Skip to main content

Stent-Implantation — Grundlagen, Pathophysiologie, Mechanik, medikamentöse Zusatztherapie

  • Conference paper
Stent-Implantationen und vaskuläre MR-Diagnostik
  • 28 Accesses

Zusammenfassung

Bereits 1969, also 5 Jahre nach Beschreibung der perkutanen transluminalen Angioplastie (PTA), beschrieb Dotter eine Technik, transluminal eine Metallspirale in ein Gefäß zu piazieren [9]. Er hatte bereits früh erkannt, daß die Angioplastie nicht in der Lage sein würde, alle Probleme bei Durchblutungsstörungen zu lösen. Die Idee wurde zunächst nicht weiter verfolgt. Erst Anfang der 80er Jahre erschienen die nächsten Publikationen zu diesem Thema: Maass berichtete über experimentelle Untersuchungen und auch über die erste erfolgreiche klinische Anwendung einer von ihm konzipierten, chirurgisch zu implantierenden Stahlspirale [21] (Abb. 1). Die wegbereitenden Arbeiten über perkutan implantierbare Stents erschienen Mitte der 80er Jahre [z.B. 4, 7, 28, 29, 40, 52] und führten zur Entwicklung verschiedener Stents, von denen einige vielfach erprobt und mittlerweile kommerziell erhältlich sind.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Austin GE, Ratliffe NB, Hollman J, Tabei S, Philipps DF (1985) Intimai proliferation of smooth muscle cells as an explanation for recurrent coronary artery stenosis after percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 6:369

    Article  PubMed  CAS  Google Scholar 

  2. Barth KH, Virmani R, Strecker EP, et al (1990) Flexible tantalum stents implanted in aortas and iliac arteries: effects in normal canines. Radiology 175:91

    PubMed  CAS  Google Scholar 

  3. Brown CH, Lemuth RF, Heliums JD, Leverett LB, Alfrey CP (1975) Response of human platelets to shear stress. Trans Am Soc Artif Intern Organs 21

    Google Scholar 

  4. Carrasco CH, Wallace S, Charnsangavey C, Richli W, Wright KC, Fanning T, Gianturco C (1985) Expandable biliary endoprosthesis: an experimental study. AJR 145:1279

    PubMed  CAS  Google Scholar 

  5. Chesebro JH, Lam JYT, Badimon L, Fuster V (1987) Restenosis after arterial angioplasty: a hemorrheologic response to injury. Am J Cardiol 60:10B-16B

    Article  PubMed  CAS  Google Scholar 

  6. Consigny PM, LeVeen RF (1988) Effects of angioplasty balloon inflation time on arterial contractions and mechanics. Invest Radiol 23:271

    Article  PubMed  CAS  Google Scholar 

  7. Cragg A, Lund G, Rysavy J, et al (1983) Nonsurgical placement of arterial endoprostheses: a new technique using nitinol wire. Radiology 147:261

    PubMed  CAS  Google Scholar 

  8. DePalma VA, Baier RE, Ford JW, GoccVC, Furuse A (1972) Investigation of three surface properties of several metals and their relation to blood compatibility. J Biomed Mater Res Symposium 3:37

    Article  CAS  Google Scholar 

  9. Dotter C (1969) Transluminal placed coil springs and arterial tube grafts: long-term patency in the canine popliteal. Invest Radiol 4:329

    Article  PubMed  CAS  Google Scholar 

  10. Duprat GK, Wright C, Charnsangavej C, Wallace S, Gianturco C (1987) Selfexpanding metallic stents for small vessels. An experimental evaluation. Radiology 162:469

    PubMed  Google Scholar 

  11. Faxon DP, Sanborn TA, Haudenschild CC, Ryan TJ (1984) Effect of antiplatelet therapy on restenosis after experimental angioplasty. Am J Cardiol 53:72c

