New Stent Designs

Comments about new stent designs, are they better? What's their status? (Also see the separate topic on biodegradable stents.)

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Current Postings on This Page (4):

• The approval track for these new stents is long -- because of problems with some devices in the past, the FDA has been more stringent on making sure large studies have been done and followed up sufficiently before approving a stent for general use. As for recovery time, that is not something that is sensed by the patient and would have little to do with the "healing" of the arterial wall, but more the patient adjusting to new medications and increased blood flow, etc.
Forum Editor, Angioplasty.Org, July 10, 2009

• My mother-in-law had to have a stent put in a few years ago. The surgery was really rough on her and recovery took longer than the Doctor prepared her to. You stated that this type of stent has a faster healing time, can you detail that (why) please? Also, do you feel this will be made available in the US any time soon? Thank you!
Workemail, Indianapolis, Indiana, June 30, 2009

• Psatha -- the JANUS Optima has the CE mark, but it's not approved in the U.S. or Japan. The stent is stainless-steel, but coated with Carbofilm™ which the company thinks may reduce problems in patients hypersensitive to nickel, and also heal faster. The drug is tacrolimus and, uniquely, there is no polymer which some cardiologists feel is a distinct advantage. However in a disappointing early trial, no differences in results were found between the JANUS Optima and a non-DES carbostent. The chief investigator, Dr. Marie-Claude Morice, feels there may still be promise -- perhaps the drug dosage needs to be higher. This story is not unlike that of the Conor CoStar -- a stent which seemed like a clearly superior idea wound up not performing as well. Cordis bought Conor and is re-launching the CoStar with a different drug and design modification as the NEVO.
Forum Editor, Angioplasty.Org, May 4, 2009

• What about Optima des from Sorin-cid?
Psatha Maria, demo s.a greece, Athens, Greece, May 4, 2009

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