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Does a carbon ion-implanted surface reduce the restenosis rate of coronary stents?

Authors
 Jung J.-H.  ;  Min P.-K.  ;  Kim J.-Y.  ;  Park S.  ;  Choi E.-Y.  ;  Ko Y.-G.  ;  Choi D.  ;  Jang Y.  ;  Shim W.-H.  ;  Cho S.-Y. 
Citation
 CARDIOLOGY, Vol.104(2) : 72-75, 2005 
Journal Title
 CARDIOLOGY 
ISSN
 0008-6312 
Issue Date
2005
MeSH
Adult ; Aged ; Angioplasty, Balloon, Coronary* ; C-Reactive Protein/metabolism ; Carbon* ; Coronary Restenosis/prevention & control* ; Coronary Stenosis/therapy* ; Female ; Fibromuscular Dysplasia/prevention & control* ; Humans ; Ions* ; Male ; Middle Aged ; Prospective Studies ; Prosthesis Design ; Prosthesis Failure ; Stents*
Keywords
Restenosis, coronary ; Carbon ; Inflammation
Abstract
BACKGROUND: Neointimal hyperplasia and resulting restenosis limit the long-term success of coronary stenting. Heavy metal ions induce an inflammatory and allergic reaction, and result in in-stent restenosis. However, a carbon ion-implanted surface might prevent heavy metal ions from diffusing into surrounding tissue. METHODS: 140 lesions in 140 patients with coronary lesions underwent implantation of carbon-implanted surface stents (Arthos(inert) stent group, n=70) or control stents (Arthos stent group, n=70). The primary end point was the in-stent restenosis and the secondary end point was the value of hs-CRP at 48 h and 6 months after coronary stenting. Clinical and angiographic follow-ups were performed at 6 months. RESULTS: The rate of in-stent restenosis was lower in the Arthos(inert) stent group (15.9%, 10/63) than in the Arthos stent group (20.9%, 13/62), but there were no significant differences between both groups (p=0.56). The value of hs-CRP at 48 h was lower in the Arthos(inert) stent group (13.9+/-13.4 mg/dl) than in the Arthos stent group (24.5+/-26.0 mg/dl) with significant differences (p=0.04). However, the differences between two groups were not statistically significant at 6 months (p=0.76). CONCLUSIONS: As compared with a standard coronary stent, a carbon ion-implanted stent shows no considerable benefit for the prevention of in-stent restenosis within the range of this study. Despite all the limitations of this study, a positive effect of a carbon ion-implanted stent in reducing inflammatory reaction after coronary revascularization seems likely.
Full Text
http://www.karger.com/Article/FullText/86688
DOI
10.1159/000086688
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Young Guk(고영국) ORCID logo https://orcid.org/0000-0001-7748-5788
Kim, Jong Youn(김종윤) ORCID logo https://orcid.org/0000-0001-7040-8771
Min, Pil Ki(민필기) ORCID logo https://orcid.org/0000-0001-7033-7651
Park, Sung Ha(박성하) ORCID logo https://orcid.org/0000-0001-5362-478X
Shim, Won Heum(심원흠)
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
Cho, Seung Yun(조승연)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
Choi, Eui Young(최의영) ORCID logo https://orcid.org/0000-0003-3732-0190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151082
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