Drug-eluting stents: from evidence to policy.

Abstract:

:Drug-eluting stents are a major breakthrough in cardiology, with the Cypher (Cordis Corporation) and Taxus (Boston Scientific) stents preventing 60-70% of repeat coronary revascularizations, compared with bare metal stents. Both evidence- and risk-based application of drug-eluting stents is expected to create relevant financial and equity problems to most public hospitals, as the cost of drug-eluting stents is over 1000 higher than traditional stents. In the perspective of third-party payers, drug-eluting stents are cost-effective revascularization strategies for a large portion of patients actually undergoing stenting. However, adequate guidelines and reimbursement strategies are still awaited in several countries.

journal_name

Expert Rev Med Devices

authors

Marchetti M

doi

10.1586/17434440.1.1.49

keywords:

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

49-63

issue

1

eissn

1743-4440

issn

1745-2422

journal_volume

1

pub_type

杂志文章,评审
  • Evaluation of Pipeline Flex delivery system for the treatment of unruptured aneurysms.

    abstract:INTRODUCTION:Refinements in endovascular technology have revolutionized the treatment of intracranial aneurysms (IAs) with the development of flow-diversion technology. The first generation of the Pipelin Embolization Device (PED) has demonstrated its safety and efficacy. However, the deployment technique was a difficu...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2016.1231573

    authors: Aguilar-Salinas P,Brasiliense LB,Gonsales D,Mitchell B,Lima A,Sauvageau E,Hanel R

    更新日期:2016-10-01 00:00:00

  • Thermal scalpel to target cancer.

    abstract::Nanotechnology is increasingly applied to the field of medicine, particularly for the treatment of cancer. In this regard, gold nanoparticles can mediate hyperthermia induction and kill tumor cells upon laser irradiation, thereby functioning as a 'thermal scalpel'. Recent developments in gold nanoparticle design have ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.2.131

    authors: Everts M

    更新日期:2007-03-01 00:00:00

  • Infection prevention methodologies for lower extremity total joint arthroplasty.

    abstract::Despite advances in our understanding of surgical site infections following total joint arthroplasty, this serious surgical complication continues to represent a substantial economic burden for the patient, the treating institution and the healthcare system. After increasing for the past decade, infection rates have s...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.12.76

    authors: Kapadia BH,Pivec R,Johnson AJ,Issa K,Naziri Q,Daley JA,Mont MA

    更新日期:2013-03-01 00:00:00

  • Differential effects of public and private funding in the medical device industry.

    abstract:INTRODUCTION:Funding for scientific advancement comes from two dominant sources: public funds used to generate knowledge, and private sector funds in the pursuit of commercial products. It is unclear how to compare the outputs of these two financial mechanisms because both sectors are motivated by common goods but are ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1419866

    authors: Kang HD,Edelman ER,Ku DN

    更新日期:2018-02-01 00:00:00

  • Device profile of the MobiusHD EVBA system for the treatment of resistant hypertension: overview of its mechanism of action, safety and efficacy.

    abstract:INTRODUCTION:Early promising results of renal nerve denervation awakened interest in developing medical device alternatives for patients with resistant hypertension. The subsequent sham-controlled renal nerve denervation randomized trials were disappointing leading researchers and innovators to explore alternative devi...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1779054

    authors: Bates MC,Stone GW,Chen CY,Spiering W

    更新日期:2020-07-01 00:00:00

  • The Visible Heart® project and methodologies: novel use for studying cardiac monophasic action potentials and evaluating their underlying mechanisms.

    abstract:INTRODUCTION:This review describes the utilization of Visible Heart® methodologies for electrophysiologic studies, specifically in the investigation of monophasic action potential (MAP) recordings, with the aim to facilitate new catheter/device design and development that may lead to earlier diagnosis, treatment, and u...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2018.1493922

    authors: Schmidt MM,Iaizzo PA

    更新日期:2018-07-01 00:00:00

  • Improving retrieval rates for retrievable inferior vena cava filters.

