[Treatment of coronary artery stenosis. Considerable improvement of the catheter-based technique].
The technique to treat coronary artery stenoses by percutaneous coronary intervention (PCI) was introduced in 1977 and has since undergone considerable improvement. Important developments have been: 1. The use of stents, which minimize the risk of acute occlusions and reduce the incidence of restenosis. 2. Improvement in antiplatelet therapy, which decrease the risk of thromboembolic complications during and after PCI. 3. Specific treatment against restenosis by drug-eluting stents. PCI treatment with stents and reinforced antiplatelet therapy is well established today. If the initial encouraging results with PCI using drug-eluting stents without restenosis hold their promise, the vast majority of coronary revascularisations will be performed by PCI in the future.
Tornvall
Per
P
Kardiologiska kliniken, Karolinska sjukhuset, Stockholm. per.tornvall@ks.se
Jensen
Jens
J
Nilsson
Tage
T
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D023903:Coronary Restenosis / Q000517:prevention & control; D023921:Coronary Stenosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D015607:Stents
D005343:Fibrinolytic Agents; D010975:Platelet Aggregation Inhibitors