Intracoronary -radiation to reduce restenosis after balloon angioplasty and stenting
نویسندگان
چکیده
From the Thoraxcenter, Heartcenter, Rotterdam, Academisch Ziekenhuis Dijkzigt Rotterdam, The Netherlands; Catharina Ziekenhuis, Eindhoven, The Netherlands; Centre Hospitalier Vaudois, Lausanne, Switzerland; Onze Lieve Vrouw Ziekenhuis — Cardiovascular Center, Aalst, Belgium; UZ Virga Jesse Ziekenhuis, Hasselt, Belgium; Clinique St. Jean, Brussels, Belgium; Klinik Weisser Hirsch, Dresden, Germany; Cardialysis, Rotterdam, The Netherlands; Clinique Universitaire de Saint-Luc, Brussels, Belgium; Internistische Klinik, Munchen, Germany
منابع مشابه
Intravascular radiation therapy in atherosclerotic disease: promises and premises.
Since its introduction in 1977, coronary angioplasty has become an established technique for the treatment of atherosclerotic coronary disease. Currently, more than 500 000 procedures are performed each year worldwide. However, two major problems remain unresolved. The first, post-angioplasty acute vessel closure, occurs in about 5% of cases. In this setting, intracoronary stenting has been ver...
متن کاملRandomised trial of elective stenting after successful percutaneous transluminal coronary angioplasty of occluded coronary arteries.
BACKGROUND The value of angioplasty in occluded coronary arteries is limited by a restenosis/reocclusion rate of 50-70%. In patients with subtotal occlusion, stent implantation has been shown to reduce clinical and angiographic restenosis. Retrospective observational studies have suggested that stenting could reduce restenosis in total occlusions. The value of sustained coronary patency on glob...
متن کاملShort and long term results after intracoronary stenting in human coronary arteries: monocentre experience with the balloon-expandable Palmaz-Schatz stent.
OBJECTIVE Intracoronary stenting was designed to overcome acute complications after percutaneous transluminal coronary angioplasty and to achieve a reduced rate of restenosis, both of which are major limitations of this well accepted method for treating coronary heart disease. This report describes the experience at one centre with the implantation of balloon-expandable Palmaz-Schatz stents and...
متن کاملRandomized comparison of coronary stent implantation and balloon angioplasty in the treatment of de novo coronary artery lesions (START): a four-year follow-up.
OBJECTIVE The purpose of this study was to test the hypothesis that stent implantation in de novo coronary artery lesions would result in lower restenosis rates and better long-term clinical outcomes than balloon angioplasty. BACKGROUND Placement of an intracoronary stent, as compared with balloon angioplasty, has proven to reduce the rate of restenosis. However, the long-term clinical benefi...
متن کاملCutting Balloon Angioplasty versus Conventional Balloon Angioplasty for In-Stent Restenosis Treated by Intracoronary Radiation Therapy
Background: Cutting Balloon angioplasty (CBA) may be a useful treatment modality for in-stent restenosis (ISR) as it maintains a stable position during dilatation and results in potentially less injury than plain old balloon angioplasty (POBA). The purpose of this study was to compare CBA and POBA with intracoronary radiation therapy (IRT) for in-stent restenosis (ISR). Methods: We selected 157...
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