Recurrent Drug-Eluting Stent In-Stent Restenosis: A State-of-the-Art Review of Pathophysiology, Diagnosis, and Management
| Autor: | Jaikirshan Khatri, Agrima Mian, Rishi Puri, David P. Hedrick, Ankur Kalra, Aayush K. Singal, Samir R. Kapadia, Anmar Kanaa'N, Achintya D. Singh |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Drug-Eluting Stents General Medicine State of the art review 030204 cardiovascular system & hematology Coronary Angiography medicine.disease Coronary Restenosis 03 medical and health sciences Treatment Outcome 0302 clinical medicine Restenosis Risk Factors Drug-eluting stent medicine Humans Stents 030212 general & internal medicine In stent restenosis Cardiology and Cardiovascular Medicine Intensive care medicine business |
| Zdroj: | Cardiovascular Revascularization Medicine. 21:1157-1163 |
| ISSN: | 1553-8389 |
| DOI: | 10.1016/j.carrev.2020.01.005 |
| Popis: | Recurrent in-stent restenosis (R-ISR) refers to the re-occlusion of a successfully treated in-stent restenosis. Much of the present understanding of this condition stems from studies on in-stent restenosis, as literature on R-ISR is sparse. Compounded by multiple previous struts, narrower luminal diameters and worse patient profiles, R-ISR is a clinical challenge that demands urgent attention. Recent studies have explored various diagnostic and therapeutic strategies to identify and suitably manage R-ISR. In this review, we discuss our understanding of the risk factors, invasive and non-invasive imaging techniques, therapeutic options and gaps in present knowledge for the management of R-ISR. |
| Databáze: | OpenAIRE |
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