Evidence map›Paper›PMID 34404229›Full record

ArticleJournal of the Royal Society, Interface2021

Stent strut streamlining and thickness reduction promote endothelialization.

Duy T Nguyen, Alexander F Smith, Juan M Jiménez

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Duy T NguyenDepartment of Mechanical and Industrial Engineering, University of Massachusetts Amherst, Amherst, MA 01003, USA.
Alexander F SmithDepartment of Biomedical Engineering, University of Massachusetts Amherst, Amherst, MA 01003, USA.
Juan M JiménezDepartment of Mechanical and Industrial Engineering, University of Massachusetts Amherst, Amherst, MA 01003, USA.
University of Massachusetts Amherst · US

Funding

Improved stent design through hemodynamics and vascular biologyK25HL107617 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JIMENEZ, JUAN MIGUEL · 2012 to 2016
$770k
NHLBI NIH HHS K25 HL107617
6 · The paper itself

Abstract

Stent thrombosis (ST) carries a high risk of myocardial infarction and death. Lack of endothelial coverage is an important prognostic indicator of ST after stenting. While stent strut thickness is a critical factor in ST, a mechanistic understanding of its effect is limited and the role of haemodynamics is unclear. Endothelialization was tested using a wound-healing assay and five different stent strut models ranging in height between 50 and 150 µm for circular arc (CA) and rectangular (RT) geometries and a control without struts. Under static conditions, all stent strut surfaces were completely endothelialized. Reversing pulsatile disturbed flow caused full endothelialization, except for the stent strut surfaces of the 100 and 150 µm RT geometries, while fully antegrade pulsatile undisturbed flow with a higher mean wall shear stress caused only the control and the 50 µm CA geometries to be fully endothelialized. Modest streamlining and decrease in height of the stent struts improved endothelial coverage of the peri-strut and stent strut surfaces in a haemodynamics dependent manner. This study highlights the impact of the stent strut height (thickness) and geometry (shape) on the local haemodynamics, modulating reendothelialization after stenting, an important factor in reducing the risk of stent thrombosis.

Indexed as

Myocardial InfarctionThrombosisHemodynamicsHumansStentsStress, Mechanicalendothelializationshear stressstentstent streamliningwound healing

Identifiers

PMID34404229
PMCPMC8371379
OpenAlexW3195444176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.