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词条 Bare-metal stent
释义

  1. Examples

  2. See also

  3. References

  4. External links

{{Infobox interventions |
  Name        = Bare-metal stent |  Image       = Stent1 fcm.jpg |  Caption     = A stent diagonally from the front |  ICD10       = |  ICD9        = {{ICD9proc|00.63}}, {{ICD9proc|36.06}}, {{ICD9proc|39.90}} |  MeshID      = |  OPS301      = |  OtherCodes  = |  HCPCSlevel2 =

}}Bare-metal stent is a stent without a coating or covering (as used in covered stents drug-eluting stents). It is a mesh-like tube of thin wire. The first stents licensed for use in cardiac arteries were bare metal – often 316L stainless steel. More recent ('2nd generation') stents use cobalt chromium alloy.[1] The first stents used in gastrointestinal conditions of the esophagus, gastroduodenum, biliary ducts, and colon were plastic; bare metal stents were first brought into the clinic in the 1990s.[2]

Drug-eluting stents are often preferred over bare-metal stents because the latter carry a higher risk of restenosis, the growth of tissue into the stent resulting in vessel narrowing.[3]

Examples

  • Stainless steel: R stent (OrbusNeich), Genous Bio-engineered R stent (OrbusNeich), (J&J, Cordis) BxVelocity, (Medtronic) Express2, Matrix Stent (Sahajanand Medical technologies)
  • Cobalt-chromium alloy: Vision (Abbott Vascular); MP35N Driver stent (Medtronic)[4]
  • Platinum chromium alloy: Omega BMS (Boston Scientific)[4]

See also

  • Angioplasty
  • Coronary stent
  • Percutaneous coronary intervention

References

1. ^Nikam N et al. Advances in stent technologies and their effect on clinical efficacy and safety. Med Devices (Auckl). 2014 Jun 3;7:165-78. {{PMID|24940085}} {{PMC|4051714}}
2. ^Park JS, Jeong S, Lee DH. Recent Advances in Gastrointestinal Stent Development. Clin Endosc. 2015 May; 48(3): 209–215. {{PMID|26064820}} {{PMC|4461664}}
3. ^Palmerini T et al. Long-Term Safety of Drug-Eluting and Bare-Metal Stents: Evidence From a Comprehensive Network Meta-Analysis. J Am Coll Cardiol. 2015 Jun 16;65(23):2496-507. {{PMID|26065988}}. Lay summary
4. ^Jorge C, Dubois C Clinical utility of platinum chromium bare-metal stents in coronary heart disease. Med Devices (Auckl). 2015 Aug 27;8:359-67. {{PMID|26345228}} {{PMC|4556305}}

External links

  • [https://web.archive.org/web/20110521214924/http://biomed.brown.edu/Courses/BI108/BI108_2004_Groups/Group05/Drug%20Eluting%20Stents/bare_metal_stents.htm Bare Metal Stents] – Brown University
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2 : Implants (medicine)|Interventional cardiology

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