title: Coronary stenting and inflammation: implications for further surgical and medical treatment.
abstract: The introduction of percutaneous coronary interventions (PCI) with stent implant has substantially shifted the treatment of coronary artery disease. The current approach to coronary artery disease treatment includes first-choice PCI in selected subgroups; and once this therapy fails, frequently the patient is referred for coronary artery bypass graft surgery. However, evidence of chronic inflammatory reaction and endothelial dysfunction after PCI has been emerging and that might be interfering with patient outcome when surgical or medical treatments are subsequently required. The clinical significance of these complications after PCI, herein examined, has been less studied and needs better assessment. Also, the premise that coronary artery bypass graft surgery can safely be performed in patients with coronary stenting failure may not hold true, as graft patency might be adversely affected. Furthermore, the superimposed inflammatory reaction may blunt the efficacy of medical treatment.
authors.affiliation: Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil. wjgomes.dcir@epm.br
authors.forename: Walter J
authors.initials: WJ
authors.lastname: Gomes
authors.forename: Enio
authors.initials: E
authors.lastname: Buffolo
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D000818:Animals; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery / Q000628:therapy*; D023903:Coronary Restenosis / Q000209:etiology / Q000503:physiopathology; D003331:Coronary Vessels / Q000473:pathology; D052279:Creatine Kinase, MB Form / Q000097:blood; D004730:Endothelium, Vascular / Q000503:physiopathology; D006801:Humans; D007249:Inflammation / Q000503:physiopathology; D015227:Lipid Peroxidation; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome; D019210:Troponin I / Q000097:blood; D014654:Vascular Patency
chemical_list: D019210:Troponin I; D052279:Creatine Kinase, MB Form