支架失效:冠状动脉内支架再狭窄的诊断和处理。

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Expert Review of Cardiovascular Therapy Pub Date : 2023-07-01 DOI:10.1080/14779072.2023.2221852

Majd B Protty, Tharindra Dissanayake, Daniel Jeffery, Ahmed Hailan, Anirban Choudhury

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引用次数: 0

摘要

导读:尽管经皮冠状动脉介入治疗(PCI)的支架技术有所进步，但这些手术可能会因支架失效而复杂化，表现为冠状动脉内支架再狭窄(ISR)。尽管支架技术和药物治疗取得了进步，但据报道，这种并发症影响了约10%的经皮冠状动脉介入治疗(PCI)手术。根据不同的支架类型(药物洗脱vs裸金属)，ISR在机制和时间上有细微的差异，在诊断病因和后续治疗选择方面也有不同的挑战。涉及领域:本综述将讨论ISR的定义、病理生理和危险因素。专家意见:管理方案背后的证据已与现实生活中的临床病例的帮助下说明，并总结在一个拟议的管理算法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Stent failure: the diagnosis and management of intracoronary stent restenosis.

Introduction: Despite advances in stent technology for percutaneous coronary intervention (PCI) in the treatment of coronary disease, these procedures can be complicated by stent failure manifested as intracoronary stent restenosis (ISR). Even with advances in stent technology and medical therapy, this complication is reported to affect around 10% of all percutaneous coronary intervention (PCI) procedures. Depending on stent type (drug-eluting versus bare metal), ISR has subtle differences in mechanism and timing and offers different challenges in diagnosing etiology and subsequent treatment options.

Areas covered: This review will be visiting the definition, pathophysiology, and risk factors of ISR.

Expert opinion: The evidence behind management options has been illustrated with the aid of real life clinical cases and summarized in a proposed management algorithm.

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来源期刊

Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

3.70

自引率

0.00%

发文量

期刊介绍： Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.