Evaluation of recombinant hirudin (CGP 39,393/TMREVASC) in the prevention of restenosis after percutaneous transluminal coronary angioplasty. Rationale and design of the HELVETICA trial, a multicentre randomized double blind heparin controlled study.

Abstract:

:One of the main areas of interest in interventional cardiology is the understanding, and ultimate prevention of restenosis after an initially successful percutaneous transluminal coronary angioplasty. Restenosis is the recurrence of luminal narrowing following angioplasty, and still frustrates the late results in the treatment of angina pectoris. Experimental, pathological and clinical studies suggest that restenosis may occur via activation of the coagulation cascade, platelet activation and thrombus formation. Thrombin itself is identified as the most potent platelet activator, and has a pivotal role in the coagulation system. Furthermore, thrombin directly mediates smooth muscle cell proliferation by stimulating thrombin receptors at the smooth muscle cell surface. Thrombus indirectly induces excessive intimal smooth muscle cell proliferation by means of released mitogens (growth factors), which may contribute to late restenosis. Therefore direct and irreversible thrombin blockade by hirudin is deemed to be effective in the prevention of restenosis following angioplasty. The HELVETICA trial is a multicentre, randomized, double-blind heparin-controlled study, designed to compare the effects of two dose regimens of recombinant-hirudin (CGP 39,393/TMRevasc) with those of heparin on event-free survival, safety, tolerability and luminal renarrowing using quantitative coronary angiography no later than 26 weeks after the coronary angioplasty procedure.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Herrman JP,Simon R,Umans VA,Peerboom PF,Keane D,Rijnierse JJ,Bach D,Kobi P,Kerry R,Close P

doi

10.1093/eurheartj/16.suppl_l.56

subject

Has Abstract,Author List Incomplete

pub_date

1995-11-01 00:00:00

pages

56-62

eissn

0195-668X

issn

1522-9645

journal_volume

16 Suppl L

pub_type

临床试验,杂志文章,多中心研究,随机对照试验,评审
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    更新日期:1995-11-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章

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    更新日期:1997-07-01 00:00:00

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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: Molhoek GP,Laarman GJ,Lok DJ,Luz CM,Kingma JH,Van den Bos AA,Zijnen P,Bosma AH,Hertzberger DP,Takens LH

    更新日期:1995-07-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehv343

    authors: Samad Z,Shaw LK,Phelan M,Ersboll M,Risum N,Al-Khalidi HR,Glower DD,Milano CA,Alexander JH,O'Connor CM,Wang A,Velazquez EJ

    更新日期:2015-10-21 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:

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    更新日期:1991-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a060033

    authors: Gustavsson CG,Albrechtsson U,Forslind K,Ståhl E,White T

    更新日期:1992-01-01 00:00:00

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    pub_type: 杂志文章,meta分析,评审

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    更新日期:2007-04-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/10.suppl_b.38

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    更新日期:1989-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/j.ehj.2004.01.016

    authors: Pitt M,Dutka D,Pagano D,Camici P,Bonser R

    更新日期:2004-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a062543

    authors: Cattan S,Drobinski G,Artigou JY,Grogogeat Y,Cabrol C

    更新日期:1988-05-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/ehv487

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