Indian Heart Journal (Mar 2017)

Nanomedicine in coronary artery disease

  • Paurush Ambesh,
  • Umberto Campia,
  • Chukwudi Obiagwu,
  • Rashika Bansal,
  • Vijay Shetty,
  • Gerald Hollander,
  • Jacob Shani

DOI
https://doi.org/10.1016/j.ihj.2017.02.007
Journal volume & issue
Vol. 69, no. 2
pp. 244 – 251

Abstract

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Nanomedicine is one of the most promising therapeutic modalities researchers are working on. It involves development of drugs and devices that work at the nanoscale (10–9 m). Coronary artery disease (CAD) is responsible for more than a third of all deaths in age group >35 years. With such a huge burden of mortality, CAD is one of the diseases where nanomedicine is being employed for preventive and therapeutic interventions. Nanomedicine can effectively deliver focused drug payload at sites of local plaque formation. Non-invasive strategies include thwarting angiogenesis, intra-arterial thrombosis and local inflammation. Invasive strategies following percutaneous coronary intervention (PCI) include anti-restenosis and healing enhancement. However, before practical application becomes widespread, many challenges need to be dealt with. These include manufacturing at the nanoscale, direct nanomaterial cellular toxicity and visualization.

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