Angioscopic Comparison of Neointimal Coverage Between Zotarolimus- and Sirolimus-Eluting Stents

Drug-eluting stents (DES) have demonstrated reduced late loss (LL) and low target lesion revascularization (TLR) rates through an inhibitory effect on neointimal hyperplasia but might have a risk of late or very late stent thrombosis due to incomplete neointimal coverage (NIC) (1-3). Considering the...

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Veröffentlicht in:Journal of the American College of Cardiology 2008-08, Vol.52 (9), p.789-790
Hauptverfasser: Awata, Masaki, MD, Nanto, Shinsuke, MD, PhD, FACC, Uematsu, Masaaki, MD, PhD, FACC, Morozumi, Takakazu, MD, PhD, Watanabe, Tetsuya, MD, PhD, Onishi, Toshinari, MD, Iida, Osamu, MD, Sera, Fusako, MD, Kotani, Jun-ichi, MD, PhD, FACC, Hori, Masatsugu, MD, PhD, FACC, Nagata, Seiki, MD, PhD
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container_end_page 790
container_issue 9
container_start_page 789
container_title Journal of the American College of Cardiology
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creator Awata, Masaki, MD
Nanto, Shinsuke, MD, PhD, FACC
Uematsu, Masaaki, MD, PhD, FACC
Morozumi, Takakazu, MD, PhD
Watanabe, Tetsuya, MD, PhD
Onishi, Toshinari, MD
Iida, Osamu, MD
Sera, Fusako, MD
Kotani, Jun-ichi, MD, PhD, FACC
Hori, Masatsugu, MD, PhD, FACC
Nagata, Seiki, MD, PhD
description Drug-eluting stents (DES) have demonstrated reduced late loss (LL) and low target lesion revascularization (TLR) rates through an inhibitory effect on neointimal hyperplasia but might have a risk of late or very late stent thrombosis due to incomplete neointimal coverage (NIC) (1-3). Considering the risk of stent thrombosis due to incomplete NIC, it is preferable for DES to have sufficient neointimal volume no greater than LL of 0.65 mm. Although the single-center, nonrandomized, matched-control, and observational nature with a small sample size of this study should be noted as a limitation, this study suggests that arterial endothelial healing after stenting is more competent in ZES than in SES.
doi_str_mv 10.1016/j.jacc.2008.07.007
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Considering the risk of stent thrombosis due to incomplete NIC, it is preferable for DES to have sufficient neointimal volume no greater than LL of 0.65 mm. Although the single-center, nonrandomized, matched-control, and observational nature with a small sample size of this study should be noted as a limitation, this study suggests that arterial endothelial healing after stenting is more competent in ZES than in SES.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2008.07.007</identifier><identifier>PMID: 18718430</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Angioplasty ; Angioscopy ; Blood clots ; Cardiology ; Cardiovascular ; Coronary Stenosis - pathology ; Coronary Stenosis - therapy ; Drug-Eluting Stents ; Female ; Follow-Up Studies ; Humans ; Immunosuppressive Agents - administration &amp; dosage ; Internal Medicine ; Male ; Medical imaging ; Middle Aged ; Sirolimus - administration &amp; dosage ; Sirolimus - analogs &amp; derivatives ; Stents ; Thrombosis ; Tunica Intima</subject><ispartof>Journal of the American College of Cardiology, 2008-08, Vol.52 (9), p.789-790</ispartof><rights>American College of Cardiology Foundation</rights><rights>2008 American College of Cardiology Foundation</rights><rights>Copyright Elsevier Limited Aug 26, 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-dbf5a5bec2542ad4e00d70226439f3e264acc4c0a1a5a71e8fba80e7c64f81683</citedby><cites>FETCH-LOGICAL-c547t-dbf5a5bec2542ad4e00d70226439f3e264acc4c0a1a5a71e8fba80e7c64f81683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jacc.2008.07.007$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18718430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Awata, Masaki, MD</creatorcontrib><creatorcontrib>Nanto, Shinsuke, MD, PhD, FACC</creatorcontrib><creatorcontrib>Uematsu, Masaaki, MD, PhD, FACC</creatorcontrib><creatorcontrib>Morozumi, Takakazu, MD, PhD</creatorcontrib><creatorcontrib>Watanabe, Tetsuya, MD, PhD</creatorcontrib><creatorcontrib>Onishi, Toshinari, MD</creatorcontrib><creatorcontrib>Iida, Osamu, MD</creatorcontrib><creatorcontrib>Sera, Fusako, MD</creatorcontrib><creatorcontrib>Kotani, Jun-ichi, MD, PhD, FACC</creatorcontrib><creatorcontrib>Hori, Masatsugu, MD, PhD, FACC</creatorcontrib><creatorcontrib>Nagata, Seiki, MD, PhD</creatorcontrib><title>Angioscopic Comparison of Neointimal Coverage Between Zotarolimus- and Sirolimus-Eluting Stents</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Drug-eluting stents (DES) have demonstrated reduced late loss (LL) and low target lesion revascularization (TLR) rates through an inhibitory effect on neointimal hyperplasia but might have a risk of late or very late stent thrombosis due to incomplete neointimal coverage (NIC) (1-3). 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subjects Adult
Aged
Aged, 80 and over
Angioplasty
Angioscopy
Blood clots
Cardiology
Cardiovascular
Coronary Stenosis - pathology
Coronary Stenosis - therapy
Drug-Eluting Stents
Female
Follow-Up Studies
Humans
Immunosuppressive Agents - administration & dosage
Internal Medicine
Male
Medical imaging
Middle Aged
Sirolimus - administration & dosage
Sirolimus - analogs & derivatives
Stents
Thrombosis
Tunica Intima
title Angioscopic Comparison of Neointimal Coverage Between Zotarolimus- and Sirolimus-Eluting Stents
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