Early thrombogenicity of coronary stents: comparison of bioresorbable polymer sirolimus-eluting and bare metal stents in an aortic rat model.

Stent animal model platelet thrombus

Journal

American journal of cardiovascular disease
ISSN: 2160-200X
Titre abrégé: Am J Cardiovasc Dis
Pays: United States
ID NLM: 101569582

Informations de publication

Date de publication:
2020
Historique:
received: 09 04 2020
accepted: 16 05 2020
entrez: 21 7 2020
pubmed: 21 7 2020
medline: 21 7 2020
Statut: epublish

Résumé

Although 1-month dual antiplatelet therapy (DAPT) in patients treated with bare metal stents (BMS) is well established, the optimal duration of DAPT after implantation of a drug-eluting stent (DES) is still a matter of debate. The safety of shortened DAPT is under investigation due to concern about the risk of stent thrombosis. Data on platelet activation and prothrombotic response in vivo following bioresorbable polymer sirolimus-eluting stent (BP-SES) implantation are scarce. The aim of our study was to compare the early thrombogenicity of BP-SES with that of BMS in an aortic rat model. Overall, 30 rats underwent stent implantation in the abdominal aorta: BMS (Pro-Kinetic Energy; N=15) and BP-SES (Ultimaster Tansei; N=15) were compared in terms of their early thrombogenicity. CD62P exposure at the platelet surface and fibrinogen binding at the integrin receptor were not different between BMS and BP-SES over time. The thrombus coverage of the scaffold (0 vs. 0.1%, P=0.84) was similarly low in both groups at Day 28; thrombotic deposits had totally disappeared at Day 84. The endothelial strut coverage was similarly high at 1 month (90 vs. 95%, P=0.64) and 3 months (87 vs. 97%, P=0.99) following BMS and BP-SES implantation, respectively. This study demonstrates the low early thrombogenicity of a BP-SES implanted in an aortic rat model, which did not differ from a BMS. These data could be helpful to support the safety of a shortened 1-month DAPT duration following BP-SES implantation in the human coronary artery.

Sections du résumé

BACKGROUND BACKGROUND
Although 1-month dual antiplatelet therapy (DAPT) in patients treated with bare metal stents (BMS) is well established, the optimal duration of DAPT after implantation of a drug-eluting stent (DES) is still a matter of debate. The safety of shortened DAPT is under investigation due to concern about the risk of stent thrombosis. Data on platelet activation and prothrombotic response in vivo following bioresorbable polymer sirolimus-eluting stent (BP-SES) implantation are scarce.
OBJECTIVES OBJECTIVE
The aim of our study was to compare the early thrombogenicity of BP-SES with that of BMS in an aortic rat model.
METHODS AND RESULTS RESULTS
Overall, 30 rats underwent stent implantation in the abdominal aorta: BMS (Pro-Kinetic Energy; N=15) and BP-SES (Ultimaster Tansei; N=15) were compared in terms of their early thrombogenicity. CD62P exposure at the platelet surface and fibrinogen binding at the integrin receptor were not different between BMS and BP-SES over time. The thrombus coverage of the scaffold (0 vs. 0.1%, P=0.84) was similarly low in both groups at Day 28; thrombotic deposits had totally disappeared at Day 84. The endothelial strut coverage was similarly high at 1 month (90 vs. 95%, P=0.64) and 3 months (87 vs. 97%, P=0.99) following BMS and BP-SES implantation, respectively.
CONCLUSIONS CONCLUSIONS
This study demonstrates the low early thrombogenicity of a BP-SES implanted in an aortic rat model, which did not differ from a BMS. These data could be helpful to support the safety of a shortened 1-month DAPT duration following BP-SES implantation in the human coronary artery.

Identifiants

pubmed: 32685265
pmc: PMC7364276

Types de publication

Journal Article

Langues

eng

Pagination

72-83

Informations de copyright

AJCD Copyright © 2020.

Déclaration de conflit d'intérêts

None.

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Auteurs

Carole Verhaegen (C)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Shakeel Kautbally (S)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.
Division of Cardiology, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Diego Castanares Zapareto (DC)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.
Division of Intensive Care, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Davide Brusa (D)

Plateforme de Cytometrie de Flux, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Guillaume Courtoy (G)

IREC Imaging Platform (2IP), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Selda Aydin (S)

Division of Anatomical Pathology, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Caroline Bouzin (C)

IREC Imaging Platform (2IP), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Cecile Oury (C)

GIGA Cardiovascular Sciences, University of Liege Liege, Belgium.

Luc Bertrand (L)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Pascal J Jacques (PJ)

Institute of Mechanics, Materials and Civil Engineering, IMAP, Universite Catholique de Louvain (UCLouvain) Louvain-la-Neuve, Belgium.

Christophe Beauloye (C)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.
Division of Cardiology, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Sandrine Horman (S)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Joelle Kefer (J)

Pole de Recherche Cardiovasculaire, Institut de Recherche Experimentale et Clinique (IREC), Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.
Division of Cardiology, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain (UCLouvain) Brussels, Belgium.

Classifications MeSH