Document Detail

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?
MedLine Citation:
PMID:  18460715     Owner:  NLM     Status:  MEDLINE    
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.
Lukasz Kalińczuk; Marcin Demkow; Witold Ruzyłło
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-07     Completed Date:  2008-07-15     Revised Date:  2008-09-08    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E139-45     Citation Subset:  IM    
Department of Haemodynamics, Institute of Cardiology, Alpejska 42, 04-628 Warsaw, Poland.
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MeSH Terms
Balloon Dilatation / methods*
Blood Vessel Prosthesis Implantation / methods*
Coronary Angiography
Coronary Restenosis / drug therapy,  surgery*,  ultrasonography
Coronary Vessels / surgery
Drug-Eluting Stents*
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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