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Restenosis remains the Achilles heel of Percutaneous Coronary Interventions. Numerous pharmacological agents have been tested in order to reduce acute thrombosis and the hyperproliferative cellular response, and drug eluting stents-using the stent as a platform for local drug delivery-are now considered a significant breakthrough in interventional cardiology. Pioneers in the field, the editors of Local Drug Delivery for Coronary Artery Disease have assembled an excellent team of contributors who offer their experience with threatened vessel closure and restenosis, acute thrombosis, hyperproliferative cellular response, stents and local drug delivery. They share their expertise on all aspects of the field, including a discussion of results from preclinical and clinical studies, and they examine alternative methods of molecular delivery to the vessel wall. With coverage of the most current methods and applications, as well as a host of photographs illustrating their implementation, this book will serve as an excellent reference for cardiologists, pharmacologists, cardiac surgeons, and trainees.
While all interventional cardiologists have access to pharmacopeial texts and databases and are aware of the growing number of pharmacological agents in the armamentarium, questions arise as to the ideal agent or combination of agents in differing patient situations. This superb text offers the reader coverage of all the major pharmacological t
Updated to include the newest devices and procedures, this practical reference is a clinically oriented guide to interventional cardiology. Chapters by the foremost experts present step-by-step approaches to specific clinical problems and offer guidelines for selecting the most appropriate device and technique. The authors' recommendations are backed by their extensive experience and by evidence-based clinical trials. This Third Edition describes the latest stents and stenting procedures—including local drug delivery with coated stents—and provides state-of-the-art information on local myocyte injection, distal protection devices, peripheral vascular intervention, and new adjunctive therapies. The concluding chapter previews future developments in the field.
"This is a Ph.D. dissertation. Role of Inflammation in the Pathogenesis of Restenosis, Local Drug Delivery Using Drug Eluting Stents, In Vitro Stent Implantation, Optimization of Local Methylprednisolone Delivery to Inhibit Inflammatory Reaction and Neointimal Hyperplasia of Coated Coronary Stents, Cytochalasin Polymer Coated Stents Reduce Neointimal Formation in a Porcine Coronary Model, Long-Term Biocompatibility Evaluation of a Biodegradable Polymer Coated Stent in a Porcine Coronary Stent Model, Methotrexate Loaded SAE-Coated Coronary Stents Reduce Neointimal Hyperplasia in a Porcine Coronary Model, Local Methylprednisolone Delivery Using a Biodivysio Phosphorycholone Coated Drug Delivery Stents Reduces Inflammation and Neointimal Hyperplasia in a Porcine Coronary Stent Model, Stent Based Dexamethasone Delivery: From Pre-Clinical Data to the Stride Trial, General Discussions and Conclusions."
This is a Ph.D. dissertation. Restenosis occurs in 10-50% of patients after PCI, thus remaining a major challenge. Restenosis after PCI is a complex, multifactorial, overlapping wound healing process involving a cascade of cellular and molecular events including platelet activation, inflammatory cell infiltration, smooth muscle cell proliferation, migration and extracellular matrix production. Recent evidence shows that inflammation, matrix metalloproteinases and free oxygen radicals all play a critical role in the restenosis process. Different approaches to prevent restenosis after PCI were studied in this work. Restenosis has been remarkably reduced in the last decade with the introduction...
"Nisoldipine, In-vitro effects of calcium channel blockers in reducing restenosis after balloon angioplasty and in retarding the progression of atherosclerosis, Usefulness of nisoldipine for prevention of restenosis after percutaneous transluminal coronary angioplasty, An updated meta-analysis of calcium channel blockers in the prevention of restenosis after coronary angioplasty, Late angiographic follow-up of dilated coronary lesions, Long-term effects of nioldipine on the progression of coronary atherosclerosis and the occurrence of clinical events: the NICOLE study, General Discussion, Final Conclusions and further directions."
This book constitutes the refereed proceedings of the First International Workshop on Functional Imaging and Modeling of the Heart, FIMH 2001, held in Helsinki, Finland, in November 2001.The 17 revised full papers presented together with four invited papers were carefully reviewed and selected for inclusion in the book. The papers are organized in topical sections on anatomical modeling, motion and deformation, functional imaging, and towards electromechanical modeling.