    Google Scholar 

  12. Gillams A, Dick R, Dooley JS, Wallsten H, Eldin A (1990) Self-expandable stainless steel braided endoprosthesis for biliary strictures. Radiology 174:137

    PubMed  CAS  Google Scholar 

  13. Gross R (1990) Wie hoch dosiert man Aspirin (ASS)? Dtsch Ärzteblatt 87 (1990) B-1409

    Google Scholar 

  14. LoGerfo FW, Quist WL, Novak MD, Crawshaw HM, Haudenschild CC (1983) Downstream anastomotic hyperplasia. Ann Surg 197:479

    Article  PubMed  CAS  Google Scholar 

  15. Hasson JE, Megerman J, Abbott WM (1984) Postsurgical changes in arterial compliance. Arch Surg 119:788

    PubMed  CAS  Google Scholar 

  16. Irving JD, Adam A, Dick R, Dondelinger RF, Lunderquist A, Roche A (1989) Gianturco expandable metallic biliary stents: results of a European clinical trial. Radiology 172:172

    Google Scholar 

  17. Jakob H, Oelert H, Schmiedt W, et al (1989) Initial clinical experience with an endoluminal spiral prosthesis for treating complicated venous thrombosis and preventing pulmonary embolism. Tex Heart Instit J 16:87

    CAS  Google Scholar 

  18. Joffre F, Rousseau H (1989) Autoexpandable vascular endoprosthesis. In: Zeitler E, Seyferth W (eds) Pros and cons in PTA and auxiliary methods. Springer, Berlin Heidelberg New York Tokyo, pp 148–161

    Google Scholar 

  19. Knight RW, Kenney GJ, Lewis EE, Johnston CC (1984) Percutaneous transluminal angioplasty: results and surgical implications. AJS 147:578

    CAS  Google Scholar 

  20. Leung DY, Glagov S, Mathews MB (1976) Cyclic stretching stimulates synthesis of matrix components by arterial smooth muscle cells in vitro. Science 191:475

    Article  PubMed  CAS  Google Scholar 

  21. Maass D, Demiere D, Deaton D, Largiader F (1983) Transluminal implantation of self-adjusting expandable prosthesis: principles, techniques, and results. Prog Artif Organs 2:979

    Google Scholar 

  22. MacDonald RG, Panush RS, Pepine CJ (1987) Rationale for use of glucocorticoids in modification of restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol 60:56b–60b

    Article  PubMed  CAS  Google Scholar 

  23. Mullins CE, O’Laughlin MP, Vick III GW, et al (1988) Implantation of balloon-expandable intravascular grafts by catheterization in pulmonary arteries and systemic veins. Circulation 77:188

    Article  PubMed  CAS  Google Scholar 

  24. Nöldge G, Richter GM, Siegerstetter V, Garcia O, Palmaz JC (1990) Tierexperimentelle Untersuchungen über den Einfluß der Flußrestriktion auf die Thrombogenität des Palmaz-Stentes mittels 111 Indium-markierter Thrombozyten. RÖFO 152:264

    PubMed  Google Scholar 

  25. Noishiki Y (1976) Pattern of arrangement of smooth muscle cells in neointimae of synthetic vascular prostheses. J Thorac Cardiovasc Surg 75:894

    Google Scholar 

  26. Okuhn SP, Conelly DP, Calakos C, Ferell L, Man-Xiang P, Goldstone J (1989) Does compliance mismatch alone cause neointimal hyperplasia? J Vasc Surg 9:35

    PubMed  CAS  Google Scholar 

  27. Palmaz JC (1988) Balloon-expandable intravascular stent. AJR 150:1263

    PubMed  CAS  Google Scholar 

  28. Palmaz JC, Sibbin RR, Reuter SR, Tio FO, Rice WJ (1985) Expandable intraluminal graft: a preliminary study. Radiology 156:73

    PubMed  CAS  Google Scholar 

  29. Palmaz JC, Sibbitt RR, Reuter S, et al (1985) Expandable intrahepatic portacaval shunt stents: early experience in the dog. AJR 145:821

