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Clinical Medicine Insights: Cardiology
Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
Cardiology and Cardiovascular Medicine
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title Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_unstemmed Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_full Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_fullStr Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_full_unstemmed Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_short Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_sort second generation drug-eluting stents: a review of the everolimus-eluting platform
topic Cardiology and Cardiovascular Medicine
url http://dx.doi.org/10.4137/cmc.s11516
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description <jats:p> Everolimus-eluting stents (EES) represent the next generation of drug-eluting stents (DES). Important design modifications include thin strut stent backbones, less inflammatory and more biocompatible polymers, and lower drug dosing. The cobalt chromium EES fluoropolymer XIENCE V stent has been the most extensively studied of such stents. In animal models, this stent demonstrated minimal vessel inflammation, a biologically active endothelium with strut coverage similar to a bare metal stent, and inhibition of intimal hyperplasia comparable to that seen with sirolimus-eluting stents. The SPIRIT family of clinical trials demonstrated low rates of late loss, and clinical restenosis, as well as low rates of very late stent thrombosis. These excellent clinical outcomes addressed limitations of the 1st generation DES, and substantiated widespread clinical use of the EES platform. </jats:p>
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description <jats:p> Everolimus-eluting stents (EES) represent the next generation of drug-eluting stents (DES). Important design modifications include thin strut stent backbones, less inflammatory and more biocompatible polymers, and lower drug dosing. The cobalt chromium EES fluoropolymer XIENCE V stent has been the most extensively studied of such stents. In animal models, this stent demonstrated minimal vessel inflammation, a biologically active endothelium with strut coverage similar to a bare metal stent, and inhibition of intimal hyperplasia comparable to that seen with sirolimus-eluting stents. The SPIRIT family of clinical trials demonstrated low rates of late loss, and clinical restenosis, as well as low rates of very late stent thrombosis. These excellent clinical outcomes addressed limitations of the 1st generation DES, and substantiated widespread clinical use of the EES platform. </jats:p>
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spelling Whitbeck, Matthew G. Applegate, Robert J. 1179-5468 1179-5468 SAGE Publications Cardiology and Cardiovascular Medicine http://dx.doi.org/10.4137/cmc.s11516 <jats:p> Everolimus-eluting stents (EES) represent the next generation of drug-eluting stents (DES). Important design modifications include thin strut stent backbones, less inflammatory and more biocompatible polymers, and lower drug dosing. The cobalt chromium EES fluoropolymer XIENCE V stent has been the most extensively studied of such stents. In animal models, this stent demonstrated minimal vessel inflammation, a biologically active endothelium with strut coverage similar to a bare metal stent, and inhibition of intimal hyperplasia comparable to that seen with sirolimus-eluting stents. The SPIRIT family of clinical trials demonstrated low rates of late loss, and clinical restenosis, as well as low rates of very late stent thrombosis. These excellent clinical outcomes addressed limitations of the 1st generation DES, and substantiated widespread clinical use of the EES platform. </jats:p> Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform Clinical Medicine Insights: Cardiology
spellingShingle Whitbeck, Matthew G., Applegate, Robert J., Clinical Medicine Insights: Cardiology, Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform, Cardiology and Cardiovascular Medicine
title Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_full Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_fullStr Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_full_unstemmed Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_short Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
title_sort second generation drug-eluting stents: a review of the everolimus-eluting platform
title_unstemmed Second Generation Drug-Eluting Stents: A Review of the Everolimus-Eluting Platform
topic Cardiology and Cardiovascular Medicine
url http://dx.doi.org/10.4137/cmc.s11516