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Kathetergestützte Rezidivprophylaxe

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Interventionelle Gefäßtherapie

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Zusammenfassung

Wiederholte Ballondilatationen arterieller und venöser Stenosen haben ein Trauma der Gefäßwand zur Folge, das regelhaft zu einer Reaktion der inneren Wandschichten führt, die als so genannte Intimahyperplasie Ursache einer erneuten Gefäßeinengung ist [4,7,9,15,17,18,21,26,35,37,41,42,46,49]. Im folgenden Kapitel soll die kathetergestützte Prophylaxe dieser rezidivierenden Prozesse dargestellt werden. Hierunter sind verschiedene interventionelle Ansätze zu summieren, die zum einen bereits als etablierter Standard, zum anderen als noch im Stadium der klinischen Erprobung befindlich angesehen werden müssen.

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Literatur

  1. Amols HI (1999) Intravascular Brachytherapy Physics. Review of Radiation Sources and Techniques. In: Waksman R (ed) Vascular Brachytherapy, 2nd ed. Futura Publ Co, Armok, New York, pp 177–190

    Google Scholar 

  2. Apple M, Waksman R (1999) Xenon 133 Gas-filled Ballon. In: Waksman R (ed) Vascular Brachytherapy, 2nd ed. Futura Publ Co, Armok, New York, pp 569–578

    Google Scholar 

  3. Baensch W (1937) Über die Strahlenbehandlung der Keloide. Strahlentherapie 60:204–209

    Google Scholar 

  4. Battegay EJ, Raines EW, Seifert RA, Bowen-Pope DF, Ross R (1990) TGF-B induces bimodal proliferation of connective tissue cells via complex control of an autocrine PDGF loop. Cell 63:515–524

    Article  PubMed  CAS  Google Scholar 

  5. Böttcher HD, Schopohl B, Liermann D, Kollath J, Adamietz IA (1994) Endovascular irradiation - a new method to avoid recurrent stenosis after stent implanation in peripheral arteries: technique and preliminary results. Int J Radiat Oncol Biol Phys 29:183–186

    Article  PubMed  Google Scholar 

  6. Clows AW, Karnovsky MJ (1977) Suppression by heparin of smooth muscle cell proliferation in injured arteries. Nature 265:625–626

    Article  Google Scholar 

  7. Clowes AW, Reidy MA, Clowes MM (1983) Kinetics of cellular proliferation after arterial injury. Lab Invest 49:327–334

    PubMed  CAS  Google Scholar 

  8. B. Courrier JW, Power TK, Haudenschild CC, Miniham AC, Faxon DP (1991) Low molecular weight heparin (enoaparin) reduces restenosis after iliac angioplasty in the hypercholesterolemic rabbit. J Am Coll Cardiol 17:118–125

    Article  Google Scholar 

  9. Cox JL, Gottlieb AL (1986) Restenosis following percutaneous transluminal angioplasty: Clinical, physiological and pathological features. Can Med Assoc J 134:1129–1132

    CAS  Google Scholar 

  10. Craig RDP, Pearson D (1965) Early post-operative irradiation in the treatment of keloid scars. Br J Past Surg 18:369–375

    Article  CAS  Google Scholar 

  11. Dartsch PC, Betz E, Ischinger T (1991) Wirkung von Dihämatoporphyrin-Derivaten auf kultivierte glatte Muskelzellen des Menschen aus normalen und atherosklerotisch veränderten Gefäßsegmenten. - Übersicht über bisherige Ergebnisse und Implikationen für eine photodynamische Therapie. Z Kardiol 80:6–14

    PubMed  CAS  Google Scholar 

  12. Dichek DA, Neville RF, Zwiebel JA, Freeman SM, Leon MB, Anderson WF (1989) Seeding of intravascular stents with genetically engineered endothelial cells. Circulation 80:1347–1353

    Article  PubMed  CAS  Google Scholar 

  13. Drescher W, Basche St, Schumann E (1984) Arterielle Spätkomplikationen nach Strahlentherapie. Strahlentherapie 160:505–507

    PubMed  CAS  Google Scholar 

  14. Ellis SG, Roubin GS, Wilentz J (1987) Results of a randomized trial of heparin and aspirin vs. aspirin alone for prevention of acute closure and restenosis after angioplasty (PTCA). Circulation 76:213

    Google Scholar 

  15. Essed CE, Van den Brand M, Becker AE (1983) Transluminal coronary angioplasty and early reste-nosis: fibrocellular occlusion after wall laceration. Br Heart J 49:393–396

    Article  PubMed  CAS  Google Scholar 

  16. Faxon DP (1991) Low molecular weight heparin (enoaparin) reduces restensois after iliac angioplasty in the hypercholesterolemic rabbit. J Am Coll Cardiol 17:118–125

    Article  Google Scholar 

  17. Faxon DP, Sanborn TA, Weber VJ (1984) Restenosis following transluminal angioplasty in experimental atherosclerosis. Arteriosclerosis 4:189–195

    Article  PubMed  CAS  Google Scholar 

  18. Faxon DP, Sanborn TA, Haudenschild CC (1987) Mechanism of angioplasty and its relation to restenosis. Am J Cardiol 60:5–9

