Tom 18, Nr 1 (2023)
Inne materiały uzgodnione z Redakcją
Opublikowany online: 2023-06-12
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Problem restenozy i zakrzepicy w stentach wieńcowych II generacji uwalniających lek
Kardiol Inwazyjna 2023;18(1):15-23.
Streszczenie
W dziedzinie kardiologii interwencyjnej w ostatnich latach dokonał się znaczący postęp zarówno w rozumieniu, jak i leczeniu choroby wieńcowej. Słowa stent, czyli, według definicji, „dziurkowanej rurki wszczepianej do naczynia krwionośnego, zapobiegającej ponownemu zwężeniu się naczynia”, po raz pierwszy użył w 1966 roku Weldon. Pierwsze zabiegi na naczyniach wieńcowych wykonano w latach 70. ubiegłego wieku — rok 1977 uznawany jest jako czas narodzin zabiegów przezskórnych na naczyniach wieńcowych (PCI). Wspomniany postęp w technikach PCI, farmakoterapii, jak i technologii produkcji stentów uwalniających lek (DES) przyczynił się do znacznego zmniejszenia częstości występowania zarówno zakrzepicy w stencie, jak i restenozy. Jednakże uwzględniając liczbę wykonywanych PCI rokrocznie, stanowią one (szczególnie restenoza) istotny problem i obciążenie dla systemu ochrony zdrowia. Lepsze poznanie oraz identyfikacja czynników ryzyka restenozy oraz zakrzepicy w stencie pozwala nie tylko na indywidualizację terapii, a także na dalsze ulepszanie/ewolucję technologii produkcji DES.
Słowa kluczowe: stent uwalniający sirolimusgrubość przęsłabiodegradowalny polimer
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