Role of polymers in improving the results of stenting in coronary arteries.

This article is a review of recent developments of polymer-related stents mainly employed in the coronary arteries, including polymer-coated stents, biostable stents and biodegradable stents. Polymer paving is covered as well. The problems with the stents currently investigated and the development of new stents are discussed.

[1]  Robert Langer,et al.  Synthesis and RGD peptide modification of a new biodegradable copolymer: poly(lactic acid-co-lysine) , 1993 .

[2]  C. M. Agrawal,et al.  Evaluation of poly(L-lactic acid) as a material for intravascular polymeric stents. , 1992, Biomaterials.

[3]  G. Becker.  Intravascular Stents: General Principles and Status of Lower‐Extremity Arterial Applications , 1991, Circulation.

[4]  G. Tytgat,et al.  Randomised trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction , 1992, The Lancet.

[5]  R E Baier,et al.  Investigation of three-surface properties of several metals and their relation to blood compatibility. , 1972, Journal of biomedical materials research.

[6]  E. Ring,et al.  A simple, indwelling, biliary endoprosthesis made from commonly available catheter material. , 1982, AJR. American journal of roentgenology.

[7]  B Meier,et al.  Angiographic follow-up after placement of a self-expanding coronary-artery stent. , 1991, The New England journal of medicine.

[8]  W. Edwards,et al.  Restenosis after balloon angioplasty. A practical proliferative model in porcine coronary arteries. , 1990, Circulation.

[9]  S. Goldberg,et al.  A novel strategy for stent deployment in the treatment of acute or threatened closure complicating balloon coronary angioplasty. Use of short or standard (or both) single or multiple Palmaz-Schatz stents. , 1993, Journal of the American College of Cardiology.

[10]  C. Charnsangavej,et al.  Self-expanding metallic stents for small vessels: an experimental evaluation. , 1987, Radiology.

[11]  F Joffre,et al.  Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. , 1987, The New England journal of medicine.

[12]  P. Serruys,et al.  Wiktor stent implantation in patients with restenosis following balloon angioplasty of a native coronary artery. , 1992, The American journal of cardiology.

[13]  P. Teirstein,et al.  Long-term angiographic and clinical outcome after implantation of a ballon-expandable stent in the native coronary circulation☆ , 1994 .

[14]  E. Topol,et al.  Multicenter investigation of coronary stenting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty: clinical and angiographic outcomes. , 1993, Journal of the American College of Cardiology.

[15]  F Litvack,et al.  Localized Arterial Wall Drug Delivery From a Polymer‐Coated Removable Metallic Stent: Kinetics, Distribution, and Bioactivity of Forskolin , 1994, Circulation.

[16]  C Lenfant,et al.  NHLBI funding policies. Enhancing stability, predictability, and cost control. , 1994, Circulation.

[17]  M. Daemen,et al.  Percutaneous implantation of a new intracoronary stent in pigs. , 1991, American heart journal.

[18]  P. Serruys,et al.  Stenting of coronary arteries. Are we the sorcerer's apprentice? , 1989, European heart journal.

[19]  U. Sigwart,et al.  Emergency stenting for acute occlusion after coronary balloon angioplasty. , 1988, Circulation.

[20]  C. Macaya,et al.  Coronary stenting for acute coronary dissection after coronary angioplasty: implications of residual dissection. , 1994, Journal of the American College of Cardiology.

[21]  A new, biocompatible polymeric coronary stent: design and early results in a pig model , 1990 .

[22]  Willem J. van der Giessen,et al.  Coronary stenting with polymer-coated and uncoated self-expanding endoprostheses in pigs , 1992 .

[23]  Michael Szycher,et al.  Biocompatible polymers, metals, and composites , 1983 .

[24]  L. Mimish,et al.  A new expandable intracoronary tantalum (Strecker) stent: early experimental results and follow-up to twelve months. , 1993, American heart journal.

