Preventing restenosis in early drug-eluting stent era: recent developments and future perspectives

Author:

Birkenhauer Peter1,Yang Zhihong2,Gander Bruno1

Affiliation:

1. Institute of Pharmaceutical Sciences, ETH Hönggerberg HCI, 8093 Zürich, Switzerland

2. Vascular Biology, Department of Medicine, Division of Physiology, University of Fribourg, Rue du Musèe 5, 1700 Fribourg, Switzerland

Abstract

Abstract Restenosis is the major limitation of the successful therapy of percutaneous coronary intervention (PCI) for patients with coronary artery disease. The problem was appreciated in the late 1970s to early 1980s. Only in recent years, anti-restenotic therapy has achieved a breakthrough with the development of drug-eluting stents. Here, we provide an overview about pathological mechanisms of restenosis after PCI. Present therapeutic approaches to overcome restenosis and recent clinical results are revisited, and some major concerns in the post-drug-eluting stent era are discussed.

Publisher

Oxford University Press (OUP)

Subject

Pharmaceutical Science,Pharmacology

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