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Chapter-067 Drug-eluting Stents: Differing Platforms and Outcome

BOOK TITLE: CSI: Cardiology Update 2014

Author
1. Ray Shuvanan
2. Rozario David
ISBN
9789351526186
DOI
10.5005/jp/books/12415_68
Edition
1/e
Publishing Year
2015
Pages
8
Author Affiliations
1. AMRI Hospital (Salt Lake), Kolkata, India, Fortis Hospital, Anandapur, Kolkata, India, Fortis Hospital, Kolkata, West Bengal, India, Fortis Hospitals, Kolkata, West bengal, India, Fortis Hospitals, Anandapur, Kolkata, West Bengal, India
2. Fortis Hospitals, Kolkata, West bengal, India
Chapter keywords
Drug-eluting stents, neointimal proliferation, nonpolymeric drug release, everolimus, novolimus, Sirolimus-eluting Stents, Zotarolimus-eluting Stent, Myolimus-eluting Stent, Biolimus A9-eluting Stents

Abstract

The components of the drug-eluting stents (DES) are: (1) delivery system, (2) platform, (3) polymer coating and (4) the drug. The drug aims to limit neointimal proliferation. The drug reservoir technology includes polymer technology (coating), reservoir technology and nonpolymeric drug release. Most of the currently available DES uses drugs that are analogous to the Limus family and include sirolimus, zotarolimus, everolimus, biolimus A9, novolimus and myolimus. In this chapter various DES such as Sirolimus-eluting Stents, Everolimus-eluting Stents, Zotarolimus-eluting Stent and Novolimus-eluting Stent with Durable Polymer, biodegradable polymers (Myolimus-eluting Stent with Biodegradable Polymer), polymer-free DES (Yukon®: Sirolimus-eluting Stents, BioFreedom™: Biolimus A9-eluting Stents, etc), platinum-chromium DES (PROMUS Element™, novel stent coatings) are discussed in detail.

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