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Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...

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Related Experiment Video

Updated: Jun 4, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
04:30

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Published on: May 14, 2013

Developments in coronary artery stenting: primum non nocere.

C Simsek1, P W Serruys

  • 1Department of Cardiology, Thoraxcenter Erasmus Medical Center, Rotterdam, The Netherlands.

Panminerva Medica
|February 25, 2011
PubMed
Summary

Coronary stents evolved from bare-metal to drug-eluting stents (DES) to prevent restenosis. Novel biodegradable stents are under investigation to address DES complications like thrombosis.

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Implantation of Human-Sized Coronary Stents into Rat Abdominal Aorta Using a Trans-Femoral Access
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Implantation of Human-Sized Coronary Stents into Rat Abdominal Aorta Using a Trans-Femoral Access

Published on: November 19, 2020

Related Experiment Videos

Last Updated: Jun 4, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
04:30

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Published on: May 14, 2013

Implantation of Human-Sized Coronary Stents into Rat Abdominal Aorta Using a Trans-Femoral Access
05:04

Implantation of Human-Sized Coronary Stents into Rat Abdominal Aorta Using a Trans-Femoral Access

Published on: November 19, 2020

Area of Science:

  • Interventional Cardiology
  • Biomaterials Science

Background:

  • Coronary artery stenting emerged in the 1980s to address restenosis and acute vessel closure post-angioplasty.
  • First-generation stents, while effective, caused side effects like in-stent neointimal hyperplasia.
  • Drug-eluting stents (DES) represent significant progress, with over 5 million global implantations anticipated this year.

Purpose of the Study:

  • To review the benefits and safety of current coronary stents.
  • To highlight novel coronary stents currently in preclinical and clinical trials.
  • To discuss the evolving landscape of coronary stent technology.

Main Methods:

  • Literature review of coronary stent development and clinical data.
  • Analysis of safety concerns and iatrogenic side effects associated with current stents.
  • Exploration of emerging stent technologies, including biodegradable options.

Main Results:

  • Current DES have reduced neointimal hyperplasia but present new concerns like stent fracture and hypersensitivity.
  • Potential links between DES and very-late stent thrombosis are a significant concern.
  • Novel stent designs, including biodegradable polymer DES and fully biodegradable stents, are under investigation.

Conclusions:

  • The evolution of coronary stents aims to improve efficacy while minimizing patient harm.
  • Ongoing research focuses on addressing the limitations of current DES.
  • Biodegradable stents represent a promising future direction in interventional cardiology.