Drug-Eluting, Bioresorbable Cardiovascular StentsChallenges and Perspectives
Globally, the leading causes of natural death are attributed to coronary heart disease and type 1 and type 2 diabetes. High blood pressure levels, high cholesterol levels, smoking, and poor eating habits lead to the agglomeration of plaque in the arteries, reducing the blood flow. The implantation o...
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Published in | ACS applied bio materials Vol. 5; no. 10; pp. 4701 - 4717 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
American Chemical Society
17.10.2022
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Subjects | |
Online Access | Get full text |
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Abstract | Globally, the leading causes of natural death are attributed to coronary heart disease and type 1 and type 2 diabetes. High blood pressure levels, high cholesterol levels, smoking, and poor eating habits lead to the agglomeration of plaque in the arteries, reducing the blood flow. The implantation of devices used to unclog vessels, known as stents, sometimes results in a lack of irrigation due to the excessive proliferation of endothelial tissue within the blood vessels and is known as restenosis. The use of drug-eluting stents (DESs) to deliver antiproliferative drugs has led to the development of different encapsulation techniques. However, due to the potency of the drugs used in the initial stent designs, a chronic inflammatory reaction of the arterial wall known as thrombosis can cause a myocardial infarction (MI). One of the most promising drugs to reduce this risk is everolimus, which can be encapsulated in lipid systems for controlled release directly into the artery. This review aims to discuss the current status of stent design, fabrication, and functionalization. Variables such as the mechanical properties, metals and their alloys, drug encapsulation and controlled elution, and stent degradation are also addressed. Additionally, this review covers the use of polymeric surface coatings on stents and the recent advances in layer-by-layer coating and drug delivery. The advances in nanoencapsulation techniques such as liposomes and micro- and nanoemulsions and their functionalization in bioresorbable, drug-eluting stents are also highlighted. |
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AbstractList | Globally, the leading causes of natural death are attributed to coronary heart disease and type 1 and type 2 diabetes. High blood pressure levels, high cholesterol levels, smoking, and poor eating habits lead to the agglomeration of plaque in the arteries, reducing the blood flow. The implantation of devices used to unclog vessels, known as stents, sometimes results in a lack of irrigation due to the excessive proliferation of endothelial tissue within the blood vessels and is known as restenosis. The use of drug-eluting stents (DESs) to deliver antiproliferative drugs has led to the development of different encapsulation techniques. However, due to the potency of the drugs used in the initial stent designs, a chronic inflammatory reaction of the arterial wall known as thrombosis can cause a myocardial infarction (MI). One of the most promising drugs to reduce this risk is everolimus, which can be encapsulated in lipid systems for controlled release directly into the artery. This review aims to discuss the current status of stent design, fabrication, and functionalization. Variables such as the mechanical properties, metals and their alloys, drug encapsulation and controlled elution, and stent degradation are also addressed. Additionally, this review covers the use of polymeric surface coatings on stents and the recent advances in layer-by-layer coating and drug delivery. The advances in nanoencapsulation techniques such as liposomes and micro- and nanoemulsions and their functionalization in bioresorbable, drug-eluting stents are also highlighted. |
Author | Vega-Cantu, Yadira I. Rodriguez-Garcia, Aida Rodriguez, Ciro Cordell, Geoffrey A. Vallejo-Zamora, Julio A. |
AuthorAffiliation | Natural Products, Inc Facultad de Ciencias Biológicas, Instituto de Biotecnología, Ciudad Universitaria University of Florida College of Pharmacy Laboratorio Nacional de Manufactura Aditiva y Digital (MADIT) |
AuthorAffiliation_xml | – name: Natural Products, Inc – name: College of Pharmacy – name: Laboratorio Nacional de Manufactura Aditiva y Digital (MADIT) – name: Facultad de Ciencias Biológicas, Instituto de Biotecnología, Ciudad Universitaria – name: University of Florida |
Author_xml | – sequence: 1 givenname: Julio A. surname: Vallejo-Zamora fullname: Vallejo-Zamora, Julio A. – sequence: 2 givenname: Yadira I. surname: Vega-Cantu fullname: Vega-Cantu, Yadira I. – sequence: 3 givenname: Ciro surname: Rodriguez fullname: Rodriguez, Ciro organization: Laboratorio Nacional de Manufactura Aditiva y Digital (MADIT) – sequence: 4 givenname: Geoffrey A. orcidid: 0000-0003-2536-3097 surname: Cordell fullname: Cordell, Geoffrey A. organization: University of Florida – sequence: 5 givenname: Aida orcidid: 0000-0002-0299-4753 surname: Rodriguez-Garcia fullname: Rodriguez-Garcia, Aida email: aida.rodriguezgrc@uanl.edu.mx, aidrod@hotmail.com organization: Facultad de Ciencias Biológicas, Instituto de Biotecnología, Ciudad Universitaria |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36150217$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1016_j_mtbio_2024_101133 crossref_primary_10_1002_admt_202400210 crossref_primary_10_1038_s41598_023_49367_9 |
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Keywords | bioresorbable cardiovascular stents everolimus drug-eluting stents metallic alloys liposomes nanocarriers magnesium drug delivery bare-metal stents |
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