Document Detail


Modulating thrombotic potential in catheter-based percutaneous coronary and peripheral vascular interventions.
MedLine Citation:
PMID:  15277783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thrombosis is an obligatory consequence of all percutaneous vascular interventions. Balloon angioplasty, intravascular stents and other devices routinely used to facilitate dilatation of critical vascular stenoses result in fracture of the intima and exposure of the thrombogenic subendothelium with initiation and perpetuation of platelet activation and aggregation. This not uncommonly results in thrombus formation that may lead to abrupt vessel closure, distal ischemia and tissue infarction, and target organ dysfunction. Fortunately, advances in our understanding of the mechanisms that underlie vascular thrombosis have led to advances in the use of adjunctive pharmacological agents that modulate this pathophysiological response and have led to important reductions in the incidence and severity of thrombotic complications of percutaneous transluminal interventions.
Authors:
James L Orford; Peter B Berger
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of thrombosis and thrombolysis     Volume:  17     ISSN:  0929-5305     ISO Abbreviation:  J. Thromb. Thrombolysis     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-02-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9502018     Medline TA:  J Thromb Thrombolysis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  11-20     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / adverse effects*
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Humans
Severity of Illness Index
Thrombosis / drug therapy*,  epidemiology,  physiopathology*,  prevention & control
Vascular Diseases / drug therapy,  physiopathology,  surgery

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