edited by
Patrick W. Serruys
and Anthony H. Gershlick
Over the past few years, the focus in interventional cardiology research has centered on reducing restenosis with the use of antiproliferative pharmacological agents.
The use of these drugs, hitherto, has failed, most probably because of low active drug levels at the target site.
This problem led to the development of local drug delivery using stents, since they can serve as a reservoir for local drug administration and are in immediate contract with the coronary artery wall, thus ensuring maximum delivery of the pharmacological agent.
Drug-eluting stents provide an entirely new spectrum of potential therapies for restenosis.
Drug Eluting Stents Handbook provides the reader with up-to-date information on which stents and pharmacological agents in use or about to be launched, the kinetics of the drugs involved, and what the future may hold.
Contents:
- Historical Notes of Early Failures and Later Successes with Local Drug Delivery
- The Clinical Problem of Restenosis
- Histopathology of Restenosis Cellular Mechanism of Restenosis, with Conventional Dogma And Novel Therapies
- Molecular Basis of Restenosis: Potential Target and Agents for Local Drug Delivery
- Principles and Kinetics of Stent-Based Drug Elution
- Importance of the Toxic/Therapeutic Window
- Importance of the Polymer
- The Importance of the Drug Platform: Coated, Uncoated, Sleeves, and New Concepts
- Cypher Programme of Cordis/Johnson & Johnson
- Rapamycin Structures and Mechanism of Action
- Rapamycin: Preclinical Studies
- Non-Randomized Registries for De Novo Lesion (FIM) and Instent Restenosis
- Randomized Trial (RAVEL) and Further Clinical Developments (SIRIUS)
- Quanam Programme with Taxol Derivative (PILOT Study and SCORE Trial)
- Taxus Programme of Boston Scientific
- Paclitaxel Structures and Mechanism of Action
- Preclinical Studies for the Taxus Programme
- Non-Randomized Registries for De Novo Lesion (TAXUS I) and Instent Restenosis (TAXUSIII)
- Randomized Trial (TAXUS II And IV) and Further Clinical Developments
- The Cook Inc Paclitaxel Programme
- Preclinical Studies
- Clinical Programme
- Aspect Patency Elutes and Future Studies
- VEGF
- The Guidant Actinomycin-D/Pharmalink Programme
- Actinomycin Structures and Mechanisms of Action
- Actinomycin: Preclinical Studies
- Randomized Trial (ACTION, Europe; and OPEN USA) and Further Clinical Developments
- The Biodivisio Programme
- Angiopeptin: Mode of Action, Preclinical and Clinical Studies (SWAN)
- Batimastat: Mode of Action, Preclinical and Clinical Studies (BRILLIANT)(BATMAN)(ROBIN)(DISTINCT)
- Matrix Compounds
- Dexamethasone: Mode of Action, Preclinical and Clinical Studies (STRIDE)
- 17-Beta-Estradiol
- Medtronic Programme
- Antisense Oligonucleotides Against C-Myc (AVI4126 Biopharma): Current Status and Future
- Developments
- Orbus Programme of Eluting Stents
- Igaki Tamai Programme
- Biodegradable Stent (Tranilast and Inhibitors of Tyrosine Kinase)
- Terumo Programme
- Terumo Statin Releasing Stent (Preclinical Results)
- JOMED Programme
- Potential Agents in Development
- Halofuginone, a Collagen Inhibitor
Index