Evaluation of Cobalt and Chromium Levels Following Implantation of Cobalt Chromium Coronary Stents: A Pilot Study.

Title Evaluation of Cobalt and Chromium Levels Following Implantation of Cobalt Chromium Coronary Stents: A Pilot Study.
Authors P. Di Santo; P. Motazedian; R.G. Jung; T. Simard; D. Ramirez; A.Y. Chong; C. Glover; B. Hibbert; G. Dwivedi
Journal Heart Lung Circ
DOI 10.1016/j.hlc.2017.12.002
Abstract

BACKGROUND: Large increases in myocardial trace elements may adversely affect metabolism and become detrimental to cardiac function. Percutaneous coronary intervention (PCI) allows for the revascularisation of obstructive coronary artery disease using drug-eluting stents. These stents are comprised of a metallic stent backbone covered in an engineered polymer which delivers a drug over a prescribed period to the vessel wall. Given the potential implications of trace metal accumulation within the myocardium, our goal is to determine if metallic coronary stents are able to cause detectable elevations in serum cobalt and/or chromium levels.

METHODS: This study was a single centre, observational, pilot study with 20 patients who underwent planned PCI with implantation of a cobalt chromium drug eluting stent. Serum blood samples were drawn at baseline prior to PCI, 4hours post-stent deployment and at the time of routine follow-up after PCI. All blood samples were analysed for cobalt and chromium concentrations. The primary outcome of this study was the difference in serum cobalt and chromium levels at routine clinical follow-up.

RESULTS: The mean follow up was 64.1±17.3 days. There was no difference in serum cobalt levels when comparing baseline and routine clinical follow up (3.32±2.14nmol/L vs. 3.14±1.00nmol/L, p=0.99) nor in chromium levels (4.24±2.31nmol/L vs. 2.82±1.22 nmol/L, p=0.11). There was also no difference between baseline and 4hours post-PCI serum concentrations.

CONCLUSIONS: Percutaneous coronary intervention with cobalt chromium coronary stents does not appear to cause an elevation in these trace element serum concentrations.

Citation P. Di Santo; P. Motazedian; R.G. Jung; T. Simard; D. Ramirez; A.Y. Chong; C. Glover; B. Hibbert; G. Dwivedi.Evaluation of Cobalt and Chromium Levels Following Implantation of Cobalt Chromium Coronary Stents: A Pilot Study.. Heart Lung Circ. 2018;27(6):763766. doi:10.1016/j.hlc.2017.12.002

Related Elements

Cobalt

See more Cobalt products. Cobalt (atomic symbol: Co, atomic number: 27) is a Block D, Group 9, Period 4 element with an atomic weight of 58.933195. Cobalt Bohr ModelThe number of electrons in each of cobalt's shells is 2, 8, 15, 2 and its electron configuration is [Ar]3d7 4s2. The cobalt atom has a radius of 125 pm and a Van der Waals radius of 192 pm. Cobalt was first discovered by George Brandt in 1732. In its elemental form, cobalt has a lustrous gray appearance. Cobalt is found in cobaltite, erythrite, glaucodot and skutterudite ores. Elemental CobaltCobalt produces brilliant blue pigments which have been used since ancient times to color paint and glass. Cobalt is a ferromagnetic metal and is used primarily in the production of magnetic and high-strength superalloys. Co-60, a commercially important radioisotope, is useful as a radioactive tracer and gamma ray source. The origin of the word Cobalt comes from the German word "Kobalt" or "Kobold," which translates as "goblin," "elf" or "evil spirit.

Chromium

See more Chromium products. Chromium (atomic symbol: Cr, atomic number: 24) is a Block D, Group 6, Period 4 element with an atomic weight of 51.9961. Chromium Bohr ModelThe number of electrons in each of Chromium's shells is 2, 8, 13, 1 and its electron configuration is [Ar] 3d5 4s1. Louis Nicolas Vauquelin first discovered chromium in 1797 and first isolated it the following year. The chromium atom has a radius of 128 pm and a Van der Waals radius of 189 pm. In its elemental form, chromium has a lustrous steel-gray appearance. Elemental ChromiumChromium is the hardest metallic element in the periodic table and the only element that exhibits antiferromagnetic ordering at room temperature, above which it transforms into a paramagnetic solid. The most common source of chromium is chromite ore (FeCr2O4). Due to its various colorful compounds, Chromium was named after the Greek word 'chroma.' meaning color.

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