Prevention of restenosis after coronary angioplasty: towards a molecular approach?

Abstract:

:Restenosis after coronary angioplasty, the main limitation of interventional cardiology, remains an unsolved issue. The failure to-date of all pharmacological attempts at prevention has prompted the development of alternative strategies. A mechanistic approach to the problem of restenosis is based on the assumption that creating a more satisfactory acute angioplasty result would reduce the development of restenosis. With the exception of coronary stenting, however, none of the new angioplasty devices have convincingly reached this goal. Furthermore, recent advances in the field of vascular biology have opened new avenues for a molecular approach of restenosis. Better understanding of the pathophysiology of restenosis, in conjunction with high-pace development of catheter, polymer, and virus technologies, provide opportunities to deliver agents--drugs, genes, or antisense oligonucleotides--locally, at the site of angioplasty to interfere specifically with the restenosis process. Some of these molecular strategies are currently being investigated in animal models. Clinical application of a molecular approach to prevent restenosis, however, will require close collaboration between physicians, molecular biologists, and bio-engineers.

journal_name

Fundam Clin Pharmacol

authors

Feldman LJ,Riessen R,Steg PG

doi

10.1111/j.1472-8206.1995.tb00259.x

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

8-16

issue

1

eissn

0767-3981

issn

1472-8206

journal_volume

9

pub_type

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