Bare-metal stent

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Bare-metal stent
Intervention
Stent1 fcm.jpg
A stent diagonally from the front
ICD-9-CM 00.63, 36.06, 39.90

Bare-metal stent is a stent without a coating or covering (as used in covered stents drug-eluting stents). It is a mesh-like tube of thin wire. The first stents licensed for use in cardiac arteries were bare metal – often 316L stainless steel. More recent ('2nd generation') stents use cobalt chromium alloy.[1] The first stents used in gastrointestinal conditions of the esophagus, gastroduodenum, biliary ducts, and colon were plastic; bare metal stents were first brought the clinic in the 1990s.[2]

Drug-eluting stents are often preferred over bare-metal stents because the latter carry a higher risk of restenosis, the growth of tissue into the stent resulting in vessel narrowing.[3]

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References[edit]

  1. ^ Nikam N et al. Advances in stent technologies and their effect on clinical efficacy and safety. Med Devices (Auckl). 2014 Jun 3;7:165-78. PMID 24940085 PMC4051714
  2. ^ Park JS, Jeong S, Lee DH. Recent Advances in Gastrointestinal Stent Development. Clin Endosc. 2015 May; 48(3): 209–215. PMID 26064820 PMCID 4461664
  3. ^ Palmerini T et al. Long-Term Safety of Drug-Eluting and Bare-Metal Stents: Evidence From a Comprehensive Network Meta-Analysis. J Am Coll Cardiol. 2015 Jun 16;65(23):2496-507. PMID 26065988. Lay summary
  4. ^ a b Jorge C, Dubois C Clinical utility of platinum chromium bare-metal stents in coronary heart disease. Med Devices (Auckl). 2015 Aug 27;8:359-67. PMID 26345228 PMCID 4556305

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