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. 2018 Sep 10;7:175–205. doi: 10.1007/s40204-018-0097-y

Table 3.

Potential advantages and disadvantages of biodegradable-based stents (Bourantas et al. 2013; Kereiakes et al. 2016; Onuma and Serruys 2011; Sharkawi et al. 2007)

Potential advantages
 Restoration of cyclic pulsatility and normal vasomotion Prevented acute occlusion
 Prevented acute ST and subacute ST Restoration of normal vessel curvature
 Normalizing shear stress and cyclic strain Prevented acute recoil
 Prevented constrictive remodeling Prevented expansive remodeling
 Reduced risk of very late polymer reactions Avoidance of stent malapposition
 Reduced neoatherosclerosis Avoidance of late luminal enlargement
 Avoidance of late vessel wall inflammation Prevented neointimal hyperplasia
 Prevented late ST Formation of a cap over lipid-rich plaque
 Unjailing of side branches
Disadvantages
 Unsuitable release profile for drug delivery system Difficulty in delivery to the site of action because of thicker struts with larger crossing profile
 Greater risk of acute strut fracture as a result of insufficient mechanical strength compared with metallic DES Inadequate degradation and resorption profile
 Increased rates of early thrombosis Inflammatory degradation residues
 Specific (cold) storage condition and specific deployment techniques