Restenosis and Reocclusion after Recanalization of an Occluded Coronary Artery: Is There a Light at the End of This Tunnel?
Since 1982, there have been many reports regarding percutaneous transluminal coronary angioplasty of totally occluded coronary arteries. Technical advances and operator experience have allowed us to achieve success in most patients. Restenosis and reocclusion after total occlusion percutaneous coronary intervention (PCI) continue to present a challenge and reduce long-term effectiveness of the procedure. In addition, brachytherapy and drug-eluting stents may have a major impact on outcome. Both technologies require study in the setting of complex lesion total occlusion PCI; there may be a light at the end of this tunnel.
Dzavik
Vladimir
V
Cardiac Catheterization Laboratory, University Health Network, 12-224A Eaton North, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. vlad.dzavik@uhn.on.ca