Cardiac Stent - Electrical, Computer Biomedical …：心脏支架-电气，计算机与生物医学….pptVIP

Coronary Stent Megan French What is a Stent A small, mesh-like device made of metal Acts as a support or scaffold, in keeping the vessel open Stent helps to improve blood flow to the heart muscle and reduce the pain of angina 80% of patients who have balloon angioplasty will have a stent placed as well. Types Bare metal stents: Traditional method May have an increased rate of re-narrowing due to growth of scar tissue in the stent, a condition called Restenosis. Drug-eluting stents: -Combat Restenosis - Coated with medications that are slowly released to block the bodys ability to form scar tissue around the stent. The medication is delivered directly to the site of the artery blockage. History Percutaneous transluminal coronary angioplasty (PTCA) by Gruntzig in 1977 Puel and Sigwart, in 1986, deployed the first coronary stent to act as a scaffold In 2001, drug-eluting stents (DES) were introduced as a strategy to minimize restenosis Procedure First a catheter is inserted in the groin or arm. After the catheter is in place a wire will be guided through the artery until it reaches the blockage in the heart. A soft, flexible catheter tube will be slipped over the wire and threaded up to the blockage. The doctor will be taking x-ray pictures during the procedure and dye will be injected into the arteries of your heart. Once the blockage is reached, a small balloon at the tip of the catheter will be rapidly inflated and deflated. This will stretch the artery open. The collapsed stent will be inserted. The balloon will be inflated again to expand the stent to its full size. The stent will be left in place to hold the vessel walls open. The deflated balloon, catheter, and wire will be removed. Future Advancements The ReZolve? stent integrates a proprietary drug-eluting polymer and a novel design to create a stent with metal-like performance out of a polymer material. The stent restores