Multislice computed tomography after left main drug-eluting stenting: are we putting the cart before the horse?
نویسنده
چکیده
Imaging Multislice Spiral Computed Tomography for the Evaluation of Stent Patency After Left Main Coronary Artery Stenting: A Comparison With Conventional Coronary Angiography and Intravascular Ultrasound Carlos A.G. Van Mieghem, MD; Filippo Cademartiri, MD, PhD; Nico R. Mollet, MD, PhD; Patrizia Malagutti, MD; Marco Valgimigli, MD; Willem B. Meijboom, MD; Francesca Pugliese, MD; Eugene P. McFadden, MB, ChB, FRCPI; Jurgen Ligthart, BSc; Giuseppe Runza, MD; Nico Bruining, PhD; Pieter C. Smits, MD, PhD; Evelyn Regar, MD, PhD; Willem J. van der Giessen, MD, PhD; Georgios Sianos, MD, PhD; Ron van Domburg, PhD; Peter de Jaegere, MD, PhD; Gabriel P. Krestin, MD, PhD; Patrick W. Serruys, MD, PhD; Pim J. de Feyter, MD, PhD Clinical Perspective ➡645
منابع مشابه
Multislice Computed Tomography After Left Main Drug-Eluting Stenting
Coronary stenting has become the dominant therapy for patients referred for coronary revascularization. Because of their documented efficacy in reducing instent restenosis (ISR),1–3 drug-eluting stents (DES) are used for this purpose in most percutaneous revascularization procedures. Although intended primarily for use in native, de novo stenoses in coronary vessels 2.5 to 3.5 mm in diameter, D...
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We encountered a case of an iatrogenic intra-stent coronary dissection at the guiding catheter engagement in 6-month follow-up angiography after a biolimuseluting stent implantation in the left main coronary artery (LMCA). The optical coherence tomography revealed peeling of the thin neointima inside the stent and thrombus formation. We made a reentry through the dissected lumen with the guide ...
متن کاملMultislice spiral computed tomography for the evaluation of stent patency after left main coronary artery stenting: a comparison with conventional coronary angiography and intravascular ultrasound.
BACKGROUND Surveillance conventional coronary angiography (CCA) is recommended 2 to 6 months after stent-supported left main coronary artery (LMCA) percutaneous coronary intervention due to the unpredictable occurrence of in-stent restenosis (ISR), with its attendant risks. Multislice computed tomography (MSCT) is a promising technique for noninvasive coronary evaluation. We evaluated the diagn...
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e read with interest the manuscript by Kubo et al. (1) omparing vascular response after sirolimus-eluting stenting etween patients with unstable and stable angina by optical oherence tomography (OCT). We agree with the authors egarding the contribution of OCT when post-stenting aniography proves ambiguous. In the drug-eluting stent era, stent under-expansion reains a major predictor of subacute...
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After the introduction of coronary stenting, intravascular ultrasound (IVUS) was established as the most reliable imaging tool to guide stenting in complex lesions, including coverage of ostial lesions, bifurcation lesions, left main stenting, and chronic total occlusions; and is helpful in determining the cause of stent failures, including in-stent restenosis. These features once verified by I...
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عنوان ژورنال:
- Circulation
دوره 114 7 شماره
صفحات -
تاریخ انتشار 2006