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Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Open Access
Review
Effective and Efficient Strategies for Coronary Revascularization in the Drug-Eluting Stent Era
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1
UCLA School of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA
2
St. Joseph’s Medical Center, Stockton, CA
3
The Lindner Center/Ohio Heart Health Center, Cincinnati, OH
Rev. Cardiovasc. Med. 2002, 3(S5), 38–50;
Published: 20 November 2002
Abstract
We now have at our disposal a variety of new technologies for percutaneous coronary revascularization, including drug-eluting stents (DES), intracoronary radiation therapy, and glycoprotein IIb/IIIa inhibitors. Coronary stents have improved both early and late outcomes following percutaneous coronary intervention. Stent characteristics including design, stent strut thickness, and stent metal alloy are associated with different rates of restenosis. This article reviews recent findings pertaining to the use of DES and other technologies for the treatment of coronary artery disease in diabetics and small vessel disease. The causes and treatment of in-stent restenosis are discussed. The optimal approach to coronary revascularization remains to be determined as brachytherapy, improvements in stent design, and new drug-eluting stents become available.
Keywords
Coronary revascularization
Restenosis
Drug-eluting stent
Angioplasty
Intracoronary radiation therapy