Effectiveness of Statin-Eluting Stent on Early Inflammatory Response and Neointimal Thickness in a Porcine Coronary Model
スポンサーリンク
概要
- 論文の詳細を見る
Background Drug-eluting stent (DBS) implantation is routine during coronary revascularization because DBS significantly reduce rates of restenosis and target lesion revascularization compared with bare metal stent (BMS). However, available DBS have limitations, such as late thrombosis because of delayed healing with poorer endo-thelialization and persistent local inflammation. Statins can inhibit cell proliferation, inflammation, and restore endothelial function. The present study evaluated the ability of stent-based cerivastatin delivery to reduce stent-induced inflammatory responses and adverse effects on endothelial function, and to inhibit neointimal hyperplasia in a porcine coronary model. Methods and Results Pigs were randomized into groups in which the coronary arteries (9 pigs, 18 coronaries in each group) had either a cerivastatin-eluting stent (CES) or a BMS. All animals survived without any adverse effects. Inflammatory cell infiltration evaluated using scanning electron microscopy on day 3 after stenting was significantly decreased in the treated vessels (inflammation score: 1.15±0.12 vs 2.43±0.34, p<0.0001). At day 28, endothelial function with intracoronary infusion of bradykinin was preserved in both the CES and BMS groups. Volumetric intravascular ultrasound images revealed decreased intimal volume in the CES group (28.3±5.4 vs 75.9±4.2mm^3, p<0.0001). Histomorphometric analysis showed reduced neointimal area (1.74±0.45 vs 3.83±0.51mm^2, p<0.0001) in the CES group despite similar injury scores (1.77±0.30 vs 1.77±0.22, p=0.97). Conclusion In porcine coronary arteries CES significantly decreased neointimal hyperplasia with a decreased early inflammatory response and without endothelial dysfunction.
- 社団法人日本循環器学会の論文
- 2008-04-20
著者
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DAIDA Hiroyuki
Department of Cardiology, Juntendo University School of Medicine
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Kobayashi Takashi
Department Of Cardiology Kobe City Medical Center General Hospital
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Miyauchi Katsumi
Department of Cardiovascular Medicine, Juntendo University, School of Medicine
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Kurata Takeshi
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Matsuyama Koshi
Clinical Education Center Kumamoto University Hospital
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OKAZAKI Shinya
Department of Cardiovascular Medicine, Juntendo University
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KASAI Takatoshi
Department of Cardiology, Juntendo University, School of Medicine
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AIHARA Kouichiro
Department of Cardiology, Juntendo University, School of Medicine
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Miyauchi Katsumi
Department Of Cardiovascular Medicine Juntendo University
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Miyauchi Katsumi
Department Of Cardiology Juntendo University School Of Medicine
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Kajimoto Kan
Department of Cardiovascularsurgery, Juntendo University
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Yokayama Takayuki
Department of Cardiovascular Medicine, Juntendo University
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Ishiyama Haruo
Department of Cardiovascular Medicine, Juntendo University
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Aihara Koichiro
Department Of Cardiovascular Medicine Juntendo University
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Kurata Takeshi
Department Of Cardiology Juntendo University School Of Medicine
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Kasai Takatoshi
Department Of Cardiology Juntendo University
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Miyauchi Katsumi
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Yokoyama Takayuki
Department Of Cardiology Juntendo University School Of Medicine
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Kajimoto Kan
Department Of Cardiology Juntendo University School Of Medicine
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Ishiyama Haruo
Department Of Cardiovascular Medicine Juntendo University
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Okazaki Shinya
Department Of Cardiology Juntendo University Nerima Hospital
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Okazaki Shinya
Department Of Applied Chemistry & Biochemistry Faculty Of Engineering Kumamoto University
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Daida Hiroyuki
Department Of Cardiology
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Kawasumi Masahiko
Department Of Cardiology Juntendo University School Of Medicine
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Kajimoto Kan
Department Of Cardiovascular Surgery Juntendo University
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Kajimoto Kan
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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Okazaki Shiny
Department Of Cardiology Juntendo University Nerima Hospital
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OKAZAKI Shinya
Juntendo University Nerima Hospital
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Kita Toru
Division Of Translational Research Kyoto Medical Center National Hospital Organization
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