Standing on solid ground?: Reassessing the role of incomplete strut apposition in drug-eluting stents.
نویسندگان
چکیده
Standing on Solid Ground?: Reassessing the Role of Incomplete Strut Apposition in Drug-Eluting Stents Antonios Karanasos, MD; Evelyn Regar, MD, PhD · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 6 Living in the Readmission Era Karl E. Minges, MPH; Jeptha P. Curtis, MD · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 9
منابع مشابه
Incomplete stent apposition causes high shear flow disturbances and delay in neointimal coverage as a function of strut to wall detachment distance: implications for the management of incomplete stent apposition.
BACKGROUND Lack of re-endothelialization and neointimal coverage on stent struts has been put forward as the main underlying mechanism leading to late stent thrombosis. Incomplete stent apposition (ISA) has been observed frequently in patients with very late stent thrombosis after drug eluting stent implantation, suggesting a role of ISA in the pathogenesis of this adverse event. The aim of thi...
متن کاملMechanisms, pathophysiology, and clinical aspects of incomplete stent apposition.
Incomplete stent apposition (ISA) is characterized by the lack of contact of at least 1 stent strut with the vessel wall in a segment not overlying a side branch; it is more commonly found in drug-eluting stents than bare-metal stents. The accurate diagnosis of ISA, initially only possible with intravascular ultrasound, can currently be performed with higher accuracy by optical coherence tomogr...
متن کاملThe relationship between post-stent strut apposition and follow-up strut coverage assessed by a contour plot optical coherence tomography analysis.
OBJECTIVES This study sought to evaluate the relationship between post-stent strut apposition and follow-up strut coverage using contour plot optical coherence tomographic analysis. BACKGROUND Tracking the fate of interested regions of struts at different time points has not been investigated. METHODS Post-intervention and 6-month follow-up optical coherence tomographic evaluations were per...
متن کاملLate stent thrombosis after drug-eluting stent: seeing is understanding.
Following the inspiration of Dr S. Windecker, the team from Bern, Switzerland, has contributed 30 studies on drug-eluting stent efficacy and safety, several of which represent essential pieces in the puzzle. The article in this issue of Circulation by Cook et al1 belongs to that select group of key references. The series of robust and detailed reports on the Bern-Rotterdam cohort studies have c...
متن کاملCharacteristics of Late-Acquired Incomplete Stent Apposition: A Comparison With First-Generation and Second-Generation Drug-Eluting Stents.
OBJECTIVE This study aim was to investigate the morphometric parameters of late-acquired incomplete stent apposition (ISA) following use of Cypher sirolimus-eluting stent (SES; Cordis), Taxus paclitaxel-eluting stent (PES; Boston Scientific), and Resolute zotarolimus-eluting stent (ZES; Medtronic). BACKGROUND Characteristics of late-acquired ISA between first-generation and second-generation ...
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ورودعنوان ژورنال:
- Circulation. Cardiovascular interventions
دوره 7 1 شماره
صفحات -
تاریخ انتشار 2014