Endothelial injury and its repair strategies after intravascular stents implantation.
10.7507/1001-5515.201612008
- Author:
Yadong XI
1
;
Yuhua HUANG
1
;
Ruolin DU
1
;
Yazhou WANG
1
;
Guixue WANG
1
;
Tieying YIN
1
Author Information
1. Key Laboratory for Biorheological Science and Technology of Ministry of Education, State and Local Joint Engineering Laboratory For Vascular Implants, Bioengineering College, Chongqing University, Chongqing 400044, P.R.China.
- Publication Type:Journal Article
- Keywords:
injury;
intravascular stents;
repair;
restenosis;
vascular endothelial cells
- From:
Journal of Biomedical Engineering
2018;35(2):307-313
- CountryChina
- Language:Chinese
-
Abstract:
Coronary atherosclerotic heart disease is a serious threat to human life and health. In recent years, the main treatment for it is to implant the intravascular stent into the lesion to support blood vessels and reconstruct blood supply. However, a large number of experimental results showed that mechanical injury and anti-proliferative drugs caused great damage after stent implantation, and increased in-stent restenosis and late thrombosis risk. Thus, maintaining the integrity and normal function of the endothelium can significantly reduce the rate of thrombosis and restenosis. Stem cell mobilization, homing, differentiation and proliferation are the main mechanisms of endothelial repair after vascular stent implantation. Vascular factor and mechanical microenvironmental changes in implanted sites have a certain effect on re-endothelialization. In this paper, the process of injury caused by stent implantation, the repair mechanism after injury and its influencing factors are expounded in detail. And repairing strategies are analyzed and summarized. This review provides a reference for overcoming the in-stent restenosis, endothelialization delay and late thrombosis during the interventional treatment, as well as for designing drug-eluting and biodegradation stents.
