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Comparison of inflammatory response after implantation of sirolimus- and paclitaxel-eluting stents in porcine coronary arteries
Circulation, 07/02/09
Wilson GJ et al. – A high prevalence in a porcine model of diffuse granulomatous inflammation with sirolimus (CYPHER) stents, persisting at 180 days and associated with extensive artery remodeling, and persistent para-strut fibrin deposition with paclitaxel (TAXUS) stents emphasize the need for further sudy of biocompatibility with these and other novel combination drug/polymer drug-eluting stents.
Methods- Overlapping stents (CYPHER drug-eluting stents, Bx SONIC bare metal stents, TAXUS drug-eluting stents, Liberté bare metal stents) implanted in noninjured coronary arteries of 58 domestic swine
- Histopathologic study of proximal, overlapped, and distal stented segments
- Focus on inflammation at 30, 90, and 180 days
- Circumferential granulomatous inflammation in all stented segments defined as inflammation consisting of macrophages, multinucleated giant cells, lymphocytes, and granulocytes, including many eosinophils, adjacent to almost all struts
- Circumferential granulomatous inflammation more prevalent in CYPHER (9 of 23, 39%) vs TAXUS (1 of 21, 5%) and control bare metal stents (0 of 44) in combined 90- and 180-day cohorts
- Only CYPHER specimens showed marked adventitial inflammation and fibrosis with extensive remodeling
- Fibrin deposition within neointima and medial smooth muscle cell death greater in TAXUS vs CYPHER at 30 days, with more fibrin in TAXUS vs CYPHER through 90 days
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A selective endothelin-receptor antagonist to reduce blood pressure in patients with treatment-resistant hypertension: a randomised, double-blind, placebo-controlled trial
The Lancet, 10/27/09
Inflammatory mediators and premature coronary atherosclerosis in rheumatoid arthritis
Arthritis Care and Research , 11/03/09
Benefits and Difficulties in Measuring HDL Subfractions and Human Paraoxonase-1 Activity During Statin Treatment
Cardiovascular Drugs and Therapy, 11/03/09
Today in Inflammation...keeping you current
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Inflammatory mediators and premature coronary atherosclerosis in rheumatoid arthritis
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Acute Decline in Renal Function, Inflammation, and Cardiovascular Risk after an Acute Coronary Syndrome
Clinical Journal of the American Society of Nephrology, 11/13/09
Arterial stiffness and cumulative inflammatory burden in rheumatoid arthritis: A dose-response relationship independent of established cardiovascular risk factors
Rheumatology, 10/28/09
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Effectiveness of Two-Year Clopidogrel + Aspirin in Abolishing the Risk of Very Late Thrombosis After Drug-Eluting Stent Implantation (from the TYCOON [Two-Year ClOpidOgrel Need] Study)
The American Journal of Cardiology, 11/05/09
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European Heart Journal, 10/30/09
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American Family Physician, 11/12/09
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