| Intravascular ultrasound-guided high-pressure balloon predilatation for optimal drug-eluting stent deployment in restenosis of a stent implanted 7 years earlier. Do we know the right technique for in-stent restenosis restenting? | |
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MedLine Citation:
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PMID: 18460715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although off-label, drug-eluting stent (DES) implantation is a preferred intervention for in-bare metal stent restenosis (BMS ISR). Off-label DES implantation appears to be associated with a higher risk of stent thrombosis and lesion recurrence. Accordingly, routine BMS ISR restenting with DES is associated with more frequent subsequent thrombosis. Intravascular ultrasound (IVUS) studies point to stent underexpansion as the major mechanism of late DES failure. We report a case of a patient with BMS ISR in whom IVUS clarified initial BMS expansion; consequently, high-pressure predilatation with an angiographically oversized conventional balloon was applied prior to DES deployment; and finally, IVUS verified the stent expansion. |
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Authors:
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Lukasz Kalińczuk; Marcin Demkow; Witold Ruzyłło |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 20 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-07 Completed Date: 2008-07-15 Revised Date: 2008-09-08 |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: E139-45 Citation Subset: IM |
Affiliation:
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Department of Haemodynamics, Institute of Cardiology, Alpejska 42, 04-628 Warsaw, Poland. lukasz.kalinczuk@gmail.com. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Dilatation
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methods* Blood Vessel Prosthesis Implantation / methods* Coronary Angiography Coronary Restenosis / drug therapy, surgery*, ultrasonography Coronary Vessels / surgery Drug-Eluting Stents* Humans Male Middle Aged Pressure Treatment Outcome Ultrasonics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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