    abstract::The introduction of retrievable inferior vena cava (IVC) filters was an important step in the evolution of deep vein thrombosis/pulmonary embolism management. Their removability makes them preferred to permanent filters in many cases. IVC filter retrieval often occurs at a suboptimal rate, leading to complications ass...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.12.65

    authors: Dixon A,Stavropoulos SW

    更新日期:2013-01-01 00:00:00

  • Wearable sensors to improve detection of patient deterioration.

    abstract:INTRODUCTION:Monitoring a patient's vital signs forms a basic component of care, enabling the identification of deteriorating patients and increasing the likelihood of improving patient outcomes. Several paper-based track and trigger warning scores have been developed to allow clinical evaluation of a patient and guida...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1563480

    authors: Joshi M,Ashrafian H,Aufegger L,Khan S,Arora S,Cooke G,Darzi A

    更新日期:2019-02-01 00:00:00

  • From drug eluting stents to bioresorbable scaffolds; to new horizons in PCI.

    abstract::Drug eluting stents and particularly the fully bioresorbable drug-eluting scaffolds herald a new era in percutaneous treatment of coronary artery disease. There has been tremendous progress in drug eluting stents with fully biodegradable coating polymers and polymer-free devices with reservoir technology planting the ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1143356

    authors: Tenekecioglu E,Bourantas C,Abdelghani M,Zeng Y,Silva RC,Tateishi H,Sotomi Y,Onuma Y,Yılmaz M,Serruys PW

    更新日期:2016-01-01 00:00:00

  • Innovative developments of the heart valves designed for use in ventricular assist devices.

    abstract::Prosthetic heart valves are routinely used for replacing diseased natural heart valves. Even today, after five decades of prosthetic heart valve development, in the authors opinion the main problem associated with these valves is the risk of thromboembolic complications caused by unnatural hemodynamics. Further growin...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.1.61

    authors: Goubergrits L,Affeld K,Kertzscher U

    更新日期:2005-01-01 00:00:00

  • Advances in temporary mechanical support for treatment of cardiogenic shock.

    abstract::Mechanical circulatory support devices are the mainstay of treatment for severe cardiogenic shock refractory to pharmacologic therapy. Their evolution over the past few decades has been remarkable with a common theme of developing reliable, less bulky and more easily percutaneously implantable devices. The goal of thi...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.1086265

    authors: Koprivanac M,Kelava M,Soltesz E,Smedira N,Kapadia S,Brzezinski A,Alansari S,Moazami N

    更新日期:2015-01-01 00:00:00

  • Miniaturization of left ventricular assist devices: the ongoing trend.

    abstract::The shortage of appropriate donor hearts and the expanding pool of patients waiting for a heart transplantation have led to growing interest in alternative strategies, particularly in mechanical circulatory support. With expanding clinical experience and continued technical advances, continuous-flow pumps are evolving...

    journal_title:Expert review of medical devices

    pub_type: 历史文章,杂志文章,评审

    doi:10.1586/erd.11.62

    authors: Garbade J,Bittner HB,Lehmann S,Mohr FW,Barten MJ

    更新日期:2012-01-01 00:00:00

  • Recent advances in imaging technologies for assessment of retinal diseases.

    abstract:INTRODUCTION:Retinal imaging is a key investigation in ophthalmology. New devices continue to be created to keep up with the demand for better imaging modalities in this field. This review looks to highlight current trends and the future of retinal imaging. AREAS COVERED:This review looks at the advances in topographi...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1816167

    authors: Soomro T,Shah N,Niestrata-Ortiz M,Yap T,Normando EM,Cordeiro MF

    更新日期:2020-10-01 00:00:00

  • Creating a wearable artificial kidney: where are we now?

    abstract::A wearable and, ultimately, an implantable artificial kidney is a long-held aim in the treatment of patients with end-stage renal disease, provided that it would combine continuous blood purification, preventing the fluctuations in the internal environment associated with hemodialysis, while maintaining a high efficie...

    journal_title:Expert review of medical devices

    pub_type: 社论

    doi:10.1586/17434440.2015.1053466

    authors: Kooman JP,Joles JA,Gerritsen KG

    更新日期:2015-07-01 00:00:00

  • Autofluorescence imaging videobronchoscopy in the detection of lung cancer: from research tool to everyday procedure.

