Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A
The contemporary issue of in-stent restenosis is reviewed in the article. The widespread use of interventional technologies for the treatment of acute and chronic forms of ischemic heart disease led to the appearance of the problem of coronary artery restenosis at the implantation site. The problem...
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TOV Chetverta Khvylia
2019-10-01
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Online Access: | http://csic.com.ua/images/pdf/2019/3-2019/pathogenetic-mechanism-of-stented-coronary-arteries-restenosis.pdf |
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doaj-f8ae37c8985e49369ee12144f78c0ef52020-11-25T02:06:56ZengTOV Chetverta KhvyliaKardìohìrurgìâ ta Intervencìjna Kardìologìâ2305-31272019-10-013142110.31928/2305-3127-2019.3.1421Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor AM.P. Kopytsya0I.M. Kutya1 I.R. Vyshnevska2L.T. Malaya Therapy National Institute of NAMS of Ukraine, Kharkiv, UkraineL.T. Malaya Therapy National Institute of NAMS of Ukraine, Kharkiv, UkraineL.T. Malaya Therapy National Institute of NAMS of Ukraine, Kharkiv, UkraineThe contemporary issue of in-stent restenosis is reviewed in the article. The widespread use of interventional technologies for the treatment of acute and chronic forms of ischemic heart disease led to the appearance of the problem of coronary artery restenosis at the implantation site. The problem was apparently solved through introduction of drug-eluting stents instead of bare-metal stents. However, these stents also led to restenosis, but in more remote period. The issue of the contemporary cardiology is how to avoid this complication. Risk stratification of restenosis development in various groups of patients is a main task today, as the treatment of this condition is not simple. The article analyzes data of the studies conducted up to date. It studies the pathogenetic mechanisms that would develop restenosis of the previously stented coronary arteries (in various stents) and factors contributing to the formation of restenosis. The results of the studies show that vasculoendothelial growth factor-A (VEFR-A) plays a role in the development of restenosis and might predict the formation of this complication. The review addresses the issues of different genotypes of VEFR-A, which may predispose to the formation of stent restenosis.http://csic.com.ua/images/pdf/2019/3-2019/pathogenetic-mechanism-of-stented-coronary-arteries-restenosis.pdfvascular endothelial growth factor-astent restenosispolymorphism of the vegf-a geneacute myocardial infarction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
M.P. Kopytsya I.M. Kutya I.R. Vyshnevska |
spellingShingle |
M.P. Kopytsya I.M. Kutya I.R. Vyshnevska Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A Kardìohìrurgìâ ta Intervencìjna Kardìologìâ vascular endothelial growth factor-a stent restenosis polymorphism of the vegf-a gene acute myocardial infarction |
author_facet |
M.P. Kopytsya I.M. Kutya I.R. Vyshnevska |
author_sort |
M.P. Kopytsya |
title |
Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A |
title_short |
Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A |
title_full |
Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A |
title_fullStr |
Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A |
title_full_unstemmed |
Pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor A |
title_sort |
pathogenetic mechanism of stented coronary arteries restenosis and the role of vasculoendothelial growth factor a |
publisher |
TOV Chetverta Khvylia |
series |
Kardìohìrurgìâ ta Intervencìjna Kardìologìâ |
issn |
2305-3127 |
publishDate |
2019-10-01 |
description |
The contemporary issue of in-stent restenosis is reviewed in the article. The widespread use of interventional technologies for the treatment of acute and chronic forms of ischemic heart disease led to the appearance of the problem of coronary artery restenosis at the implantation site. The problem was apparently solved through introduction of drug-eluting stents instead of bare-metal stents. However, these stents also led to restenosis, but in more remote period. The issue of the contemporary cardiology is how to avoid this complication. Risk stratification of restenosis development in various groups of patients is a main task today, as the treatment of this condition is not simple. The article analyzes data of the studies conducted up to date. It studies the pathogenetic mechanisms that would develop restenosis of the previously stented coronary arteries (in various stents) and factors contributing to the formation of restenosis. The results of the studies show that vasculoendothelial growth factor-A (VEFR-A) plays a role in the development of restenosis and might predict the formation of this complication. The review addresses the issues of different genotypes of VEFR-A, which may predispose to the formation of stent restenosis. |
topic |
vascular endothelial growth factor-a stent restenosis polymorphism of the vegf-a gene acute myocardial infarction |
url |
http://csic.com.ua/images/pdf/2019/3-2019/pathogenetic-mechanism-of-stented-coronary-arteries-restenosis.pdf |
work_keys_str_mv |
AT mpkopytsya pathogeneticmechanismofstentedcoronaryarteriesrestenosisandtheroleofvasculoendothelialgrowthfactora AT imkutya pathogeneticmechanismofstentedcoronaryarteriesrestenosisandtheroleofvasculoendothelialgrowthfactora AT irvyshnevska pathogeneticmechanismofstentedcoronaryarteriesrestenosisandtheroleofvasculoendothelialgrowthfactora |
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