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Stents for intracoronary placement: current status and future directions.

Abstract：

:The technique of intracoronary stenting has achieved remarkable progress over the last few years. Improved stent deployment techniques and optimization of postprocedural management have dramatically improved the safety of intracoronary stent placement. At present, the incidence of early vessel closure after stenting is even lower than that after standard angioplasty and, as most operators no longer prescribe aggressive anticoagulation, bleeding complications are uncommon. Stenting has become an extremely effective treatment for abrupt or threatened vessel closure or for any suboptimal angiographic result during conventional angioplasty. Furthermore, large prospective trials have demonstrated that its efficacy is superior to that of conventional angioplasty for primary restenosis prevention in focal lesions of some native coronary arteries. Ongoing trials tend to extrapolate these conclusions to saphenous vein graft lesions. Mechanical support of the vessel wall explains the sustained angiographic benefit observed after stenting. Future developments may include the use of stents as a vehicle for local drug delivery in an attempt to further reduce the incidence of restenosis. In view of these results, coronary stents should be considered a new standard therapeutic modality in interventional cardiology.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Eeckhout E,Kappenberger L,Goy JL

doi

10.1016/0735-1097(95)00548-4

subject

Has Abstract

pub_date

1996-03-15 00:00:00

pages

757-65

issue

4

eissn

0735-1097

issn

1558-3597

pii

073510979680001B

journal_volume

27

pub_type

杂志文章,评审

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