Small coronary vessel angioplasty: outcomes and technical considerations
Sudhir RathoreDepartment of Cardiology, Atkinson Morley wing, St George’s Healthcare NHS Trust, London, UKAbstract: Small vessel (<3 mm) coronary artery disease is common and has been identified as independent predictor of restenosis after percutaneous coronary intervention....
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2010-10-01
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| Series: | Vascular Health and Risk Management |
| Online Access: | http://www.dovepress.com/small-coronary-vessel-angioplasty-outcomes-and-technical-consideration-a5473 |
| _version_ | 1818569215683067904 |
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| author | Sudhir Rathore |
| author_facet | Sudhir Rathore |
| author_sort | Sudhir Rathore |
| collection | DOAJ |
| description | Sudhir RathoreDepartment of Cardiology, Atkinson Morley wing, St George’s Healthcare NHS Trust, London, UKAbstract: Small vessel (<3 mm) coronary artery disease is common and has been identified as independent predictor of restenosis after percutaneous coronary intervention. It remains controversial whether bare-metal stent (BMS) implantation in small vessels has an advantage over balloon angioplasty in terms of angiographic and clinical outcomes. Introduction of drug-eluting stent (DES) has resulted in significant reduction in restenosis and the need for repeat revascularization. Several DESs have been introduced resulting in varying reduction in outcomes as compared with BMS. However, their impact on outcomes in small vessels is not clearly known. It is expected that DES could substantially reduce restenosis in smaller vessels. Large, randomized studies are warranted to assess the impact of different DESs on outcomes in patients with small coronary arteries.Keywords: small coronary arteries, coronary artery disease, stent, drug-eluting stent, restenosis  |
| first_indexed | 2024-12-14T06:45:13Z |
| format | Article |
| id | doaj.art-3996aaa97f704136ad99245ca442c287 |
| institution | Directory Open Access Journal |
| issn | 1176-6344 1178-2048 |
| language | English |
| last_indexed | 2024-12-14T06:45:13Z |
| publishDate | 2010-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-3996aaa97f704136ad99245ca442c2872022-12-21T23:13:05ZengDove Medical PressVascular Health and Risk Management1176-63441178-20482010-10-012010default915922Small coronary vessel angioplasty: outcomes and technical considerationsSudhir RathoreSudhir RathoreDepartment of Cardiology, Atkinson Morley wing, St George’s Healthcare NHS Trust, London, UKAbstract: Small vessel (<3 mm) coronary artery disease is common and has been identified as independent predictor of restenosis after percutaneous coronary intervention. It remains controversial whether bare-metal stent (BMS) implantation in small vessels has an advantage over balloon angioplasty in terms of angiographic and clinical outcomes. Introduction of drug-eluting stent (DES) has resulted in significant reduction in restenosis and the need for repeat revascularization. Several DESs have been introduced resulting in varying reduction in outcomes as compared with BMS. However, their impact on outcomes in small vessels is not clearly known. It is expected that DES could substantially reduce restenosis in smaller vessels. Large, randomized studies are warranted to assess the impact of different DESs on outcomes in patients with small coronary arteries.Keywords: small coronary arteries, coronary artery disease, stent, drug-eluting stent, restenosis http://www.dovepress.com/small-coronary-vessel-angioplasty-outcomes-and-technical-consideration-a5473 |
| spellingShingle | Sudhir Rathore Small coronary vessel angioplasty: outcomes and technical considerations Vascular Health and Risk Management |
| title | Small coronary vessel angioplasty: outcomes and technical considerations |
| title_full | Small coronary vessel angioplasty: outcomes and technical considerations |
| title_fullStr | Small coronary vessel angioplasty: outcomes and technical considerations |
| title_full_unstemmed | Small coronary vessel angioplasty: outcomes and technical considerations |
| title_short | Small coronary vessel angioplasty: outcomes and technical considerations |
| title_sort | small coronary vessel angioplasty outcomes and technical considerations |
| url | http://www.dovepress.com/small-coronary-vessel-angioplasty-outcomes-and-technical-consideration-a5473 |
| work_keys_str_mv | AT sudhirrathore smallcoronaryvesselangioplastyoutcomesandtechnicalconsiderations |