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Drug-eluting stents for the treatment of coronary artery disease: A review of recent advances

Authors
 Sung-Jin Hong  ;  Myeong-Ki Hong 
Citation
 EXPERT OPINION ON DRUG DELIVERY, Vol.19(3) : 269-280, 2022-03 
Journal Title
EXPERT OPINION ON DRUG DELIVERY
ISSN
 1742-5247 
Issue Date
2022-03
MeSH
Angioplasty, Balloon, Coronary* ; Coronary Artery Disease* / therapy ; Coronary Restenosis* ; Drug-Eluting Stents* ; Humans ; Percutaneous Coronary Intervention* / methods ; Prosthesis Design ; Stents ; Treatment Outcome
Keywords
Drug-eluting stent ; coronary artery disease ; dual-antiplatelet therapy ; percutaneous coronary intervention
Abstract
Introduction: Percutaneous coronary intervention is a widely used procedure for the treatment of coronary artery disease to relieve narrowing or occlusion and improve blood supply. Although only balloon angioplasty was performed in the early period, coronary stents were developed later and coronary drug-eluting stents were introduced to decrease in-stent restenosis, which is related to the proliferation and migration of vascular smooth muscle cells.

Areas covered: The drug-eluting stents are composed of a metallic or polymeric platform, specific drug, and polymers or coating for drug release. In this article, the recent advances in drug-eluting stent technologies for the treatment of coronary artery disease and adjunctive antiplatelet therapy after drug-eluting stent implantation will be reviewed.

Expert opinion: The need for further advances in drug-eluting stents or fully bioresorbable coronary scaffolds still exists to improve patient survival or clinical outcomes. The use for different actions or of combinations of drugs with several actions can be potential. Technological refinement and progress in manufacturing to improve mechanical integrity are needed, particularly for fully bioresorbable scaffolds. For antiplatelet therapy after stenting, clinical bleeding reduction strategies, such as a shortened duration of dual-antiplatelet therapy, are in progress.
Full Text
https://www.tandfonline.com/doi/full/10.1080/17425247.2022.2044784
DOI
10.1080/17425247.2022.2044784
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Hong, Myeong Ki(홍명기) ORCID logo https://orcid.org/0000-0002-2090-2031
Hong, Sung Jin(홍성진) ORCID logo https://orcid.org/0000-0003-4893-039X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188391
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