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Stenting for ischemic heart disease

Academic Article
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Overview

authors

  • Belli, G.
  • Ellis, S. G.
  • Topol, Eric

publication date

  • September 1997

journal

  • Progress in Cardiovascular Diseases  Journal

abstract

  • This article examines current indications to intracoronary stenting for percutaneous cardiac revascularization. The data sources are a review of the published English literature, with focus on clinical and randomized trails of coronary artery stenting. Stents reduce the need for emergency bypass surgery in the setting of acute or threatened vessel closure after percutaneous transluminal coronary angioplasty (PTCA). In selected cases, when deployed electively in large native vessels with focal stenosis, clinical and angiographic recurrence are significantly reduced. Preliminary studies have also suggested a potential role in the treatment of saphenous vein graft lesions and restenotic lesions, and in improving on suboptimal results in lesions refractory to balloon dilatation. To prevent stent thrombosis, adjunctive antiplatelet therapy has been shown to be more efficacious than anticoagulation, and optimal stent apposition to the vessel wall appears to be critical. A recent exponential increase in the use of coronary stents has revolutionized the contemporary practice of interventional cardiology. Although technical factors and feasibility have been well refined and shown, evidence-based practice is lacking for many patient subsets.

subject areas

  • Angioplasty, Balloon, Coronary
  • Anticoagulants
  • Constriction, Pathologic
  • Coronary Vessels
  • Emergencies
  • Humans
  • Myocardial Ischemia
  • Platelet Aggregation Inhibitors
  • Randomized Controlled Trials as Topic
  • Recurrence
  • Saphenous Vein
  • Stents
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Identity

International Standard Serial Number (ISSN)

  • 0033-0620

Digital Object Identifier (DOI)

  • 10.1016/s0033-0620(97)80007-2

PubMed ID

  • 9327831
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Additional Document Info

start page

  • 159

end page

  • 182

volume

  • 40

issue

  • 2

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