The present invention describes various devices and methods wherein a cytostatic antiproliferative drug, either alone or in combination with other drugs, is placed between internal body tissues to prevent the formation of scar tissue and/or adhesions during healing of a wound or surgical site. Specific devices to achieve this administration include, but are not limited to, a permanent implant or a biodegradable material having an attached antiproliferative drug such as sirolimus. These antiproliferative drugs may be combined with other drugs including, but not limited to, antiplatelets, antithrombotics or anticoagulants. The present invention also contemplates methods to a reduce scar tissue and/or adhesions or adhesion formation at an anastomosis site. In particular, a cytostatic antiproliferative drug is administered to an arteriovenous shunt anastomoses in patients having end-stage renal disease.
本发明描述了各种装置和方法,在这些装置和方法中,单独或与其他药物联合使用的细胞抑制性抗增生药物被放置在身体内部组织之间,以防止在伤口或手术部位愈合期间形成瘢痕组织和/或粘连。实现这种管理的具体装置包括但不限于永久性植入物或附有
西罗莫司等抗增生药物的可
生物降解材料。这些抗增殖药物可与其他药物结合使用,包括但不限于抗血小板、抗血栓或抗凝剂。本发明还考虑了减少吻合部位瘢痕组织和/或粘连或粘连形成的方法。特别是,对终末期肾病患者的动静脉分流吻合处施用细胞抑制性抗增生药物。