2013
DOI: 10.1002/jbm.a.34714
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Surface modification of implanted cardiovascular metal stents: From antithrombosis and antirestenosis to endothelialization

Abstract: Driven by the complications occurring with bare metal stents and drug-eluting stents, concerns have been raised over strategies for long-term safety, with respect to preventing or inhibiting stent thrombosis, restenosis, and in-stent restenosis in particularly. Surface modification is very important in constructing a buffer layer at the interface of the organic and inorganic materials and in ultimately obtaining long-term biocompatibility. In this review, we summarize the developments in surface modification o… Show more

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Cited by 85 publications
(61 citation statements)
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References 257 publications
(424 reference statements)
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“…Various surface treatments have been adopted, including mechanical and electrochemical treatments [12], chemical etching, heat treatments, conventional and plasma ion immersion implantation [13], laser and electron-beam irradiation and application of bioactive surfaces [14]. Kun Zhang et al provided an in-depth review of various vascular stent surface modifications and their role on enhancing biological properties by primarily focusing on endothelialization on stent materials [15]. …”
Section: Introductionmentioning
confidence: 99%
“…Various surface treatments have been adopted, including mechanical and electrochemical treatments [12], chemical etching, heat treatments, conventional and plasma ion immersion implantation [13], laser and electron-beam irradiation and application of bioactive surfaces [14]. Kun Zhang et al provided an in-depth review of various vascular stent surface modifications and their role on enhancing biological properties by primarily focusing on endothelialization on stent materials [15]. …”
Section: Introductionmentioning
confidence: 99%
“…Compared with polymer materials, metallic stents exhibit stable performance and therefore can provide preferable supporting strength. Nitinol (Ni-Ti), stainless steel (316L SS), cobalt-chromium (Co-Cr) alloy, tantalum (Ta), pure iron (Fe), platinum-iridium (Pt-Ir) alloy, and magnesium (Mg) alloys are the metallic biomaterials used for manufacturing stents5. Among these metallic stent materials, pure Fe and Mg alloys are the two metals that have been used for making biodegradable coronary stents6.…”
mentioning
confidence: 99%
“…Endothelialization of stents following implantation is a crucial step in healing of injury sites 14 , and as such, we investigated the effect of PPACK-NP on endothelial proliferation. Thrombin has previously been shown to promote wound healing through generation of VEGF, and with inhibition of thrombin being potentially detrimental to endothelialization.…”
Section: Discussionmentioning
confidence: 99%
“…Specific anti-thrombotic surface modifications with the addition of heparin and bivalirudin have shown promise in prior studies. 14,22 Of note, Zilver PTX was recently approved and is the first drug-eluting stent approved for treatment of peripheral arterial disease. 23 Unfortunately, drug-eluting devices are plagued by early thrombosis and require prolonged dual antiplatelet therapy with its attendant bleeding risks and costs.…”
Section: Discussionmentioning
confidence: 99%