    abstract::Autofluorescence imaging videobronchoscopy (AFI) is one of the new systems of autofluorescence bronchoscopy designed for thorough examination of bronchial mucosa. The integration of autofluorescence and videobronchoscopy provides clear images of normal and pathologically altered bronchial mucosa. Major indications for...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/erd.10.92

    authors: Zaric B,Perin B,Becker HD,Herth FF,Eberhardt R,Djuric M,Djuric D,Matijasevic J,Kopitovic I,Stanic J

    更新日期:2011-03-01 00:00:00

  • COVID-19: ensuring our medical equipment can meet the challenge.

    abstract::To predict the spread of coronavirus disease globally and consequently prepare the hospital facilities with the required technology is a challenge. The availability of essential medical equipment to support patients affected by Covid-19 is globally limited. Areas covered This perspective gives a technical view of the ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1772757

    authors: Garzotto F,Ceresola E,Panagiotakopoulou S,Spina G,Menotto F,Benozzi M,Casarotto M,Lanera C,Bonavina MG,Gregori D,Meneghesso G,Opocher G

    更新日期:2020-06-01 00:00:00

  • Computer-aided design and manufacturing of surgical templates and their clinical applications: a review.

    abstract:INTRODUCTION:The surgical template is a guide aimed at directing the implant placement, tumor resection, osteotomy and bone repositioning. Using it, preoperative planning can be transferred to the actual surgical site, and the precision, safety and reliability of the surgery can be improved. However, the actual workflo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2016.1218758

    authors: Chen X,Xu L,Wang W,Li X,Sun Y,Politis C

    更新日期:2016-09-01 00:00:00

  • Current and future developments in artificial muscles using electroactive polymers.

    abstract::For decades, electroactive polymers received relatively little attention due to their limited actuation capability. However, in the last 15 years, a series of electroactive polymer materials have emerged that produce a significant shape or size change in response to electrical stimulation. These materials have the clo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.6.731

    authors: Bar-Cohen Y

    更新日期:2005-11-01 00:00:00

  • Developments in dosing aids and adherence devices for glaucoma therapy: current and future perspectives.

    abstract::Glaucoma is a leading cause of blindness worldwide. Currently, topical drops are the mainstay of treatment for patients who suffer from this chronic disease. Adherence to topical therapy is known to be affected by forgetfulness, frequent dosing requirements and physical limitations. Dosing and adherence aids are desig...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.2.261

    authors: Kahook MY

    更新日期:2007-03-01 00:00:00

  • Surface coatings for ventricular assist devices.

    abstract::This article focuses on the surface engineering of ventricular assist devices (VADs) for the treatment of heart failure patients, which involves the modification of surfaces contacting blood in order to improve the blood compatibility (hemocompatibility) of the VADs. Following an introduction to the categorization and...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.6.1.51

    authors: Sin DC,Kei HL,Miao X

    更新日期:2009-01-01 00:00:00

  • Cardiac rhythm management devices in a magnetic resonance environment.

    abstract::MRI is the gold standard diagnostic tool for soft tissue imaging for many specialties. An impressive body of research has proven the effectiveness of cardiac rhythm management devices (CRMDs) objectively, in terms of parameters that include patient's quality of life, morbidity, and mortality. However, interaction betw...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.882228

    authors: Fanourgiakis J,Kanoupakis E

    更新日期:2014-03-01 00:00:00

  • Catheter directed interventions for pulmonary embolism: current status and future prospects.

    abstract::Introduction: Catheter directed interventions (CDIs) have evolved over the past decade in an attempt to reduce the complications of systemic thrombolysis, while providing equivalent therapeutic benefits.Areas covered: CDIs include a wide array of catheters that incorporate ultrasound technology, the infusion of thromb...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1714432

    authors: Abou Ali AN,Saadeddin Z,Chaer RA,Avgerinos ED

    更新日期:2020-02-01 00:00:00

  • Hemodialysis machine technology: a global overview.