[25]  P. Serruys,et al.  Stenting of coronary arteries: has a modern Pandora's box been opened? , 1991, Journal of the American College of Cardiology.

[26]  C M Agrawal,et al.  Deformation characteristics of a bioabsorbable intravascular stent. , 1992, Investigative radiology.

[27]  W. Edwards,et al.  Polymeric stenting in the porcine coronary artery model: differential outcome of exogenous fibrin sleeves versus polyurethane-coated stents. , 1994, Journal of the American College of Cardiology.

[28]  J. Palmaz,et al.  Intravascular stents: tissue-stent interactions and design considerations. , 1993, AJR. American journal of roentgenology.

[29]  E J Topol,et al.  Caveats about elective coronary stenting. , 1994, The New England journal of medicine.

[30]  N. Browse,et al.  Use of Teflon stents for lymphovenous anastomosis , 1992, The British journal of surgery.

[31]  S. Soimakallio,et al.  Percutaneous endovascular stenting: development, investigation and application. , 1991, European journal of radiology.

[32]  P. Serruys,et al.  Endovascular stents: Preliminary clinical results and future developments , 1993, Clinical cardiology.

[33]  M. Nobuyoshi,et al.  Serial angiographic follow-up after Palmaz-Schatz stent implantation: comparison with conventional balloon angioplasty. , 1993, Journal of the American College of Cardiology.

[34]  W Rutsch,et al.  A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. Benestent Study Group. , 1994, The New England journal of medicine.

[35]  Craig D. Miller,et al.  Management of Patients With Intramural Hematoma of the Thoracic Aorta , 1993, Circulation.

[36]  P. Teirstein,et al.  A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. Stent Restenosis Study Investigators. , 1994, The New England journal of medicine.

[37]  R A Schatz,et al.  A view of vascular stents. , 1989, Circulation.

[38]  J. Feijen,et al.  Synthesis of biodegradable polyesteramides with pendant functional groups , 1992 .

[39]  J. Feijen,et al.  Supporting, microporous, elastomeric, degradable prostheses to improve the arterialization of autologous vein grafts. , 1994, Biomaterials.

[40]  H Harasaki,et al.  Effects of design geometry of intravascular endoprostheses on stenosis rate in normal rabbits. , 1992, American heart journal.

[41]  Steven J. Lee,et al.  Cardiovascular Devices for the 1990s , 1993, Journal of biomaterials applications.

[42]  B. Waller,et al.  Morphologic observations late after coronary balloon angioplasty: mechanisms of acute injury and relationship to restenosis. , 1990, Radiology.

[43]  P. Gaspard,et al.  The temporary stent catheter: A non operative treatment for acute occlusion during coronary angioplasty , 1990 .

[44]  J. Douglas,et al.  Clinical and Angiographic Outcomes After Coronary Artery Stenting for Acute or Threatened Closure After Percutaneous Transluminal Coronary Angioplast Initial Results with a Balloon‐Expandable, Stainless Steel Design , 1993, Circulation.

[45]  R E Vlietstra,et al.  Percutaneous Polymeric Stents in Porcine Coronary Arteries: Initial Experience With Polyethylene Terephthalate Stents , 1992, Circulation.

[46]  R. Schwartz,et al.  Polymeric stents: modern alchemy or the future? , 1991, The Journal of invasive cardiology.

[47]  D. Dichek,et al.  Seeding of intravascular stents with genetically engineered endothelial cells. , 1989, Circulation.

[48]  R E Vlietstra,et al.  Restenosis and the proportional neointimal response to coronary artery injury: results in a porcine model. , 1992, Journal of the American College of Cardiology.

[49]  P. Teirstein,et al.  Fate of lesion-related side branches after coronary artery stenting. , 1993, Journal of the American College of Cardiology.

[50]  K. Karsch,et al.  Inhibition of Cellular Proliferation After Experimental Balloon Angioplasty by Low‐Molecular‐Weight Heparin , 1992, Circulation.