Inflammation as a determinant of healing response after coronary stent implantation

Int J Cardiovasc Imaging. 2021 Mar;37(3):791-801. doi: 10.1007/s10554-020-02073-3. Epub 2021 Jan 21.

Abstract

Cardiovascular disease remains the leading cause of death and morbidity worldwide. Inflammation plays an important role in the development of atherosclerosis and is associated with adverse clinical outcomes in patients after percutaneous coronary interventions. Data on stent elements that lead to excessive inflammatory response, proper identification of high-risk patients, prevention and treatment targeting residual inflammatory risk are limited. This review aims to present the role of inflammation in the context of evolving stent technologies and appraise the potential imaging modalities in detection of inflammatory response and anti-inflammatory therapies.

Keywords: Coronary computed tomography angiography; Healing response; Inflammation; Optical coherence tomography.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / therapeutic use*
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / metabolism
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / therapy*
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / drug effects*
  • Coronary Vessels / metabolism
  • Humans
  • Inflammation / diagnosis
  • Inflammation / drug therapy*
  • Inflammation / metabolism
  • Inflammation / mortality
  • Inflammation Mediators / metabolism
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / instrumentation*
  • Percutaneous Coronary Intervention / mortality
  • Risk Assessment
  • Risk Factors
  • Stents*
  • Time Factors
  • Treatment Outcome
  • Wound Healing / drug effects*

Substances

  • Anti-Inflammatory Agents
  • Inflammation Mediators