    PubMed  CAS  Google Scholar 

  30. Palmaz JC, Sibbitt RR, Tio FO, Reuter SR, Peters JE, Garcia F (1986) Expandable intraluminal vascular graft: a feasibility study. Surgery 99:199

    PubMed  CAS  Google Scholar 

  31. Palmaz JC, Kopp DT, Hayashi H, et al (1987) Normal and stenotic renal arteries: experimental balloon-expandable intraluminal stenting. Radiology 164:705

    PubMed  CAS  Google Scholar 

  32. Palmaz JC, Windeier SA, Garcia F, Tio FO, Sibbitt RR, Reuter S (1986) Atherosclerotic rabbit aortas: expandable intraluminal grafting. Radiology 160:723

    PubMed  CAS  Google Scholar 

  33. Palmaz JC, Garcia O, Kopp DT, et al (1989) Balloon-expandable intraarterial stents: effect of antithrombotic medication on thrombus formation. In: Zeitler E, Seyferth W (eds) Pros and cons in PTA and auxiliary methods. Springer, Berlin Heidelberg New York Tokyo, pp 70–78

    Google Scholar 

  34. Rabkin JH (1989) Endovascular prosthesis: experimental study and clinical use. In: Zeitler E, Seyferth W (eds) Pros and cons in PTA and auxiliary methods. Springer, Berlin Heidelberg New York Tokyo, pp 139–147

    Google Scholar 

  35. Richter GM, Palmaz JC, Nöldge G, et al (1989) Der transjuguläre intrahepatische portosystemi-sche Stent-Shunt (TIPSS). Radiologe 29:406

    PubMed  CAS  Google Scholar 

  36. Rittgers SE, Karayannakos PE, Guy JF, et al (1978) Velocity distribution and intimai proliferation in autologous vein grafts in dogs. Circ Res 42:792

    PubMed  CAS  Google Scholar 

  37. Rodgers GP, Minor ST, Robinson K, et al (1990) Adjuvant therapy for intracoronary stents. Circulation 82:560

    Article  PubMed  CAS  Google Scholar 

  38. Roubin GS, Robinson KA, King SB III, et al (1987) Early and late results of intracoronary arterial stenting after coronary angioplasty in canines. Circulation 76:891

    Article  PubMed  CAS  Google Scholar 

  39. Ross R, Glomset JA, Kariya B, Harker LA (1974) A platelet dependend factor that stimulates the proliferation of arterial smooth muscle cells in vitro. Proc Natl Acad Sci USA 71:1207

    Article  PubMed  CAS  Google Scholar 

  40. Rousseau H, Puel J, Joffre F, et al (1987) Self-expanding endovascular prosthesis: an experimental study. Radiology 164:709

    PubMed  CAS  Google Scholar 

  41. Sarembock IJ, LaVeau PJ, Sigal SL, et al (1989) Influence of inflation pressure and balloon size on the development of intimai hyperplasia after balloon angioplasty. Circulation 80:1029

    Article  PubMed  CAS  Google Scholar 

  42. Sawyer PN, Page JW (1953) Bio-electric phenomena as an etiologic factor in intravascular thrombosis. Am J Physiol 175:103

    PubMed  CAS  Google Scholar 

  43. Schatz RA (1989) A view of vascular stents. Circulation 79:445

    Article  PubMed  CAS  Google Scholar 

  44. Schatz RA, Palmaz JC, Tio FO, et al (1987) Balloon-expandable intracoronary stents in the adult dog. Circulation 76:450

    Article  PubMed  CAS  Google Scholar 

  45. Schild H, Schmied W, Irving D (1989) Perkutane Implantation einer endovaskulären Gianturco-Prothese bei V subclavia-Verschluß. RÖFO 151:120

    PubMed  CAS  Google Scholar 

  46. Schultz JS, Lindenauer SM, Penner JA, Barenberg S (1980) Determinants of thrombus formation on surfaces. Trans Am Soc Artif Intern Organs 26:279

