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    • 53. 发明公开
    • Irrigation solution and use thereof for the perioperative inhibition of pain/inflammation and/or spasm at a vascular structure
    • Bespüllungslösung及其在血管结构为疼痛,炎症和/或痉挛围手术期抑制使用
    • EP1609477A1
    • 2005-12-28
    • EP05076510.6
    • 1995-12-12
    • Omeros Corporation
    • Demopulos, GregoryPierce, Pamela AnneHerz, Jeffrey M.
    • A61K38/08A61K38/55A61K38/06A61K38/12A61K45/06A61K31/00A61K9/08A61P41/00A61K31/4196A61K31/135A61K31/437A61K31/407A61K31/4409A61K31/4412A61K31/5375A61K31/5415
    • A61K38/08A61K9/0019A61K9/08A61K31/00A61K31/135A61K31/352A61K31/4045A61K31/407A61K31/4164A61K31/4168A61K31/4174A61K31/4196A61K31/437A61K31/439A61K31/4406A61K31/4409A61K31/4412A61K31/4427A61K31/4439A61K31/444A61K31/48A61K31/498A61K31/506A61K31/5375A61K31/538A61K31/5415A61K38/04A61K38/043A61K38/12A61K38/22A61K38/57A61K45/06Y10S977/904A61K2300/00
    • A method and solution for perioperatively inhibiting a variety of pain and inflammation and spasm processes at a vascular structure during an intervascular procedure. The solution includes multiple pain and inflammation inhibitory agents and spasm inhibitory agents in a physiologic base, such as saline or lactated Ringer's solution. Depending on the application, the pain and inflammation agents included in the solution may include: (1) serotonin receptor antagonists; (2) serotonin receptor agonists; (3) histamine receptor antagonists; (4) bradykinin receptor antagonists: (5) kallikrein inhibitors; (6) tachykinin receptor antagonists, including neurokinin 1 and neurokinin 2 receptor subtype antagonists; (7) calcitonin gene-related peptide (CGRP) receptor antagonists; (8) interleukin receptor antagonists; (9) inhibitors of enzymes active in the synthetic pathway for arachadonic acid metabolites, including (a) phospholipase inhibitors, including PLA 2 isoform and PLCγ isoform inhibitors, (b) cyclooxygenase inhibitors, and (c) lipooxygenase inhibitors; (10) prostanoid receptor antagonists including eicosanoid EP-1 and EP-2 receptor subtype antagonists and thromboxane receptor subtype antagonists; (11) leukotriene receptor antagonists including leukotriene B 4 and D 4 receptor subtype antagonists; (12) opioid receptor agonists, including mu-opiate, delta-opiate, and kappa-opiate receptor subtype agonists; (13) purinoceptor agonists and antagonists including P 2X receptor antagonists and P 2Y receptor agonists; (14) adenosine triphosphate (ATP) sensitive potassium channel openers; and (15) calcium channel antagonists. Suitable anti-inflammatory/anti-pain agents which also act as anti-spasm agents include serotonin receptor antagonists, tachykinin receptor antagonists, ATP-sensitive potassium channel openers and calcium channel antagonists. Other agents which may be utilized in the solution specifically for their anti-spasm properties including endothelin receptor antagonists and the nitric oxyde donors (enzyme activators). The solution is used to continuously irrigate a wound during an operative/interventional procedure for preemptive inhibition of pain and inflammation, as well as vascular and smooth muscle spasm, while avoiding undesirable side effects associated with oral, intramuscular or intravenous application of larger doses of the agents. The solution is useful for intravascular procedures.
    • 一种用于在手术前后抑制在帧间血管过程期间的各种疼痛和血管结构的炎症和痉挛过程的方法和溶液。 该解决方案包括多个疼痛和炎症抑制剂,并在生理基痉挛抑制剂,颜色:如盐水或乳酸林格氏溶液。 取决于应用,包括在溶液中的疼痛和炎症的药剂可包括:(1)血清素受体拮抗剂; (2)血清素受体激动剂; (3)组胺受体拮抗剂; (4)血管舒缓激肽受体拮抗剂:(5)激肽释放酶抑制剂; (6)速激肽受体拮抗剂,包括neurokinin1和neurokinin2受体亚型拮抗剂; (7)降钙素基因相关肽(CGRP)受体拮抗剂; (8)白介素受体拮抗剂; (9)活性在花生四烯酸代谢物,包括(a)磷脂酶抑制剂,包括同工型PLA2和PLC伽马同种型抑制剂,(b)中环加氧酶抑制剂,和(c)脂氧合酶抑制剂的合成途径中的酶的抑制剂; (10)前列腺素受体拮抗剂,包括类花生酸EP-1和EP-2受体亚型拮抗剂和凝血恶烷受体亚型拮抗剂; (11)白三烯受体拮抗剂,包括白三烯B4和D4受体亚型拮抗剂; (12)阿片样物质受体激动剂,μ-阿片包括,δ-阿片,和κ阿片受体亚型激动剂; (13)嘌呤受体激动剂和拮抗剂,包括P2X受体拮抗剂和P2Y受体激动剂; (14)三磷酸腺苷(ATP)通道开放剂敏感的钾离子; 和(15)钙通道拮抗剂。 合适的抗炎/抗疼痛剂,其因此用作抗痉挛剂包括血清素受体拮抗剂,速激肽受体拮抗剂,ATP敏感性钾通道开放剂和钙通道拮抗剂。 可以在溶液中专门为它们的抗痉挛性质,包括内皮素受体拮抗剂和机器制造业用的硝酸供体(酶激活剂)可以使用其它试剂。 该溶液被用于在用于治疗疼痛和炎症的先发制人的抑制,以及血管和平滑肌痉挛手术/介入过程期间连续冲洗伤口,同时避免与口服,肌注或更大剂量的静脉内应用相关联的不期望的副作用 代理商。 该解决方案是血管内的程序非常有用。