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Treatment of Restenosis.
MedLine Citation:
PMID:  11696296     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Restenosis constitutes the major limitation to the effectiveness of percutaneous coronary intervention. The advent of stent placement has engendered an even more difficult-to-treat entity: in-stent restenosis. Restenosis should be treated with repeat balloon angioplasty. Some patients with focal restenosis in large caliber vessels benefit from stent implantation. In the setting of diffuse in-stent restenosis, debulking techniques such as rotational atherectomy have been considered, but proof of efficacy is lacking. Despite a favorable acute procedural outcome, restenosis after repeat angioplasty develops in 32% to 37% of the treated patients. Therefore, combatting restenosis should focus on prevention. Intracoronary brachytherapy and drug- eluting stents have emerged as promising new tools to help prevent the development of restenosis.
Authors:
Mario Togni; Stephan Windecker; Bernhard Meier
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Current interventional cardiology reports     Volume:  3     ISSN:  1534-3103     ISO Abbreviation:  Curr Interv Cardiol Rep     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-Nov-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888981     Medline TA:  Curr Interv Cardiol Rep     Country:  -    
Other Details:
Languages:  ENG     Pagination:  306-310     Citation Subset:  -    
Affiliation:
Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland. bernhard.meier@insel.ch
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