    PubMed  CAS  Google Scholar 

  47. Schwartz SM, Campbell GR, Campbell JH (1986) Replication of smooth muscle cells in vascular disease. Circ Res 58:427

    PubMed  CAS  Google Scholar 

  48. Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L (1987) Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med 316:701

    Article  PubMed  CAS  Google Scholar 

  49. Spaet TH, Stemerman MB, Veith FJ, Lejnieks I (1975) Intimai injury and regrowth in the rabbit aorta. Circ Res 36:58

    PubMed  CAS  Google Scholar 

  50. Spence RK, Freiman DB, Gatenby R, Hobbs CZ (1981) Long-term results of transluminal angioplasty of the iliac and femoral arteries. Arch Surg 116:1377

    PubMed  CAS  Google Scholar 

  51. Stemerman MB, Spaet TH, Pitlick F, Cintron J, Lejnieks I, Tiell ML (1977) Intimai healing. Am J Pathol 87:125

    PubMed  CAS  Google Scholar 

  52. Strecker EP, Berg G, Weber H, Bohl M, Schneider B (1987) Experimentelle Untersuchungen mit einer neuen perkutan einführbaren und aufdehnbaren Gefäßendoprothese. RÖFO 147: 669

    PubMed  CAS  Google Scholar 

  53. Strecker EP, Liermann D, Barth KH, et al (1990) Expandable tubular stents for treatment of arterial occlusive disease: experimental and clinical results. Radiology 175:97

    PubMed  CAS  Google Scholar 

  54. Sutton CS, Tominaga R, Harasaki H, et al (1990) Vascular stenting in normal and atherosclerotic rabbits, Circulation 81:667

    Article  PubMed  CAS  Google Scholar 

  55. Wallace S, Charnsangavej C, Ogawa K, et al (1986) Tracheobronchial tree. Expandable metallic stents used in experimental and clinical applications. Radiology 158:309

    PubMed  CAS  Google Scholar 

  56. Waller BF, Orr CM, Pinkerton CA, et al (1990) Morphologic observations late after coronary balloon angioplasty: mechanisms of acute injury and relationship to restenosis. Radiology 174: 961

    PubMed  CAS  Google Scholar 

  57. Wilentz JR, Sanborn TA, Haudenschild CC, Valeri CR, Ryan TJ, Faxon DP (1989) Platelet accumulation in experimental angioplasty: time course and relation to vascular injury. Circulation 75:636

    Article  Google Scholar 

  58. Winfrey EW, Foster JH (1962) Prevention of arterial thrombosis with a negatively charged wire suture. Surg Forum 13:229

    PubMed  Google Scholar 

  59. Wright KC, Wallace S, Charnsangavey C, Carrasco H, Gianturco C (1985) Percutaneous endo-vascular stents: an experimental evaluation. Radiology 156:69

    PubMed  CAS  Google Scholar 

  60. Zeitler E, Richter EG, Roth FJ, Schoop W (1983) Results of percutaneous transluminal angioplasty. Radiology 145:57

    Google Scholar 

  61. Zollikofer CL (1988) Perkutane Implantation endovaskulärer Prothesen. In: Günther R, Thelen M (Hrsg) Interventionelle Radiologie. Thieme, Stuttgart

    Google Scholar 

  62. Zollikofer CL, Largiader I, Bruhlmann WF, et al (1988) Endovascular stenting of veins and grafts: preliminary clinical experience. Radiology 167:707

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Schild, H. (1991). Stent-Implantation — Grundlagen, Pathophysiologie, Mechanik, medikamentöse Zusatztherapie. In: Friedmann, G., Gross-Fengels, W., Neufang, K.F.R. (eds) Stent-Implantationen und vaskuläre MR-Diagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76807-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-76807-1_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76808-8

  • Online ISBN: 978-3-642-76807-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics