost 2015; 113(03): 464-472
DOI: 10.1160/TH14-07-0599
Theme Issue Article
Schattauer GmbH

Progress in interventional cardiology: challenges for the future

Sakine Simsekyilmaz
1   Institute for Molecular Cardiovascular Research, RWTH Aachen University, Germany
2   Biomedical Research Center, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China
,
Elisa A. Liehn
1   Institute for Molecular Cardiovascular Research, RWTH Aachen University, Germany
,
Constantin Militaru
3   Deparment of Cardiology, Emergency Hospital, Craiova, Romania
,
Felix Vogt
4   Department of Cardiology, Pulmonology, Intensive Care and Vascular Medicine, Medical Faculty, RWTH Aachen University, Germany
› Author Affiliations
Further Information

Publication History

Received: 13 July 2014

Accepted after major revision: 10 January 2014

Publication Date:
17 November 2017 (online)

Summary

Cardiovascular disease is the leading cause of death in the western and developing countries. Percutaneous transluminal coronary interventions have become the most prevalent treatment option for coronary artery disease; however, due to serious complications, such as stent thrombosis and in-stent restenosis (ISR), the efficacy and safety of the procedure remain important issues to address. Strategies to overcome these aspects are under extensive investigation. In this review, we summarise relevant milestones during the time to overcome these limitations of coronary stents, such as the development of polymer-free drug-eluting stents (DES) to avoid pro-inflammatory response due to the polymer coating or the developement of stents with cell-directing drugs to, simultaneously, improve re-endothelialisation and inhibit ISR amongst other techniques most recently developed, which have not fully entered the clinical stage. Also the novel concept of fully biodegradable DES featured by the lack of a permanent foreign body promises to be a beneficial and applicable tool to restore a natural vessel with maintained vasomotion and to enable optional subsequent surgical revascularisation.

 
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