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학술저널
저자정보
조경훈 (전남대학교병원) Jeong Myung Ho (Department of Cardiology Chonnam National University Hospital Gwangju Korea.Department of Cardiolog) Park Dae Sung (Cardiovascular Research Center Chonnam National University Hospital Gwangju Korea.) Kim Moonki (Cardiovascular Research Center Chonnam National University Hospital Gwangju Korea.) Kim JungHa (Cardiovascular Research Center Chonnam National University Hospital Gwangju Korea.) Park Jun-Kyu (CGBio Co. Ltd. Seoul Korea.) Han Xiongyi (Department of Cardiology Chonnam National University Hospital Gwangju Korea.) Hyun Dae Young (Department of Cardiology Chonnam National University Hospital Gwangju Korea.) Kim Min Chul (Department of Cardiology Chonnam National University Hospital Gwangju Korea.Department of Cardiolog) Sim Doo Sun (Department of Cardiology Chonnam National University Hospital Gwangju Korea.Department of Cardiolog) Hong Young Joon (Department of Cardiology Chonnam National University Hospital Gwangju Korea.Department of Cardiolog) Kim Ju Han (Department of Cardiology Chonnam National University Hospital Gwangju Korea.Department of Cardiolog) Ahn Youngkeun (Department of Cardiology Chonnam National University Hospital Gwangju Korea.Department of Cardiolog)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.40
발행연도
2021.10
수록면
1 - 12 (12page)
DOI
10.3346/jkms.2021.36.e259

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Background: Titanium dioxide films exhibit good biocompatibility and may be effective as drug-binding matrices for drug-eluting stents. We conducted a mid-term evaluation of a novel polymer-free everolimus-eluting stent using nitrogen-doped titanium dioxide film deposition (TIGEREVOLUTION®) in comparison with a commercial durable polymer everolimus-eluting stent (XIENCE Alpine®) in a porcine coronary restenosis model. Methods: Twenty-eight coronary arteries from 14 mini-pigs were randomly allocated to TIGEREVOLUTION® stent and XIENCE Alpine® stent groups. The stents were implanted in the coronary artery at a 1.1?1.2:1 stent-to-artery ratio. Eleven stented coronary arteries in each group were finally analyzed using coronary angiography, optical coherence tomography, and histopathologic evaluation 6 months after stenting. Results: Quantitative coronary analysis showed no significant differences in the preprocedural, post-procedural, and 6-month lumen diameters between the groups. In the volumetric analysis of optical coherence tomography at 6 months, no significant differences were observed in stent volume, lumen volume, and percent area stenosis between the groups. There were no significant differences in injury score, inflammation score, or fibrin score between the groups, although the fibrin score was zero in the TIGEREVOLUTION® stent group (0 vs. 0.07 ± 0.11, P = 0.180). Conclusion: Preclinical evaluation, including optical coherence tomographic findings 6 months after stenting, demonstrated that the TIGEREVOLUTION® stent exhibited efficacy and safety comparable with the XIENCE Alpine® stent, supporting the need for further clinical studies on the TIGEREVOLUTION® stent.

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