The effect of paclitaxel-eluting stents on restenosis Paklitaksel salan stentlerin restenz üzerine etkisi


Kurşakhoǧlu H., Köz C., Lyisoy A., Ide T., YILDIRIM V., Töre H. F., ...Daha Fazla

Anadolu Kardiyoloji Dergisi, cilt.6, sa.1, ss.18-23, 2006 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 1
  • Basım Tarihi: 2006
  • Dergi Adı: Anadolu Kardiyoloji Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.18-23
  • Anahtar Kelimeler: Intravascular ultrasound, Paclitaxel, Porcine model, Restenosis, Stent
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: In our study we aimed to investigate the effects of paclitaxel-eluting stent on restenosis. Methods: Sixteen porcine were randomly assigned to two groups (n=8 per group): control group animals received conventional stent implantation and study group animals -paclitaxel-eluting stent implantation. Both groups were treated with 300 mg acetylsalicylic acid and 75 mg clopidogrel daily. The degree of neointimal proliferation and effect of drug-eluting stent on restenosis were evaluated 6 weeks after by angiography and intravascular ultrasound (IVUS). Results: Angiographic in-stent restenosis was lower in paclitaxel-eluting stent group (12.50 ± 7.07% versus 41.25 ± 28.50%, p=0.001). The IVUS data demonstrated that paclitaxel group animals had larger minimal lumen area (8.76 ± 1.09 mm2 versus 6.23 ± 3.10 mm2, p=0.028), smaller mean neointimal proliferation area (1.03 ± 0.75 mm2 versus 3.55 ± 2.86 mm2, p=0.01) and mean percent stenosis (10.71 ± 8.10% versus 36.85 ± 30.93%, p=0.01). Conclusion: This study suggests that drug-eluting stents may also have a preventive effect for the in-stent restenosis.