    abstract::The market for hemodialysis machines, the background, the current products of manufacturers and the features of hemodialysis machines are described in this article. In addition to the established companies and their products, Chinese manufacturers, and new developments for home hemodialysis, are outlined based on publ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.54

    authors: Polaschegg HD

    更新日期:2010-11-01 00:00:00

  • Systematic review of various laser intervention strategies for proliferative diabetic retinopathy.

    abstract::Diabetic retinopathy (DR) is a common complication of diabetes. DR obstructs blood supply to the retina and has serious and long-lasting detrimental effects on quality of life. Panretinal photocoagulation, a laser surgical intervention, is advocated for early treatment of DR to prevent visual loss; however, results fr...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.953057

    authors: Luo D,Zheng Z,Xu X,Fan Y,Zhu B,Liu K,Wang F,Sun X,Zou H,Xia X

    更新日期:2015-01-01 00:00:00

  • Clinical potential of implantable wireless sensors for orthopedic treatments.

    abstract:INTRODUCTION:Implantable wireless sensors have been used for real-time monitoring of chemicals and physical conditions of bones, tendons and muscles to diagnose and study orthopedic diseases and injuries. Due to the importance of these sensors in orthopedic care, a critical review, which not only analyzes the underlyin...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2018.1454310

    authors: Karipott SS,Nelson BD,Guldberg RE,Ong KG

    更新日期:2018-04-01 00:00:00

  • Consumer sleep tracking devices: a review of mechanisms, validity and utility.

    abstract::Consumer sleep tracking devices such as fitness trackers and smartphone apps have become increasingly popular. These devices claim to measure the sleep duration of their users and in some cases purport to measure sleep quality and awaken users from light sleep, potentially improving overall sleep. Most of these device...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1171708

    authors: Kolla BP,Mansukhani S,Mansukhani MP

    更新日期:2016-05-01 00:00:00

  • Strategies for replacing non-invasive brain stimulation sessions: recommendations for designing neurostimulation clinical trials.

    abstract:INTRODUCTION:Despite the potential impact of missed visits on the outcomes of neuromodulation treatments, it is not clear how this issue has been addressed in clinical trials. Given this gap in the literature, we reviewed articles on non-invasive brain stimulation in participants with depression or chronic pain, and in...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2017.1352470

    authors: Thibaut A,O'Brien AT,Fregni F

    更新日期:2017-08-01 00:00:00

  • Scaffolds for liver tissue engineering.

    abstract::This review focuses on the expanding role for biomaterials and polymer scaffolds in liver tissue engineering. Studies are subdivided into in vitro and in vivo approaches. The in vitro section of the review discusses the challenges specific to liver tissue engineering, and how the choice of scaffold and its structure i...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.3.1.21

    authors: Hammond JS,Beckingham IJ,Shakesheff KM

    更新日期:2006-01-01 00:00:00

  • Continuous-flow left ventricular assist device implantation in patients with preexisting mechanical mitral valves: a systematic review.

    abstract::Introduction: A preexisting mechanical mitral valve (MMV) is thought to be a thrombogenic risk factor after continuous-flow left ventricular assist device (CF-LVAD) implantation. We sought to evaluate the management and outcomes of preexisting MMVs in patients following CF-LVAD implantation.Areas covered: An electroni...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2020.1754190

    authors: Gordon JS,O'Malley TJ,Maynes EJ,Wood CT,Kalantri N,Morris RJ,Samuels LE,Massey HT,Tchantchaleishvili V

    更新日期:2020-05-01 00:00:00

  • Robot-assisted total hip arthroplasty.

    abstract::Precise and accurate biomechanical reconstruction during total hip arthroplasty (THA) is essential for durable long-term survivorship. Accurate fit of cementless hip implants is also crucial to reduce micromotion between the bone-implant interfaces to allow for stable osseointegration. Robotic technology aims to minim...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1124018

    authors: Banerjee S,Cherian JJ,Elmallah RK,Pierce TP,Jauregui JJ,Mont MA

    更新日期:2016-01-01 00:00:00