    Article  Google Scholar 

  19. Fischell TA, Kharma BK, Fischell DR (1994) Low-dose, beta-particle emission from stent wire results in complete, localized inhibition of smooth muscle cell proliferation. Circulation 90:2956–2963

    Article  PubMed  CAS  Google Scholar 

  20. Fischer JJ (1982) Proliferation of rat aortic endothelial cells following X irradiation. Radiat Res 92:405–410

    Article  PubMed  CAS  Google Scholar 

  21. Garth EA, Ratliff NB, Hollman J, Tabei S, Phillips FD (1985) Intimai proliferation of smooth muscle cells as an explanation for recurrent coronary artery stenosis after percutaneous transluminal coronary angioplasty. J Am Colleg Cardiol 6:369–372

    Article  Google Scholar 

  22. Guyton J, Rosenburg R, Clowes A, Karnowsky M (1980) Inhibition of rate arterial smooth muscle cell proliferation by heparin: in vivo studies with anticoagulant and non anticoagulant heparin. Circ Res 46:625–634

    Article  PubMed  CAS  Google Scholar 

  23. Hagen B (1993) Einflüsse der medikamentösen Nachbehandlung auf die mittelfristigen Ergebnisse von Stent-Implantationen der A. femoropoplitea: In: Liermann D (ed) Stents. Marianne Liebert, New York

    Google Scholar 

  24. Hehrlein C (1999) Radioactive Stents: The European Experience. In: Waksman R (ed) Vascular Brachytherapy, 2nd ed. Futura Publ Co, Armok, New York, pp 333–342

    Google Scholar 

  25. Hehrlein C, Stintz M, Kinschert R (1996) Pure beta-particle emitting stents inhibit neointimal formation in rabbits. Circulation 93:641–645

    Article  PubMed  CAS  Google Scholar 

  26. Ip JH, Fuster V, Badimon L, Badimon J, Taubman MB, Chesebro JH (1990) Syndromes of accelerated atherosclerosis. Role of vascular injury and smooth muscle cell proliferation. J Am Coll Cardiol 15: 1667–1687

    Article  PubMed  CAS  Google Scholar 

  27. Johnson AG (1969) Large artery damage after X-radiation. Brit L Radiol 42:937–938

    Article  CAS  Google Scholar 

  28. Kinsella TJ, Sindelar WF, De Luca AM (1988) Tres-hold dose for peripheral nerve injury following intraoperative radiotherapy (IORT) in a large animal model. Int J Radiat Oncol Biol Phys 1:205

    Google Scholar 

  29. Kirkpatrick JB (1967) Pathogenesis of foam cell lesions in irradiated arteries. Am J Pathol 50:291–309

    PubMed  CAS  Google Scholar 

  30. Kolar J (1971) Strahlenfolgen am Herz and großen Gefäßen. Med Klin 66:661–668

    PubMed  CAS  Google Scholar 

  31. Krüger A (1945) Ober Keloide and ihre Behandlung unter besonderer Berücksichtigung der Strahlentherapie. Strahlentherapie 93:426–433

    Google Scholar 

  32. Le Couteur A, Gilette EL, Powers BE, Child G, McChesney SL, Ingram JT (1989) Peripheral neu-ropathies following experimental intraoperative radiation therapy (IORT). Int J Radiat Oncol Biol Phys 17:583–590

    Article  Google Scholar 

  33. Liermann D, Schopohl B, Herrmann G, Kollath J, Böttcher HD (1992) Endovaskuläres Afterloading als Therapiekonzept zur Prophylaxe der intimalen Hyperplasie in peripheren Gefäßen nach Stentimplantation. In: Kollath J, Liermann D (Hrsg) Stents II. Schnetztorverlag, Konstanz, S 80–92

    Google Scholar 

  34. Liermann D, Böttcher HD, Kollath J, Schopohl B, Strassmann G, Strecker EP, Breddin KH (1994) Intimal hyperplasia after stentimplantation in peripheral arteries: treatment by endovascular after-loading. J Cardiov Intery Radiol 17:12–16

    Article  CAS  Google Scholar 

  35. Liermann D, Herrmann G, Schopohl B, Gregel K, Breddin KH, Kollath J, Hübner K, Böttcher HD (1995) Endovascular Afterloading with 192 Iridium HDR in the Treatment of Recurrent Intimai Hyperplasia in Stented Peripheral Arteries. In: Liermann D (ed) Stents - State of the Art and Future Developements. Polyscience Publications, Morin Heights, pp 299–314

    Google Scholar 

  36. Liermann D, Kirchner J, Bauernsachs R, Schopohl B, Böttcher HD (1998) Brachytherapy with Iridium- 192 HDR to Prevent from Restenosis in Peripheral Arteries. Herz 23:394–400

    Article  PubMed  CAS  Google Scholar 

  37. Liu MW, Roubin GS, King SB (1989) Restenosis after coronary angioplasty. potential biologic determinants and rose of intimal hyperplasia. Circulation 79:1374–1387

