Microporous surface as a new solution for stent surface modification: A review

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Abstract

The introduction of coronary stents into clinical practice has reduced repeated patient visits compared with balloon angioplasty alone. Also, drug-eluting stents substantially reduced the restenosis incidence. Therefore, later complications related to the implantation of a stent coated with a cytostatic-containing polymer became more relevant. The mechanism of late stent complications is multifactorial. It is mainly due to the body's response to the prolonged indwelling of the drug carrier polymer on the coronary stent's surface. There is a trend towards the return of polymer-free drug coating technologies, which are implemented through certain modifications of stent surfaces for better drug retention and proper drug distribution. It is mainly achieved using drug depots in various reservoirs: grooves, nanoparticles in the matrix compound, micropores, through and blind micro reservoirs, etc. New promising technologies for crystallizing cytostatic drugs or depositing them in specially designed reservoirs show good preclinical and clinical results, comparable or even superior to approved coronary stents. Micropores as carriers for antiproliferative agents on the stent surface are a promising direction to rejecting the use of polymers in stents.

About the authors

Imomali H. Kamolov

Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: kamolovimomali@yandex.ru
ORCID iD: 0000-0002-8148-6510

doctor, Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

Dzhamil A. Asadov

Sechenov First Moscow State Medical University (Sechenov University)

Email: asadov_djamil@mail.ru
ORCID iD: 0000-0001-8635-0893

Cand. Sci. (Med.), Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

Tamara S. Sandodze

Sechenov First Moscow State Medical University (Sechenov University)

Email: doc.sandodze@mail.ru
ORCID iD: 0000-0003-4540-7747

Cand. Sci. (Med.), Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

Irina E. Chernysheva

Sechenov First Moscow State Medical University (Sechenov University)

Email: avstreyh@yahoo.com
ORCID iD: 0000-0002-9707-0691

Cand. Sci. (Med.), Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Stent micropores (PEARL surface).

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