Coronary AVE micro stents: Serial quantitative angiography and histology in a canine model
โ Scribed by Pomerantsev, Eugene V. ;Kim, Charles ;Kernoff, Robert S. ;Oesterle, Stephen N. ;Yeung, Alan ;Fitzgerald, Peter J. ;Virmani, Renu ;Yock, Paul G. ;Stertzer, Simon H.
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 939 KB
- Volume
- 41
- Category
- Article
- ISSN
- 0098-6569
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โฆ Synopsis
The AVE Micro Stent (AVE Inc., Santa Rosa, CA) is composed of helically welded 3 mm long, zigzag crowns with stent lengths from 6 to 39 mm and diameters from 2.5 to 4.5 mm. Quantitative coronary angiography and histologic analyses of acute and chronic implantation were obtained in 52 stented coronary segments of 18 dogs. Three hearts with 8 stented coronary segments were harvested after 24 hr, 3 hearts with 9 stented segments were harvested after 2 weeks, 6 hearts with 15 stented segments were harvested at 8 weeks, and 6 hearts with 20 stented segments were harvested at 24 weeks postdeployment. There were no procedural complications, deaths, or acute vessel closures. The average lumen diameter of the stented segment was largest at 2 weeks (3.3 6 0.3 mm). The smallest average diameters were observed at 8 weeks after the stent deployment (2.7 6 0.4, P F 0.05) with an increase again at 24 weeks (2.9 6 0.6). The pre-explant percent of stenosis was F30% in all animals. Histologically, a peak of inflammation was visible at 2 weeks; however, the extent of luminal narrowing reached its peak at 8 weeks and the lumen dimension increased somewhat at 24 weeks. The degree of intimal thickening remained relatively constant throughout the different time points (F200 mm). Overall, these data suggest that constrictive remodeling within the stented segment occurs at 8 weeks in this animal model. The later increase of the stented segment dimensions as well as higher net gain at 24 weeks compared to 8 weeks after deployment suggests that this constriction is a transitory phenomenon.
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