    Article  PubMed  CAS  Google Scholar 

  38. Liu MW, Roubin GS, Robinson KA (1990) Trapidil in preventing restenosis after balloon-angioplasty in the atherosclerotic rabbit. Circulation 81:1089–1093

    Article  PubMed  CAS  Google Scholar 

  39. Mosseri M, Weshler Z (1999) External Beam Ionizing Irradiation for the Prevention of Restenosis: Past and Future. In: Waksman R (ed) Vascular Brachytherapy, 2nd ed. Futura Publ Co, Armok, New York, pp 231–244

    Google Scholar 

  40. Nabel EG, Plautz G, Nabel GJ (1990) Site specific expression in vivo by direct gene transfer into the arterial wall. Sience 249:1285–1288

    Article  CAS  Google Scholar 

  41. Nobuyoshi M, Kimura T, Ohishi H, Horiuchi H (1991) Restenosis after percutaneous transluminal coronary angioplasty: pathologic observations in 20 patients. J Am Coll Cardiol 176:433–439

    Article  Google Scholar 

  42. Palmaz JC, Hunter G, Carson SN, French WS (1983) Postoperative carotid restenosis due to neointimal fibromuscular hyperplasia. Radiology 148:699–702

    PubMed  CAS  Google Scholar 

  43. Parikh S, Dattatreyudu N (1999) External Radiation Therapy for Patients with Arteriovenous Dialysis Shunt. In: Waksman R (ed) Vascular Brachytherapy, 2nd ed. Futura Publ Co, Armok, New York, pp 417–431

    Google Scholar 

  44. Pepine CJ, Hirschfeld JW, Mac Donald RG (1990) A controlled trial of corticosteroids to prevent restenosis after coronary angioplasty. Circulation 81:1753–1761

    Article  PubMed  CAS  Google Scholar 

  45. Powell JS, Clozel JP, Müller KM (1989) Inhibitors angiotensin-converting enzyme prevent myointimal proliferation after vascular injury. Sience 245:186–188

    Article  CAS  Google Scholar 

  46. Schwartz RS, Murphy JG, Edwards WD, Camrud AR, Vliestra RE, Holmes DR (1990) Restenosis occurs with internal elastic lamina laceration and its poportional to severity of vessel injury in a porcine coronary artery model. Circulation, 82 (Suppl III):656

    Google Scholar 

  47. Schwartz RS, Koval TM, Edwards WD, Camrud AR, Bailey KR, Brown K, Vliestra RE, Holmes DR (1992) Effect of external beam irradiation on neointimal hyperplasia after experimental coronary artery injury. J Am Coll Cardiol 19:1106–1113

    Article  PubMed  CAS  Google Scholar 

  48. Slepian MJ, Schindler A (1988) Polymeric endoluminal paving/sealing: a biodegradable alternative to intracoronary stenting. Circulation 78:408–409

    Google Scholar 

  49. Ueda M, Becker AE, Fujimoto T (1987) Pathological changes induced by repeated percutaneous transluminal coronary angioplasty. Br Heart J 58: 635–643

    Article  PubMed  CAS  Google Scholar 

  50. Waksman R (ed) (1999) Vascular Brachytherapy, 2nd ed. Futura Publ Co, Armok, New York

    Google Scholar 

  51. Wagner W, Schophol B, Böttcher HD, Scheppner E (1989) Ergebnisse der Narbenkeloidprophylaxe durch Kontaktbestrahlung mit Strontium 90. Röntgenpraxis 42:248–252

    PubMed  CAS  Google Scholar 

  52. Weinberger J, Knapp FF (1999) Use of Liquid-Filled Balloons for Coronary Irradiation. In: Waksman R (ed) Vascular Brachytherapy, Second Edition. Futura Publ Co, Armok, New York, pp 521–535

    Google Scholar 

  53. Wilcox JN (1991) Analysis of local gene expression in human atherosclerotic plaques by in situ hybridization. Trends Cardiol Med 1:17–24

    Article  CAS  Google Scholar 

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Authors
  1. D. Liermann
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  2. J. Kirchner
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Editor information

Editors and Affiliations

  1. Kardiologische Fachklinik Herz- und Kreislaufzentrum, Rotenburg an der Fulda, Heinz-Meise-Str. 100, Rotenburg a.d.F., 36199, Germany

    Christian Vallbracht

  2. LVA Aggertalklinik, Am Sondersiefen 18, Engelskirchen, 51766, Germany

    Franz-Josef Roth

  3. Abteilung für Angiologie, Dominikus-Krankenhaus Düsseldorf, Am Heerdter Krankenhaus 2, Düsseldorf, 40549, Germany

    Andreas L. Strauss (Chefarzt) (Chefarzt)

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© 2002 Springer-Verlag Berlin Heidelberg

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Liermann, D., Kirchner, J. (2002). Kathetergestützte Rezidivprophylaxe. In: Vallbracht, C., Roth, FJ., Strauss, A.L. (eds) Interventionelle Gefäßtherapie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57540-2_37

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  • DOI: https://doi.org/10.1007/978-3-642-57540-2_37

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-63296-9

  • Online ISBN: 978-3-642-57540-2

  • eBook Packages: Springer Book Archive

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