SCAI statement on drug-eluting stents: practice and health care delivery implications.
نویسندگان
چکیده
Coronary artery disease remains a major health problem throughout the world. Since the inception of percutaneous transluminal coronary angioplasty in 1978 and the addition of stents in the early 1990s, much progress has been made in the treatment of atherosclerotic obstructive coronary artery disease. Percutaneous coronary intervention (PCI) has eclipsed coronary artery bypass grafting surgery as the treatment of choice for many patients with obstructive coronary lesions. PCI, however, has been limited by restenosis, the incidence of which is highly variable, ranging from less than 5% to over 50% in certain clinical and anatomic subgroups. While restenosis rates have fallen consistently over the past 10 years due to stent use, ancillary guidance techniques, and possibly adjunctive pharmacology, the recent development of antiproliferative drug-eluting stents (DES) is a major breakthrough in preventing restenosis after initial PCI. The use of DES in the treatment of obstructive coronary disease will have major beneficial medical impact on the care of patients, but also will create additional medicolegal, financial, and programmatic ramifications. This statement will provide a preliminary framework to address the multifactorial issues surrounding the introduction of DES into widespread practice.
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عنوان ژورنال:
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
دوره 58 3 شماره
صفحات -
تاریخ انتشار 2003