title: [More than 25 years of coronary stent implantation].
abstract: The number of Dutch patients undergoing percutaneous coronary intervention (PCI) currently comprises approximately 38,000 cases a year; a stent is implanted in approximately 90% of cases. About two-thirds of these patients undergo PCI for acute coronary syndrome; the number of patients treated for stable coronary disease is gradually decreasing. The modern coated stents improve the durability of treatment considerably: 7% require a repeat procedure after 1 year. Complex stenoses, which were usually treated with coronary bypass surgery in the past, are becoming more accessible to PCI due to current innovations and improvements in techniques and equipment. A combination of functional and anatomical measurements of a stenosis is needed to make an informed decision about whether or not to implant a stent. A large number of clinical studies are currently being conducted for the purpose of identifying the most optimal combination of a stent and platelet-aggregation inhibitors.
authors.affiliation: Erasmus Medisch Centrum, afd. Thoraxcentrum, Rotterdam, the Netherlands.
authors.forename: Joost
authors.initials: J
authors.lastname: Daemen
authors.forename: Robert Jan
authors.initials: RJ
authors.lastname: van Geuns
authors.forename: Felix
authors.initials: F
authors.lastname: Zijlstra
mesh_terms: D054058:Acute Coronary Syndrome / Q000601:surgery*; D006801:Humans; D062645:Percutaneous Coronary Intervention; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage*; D010818:Practice Patterns, Physicians' / Q000639:trends; D015607:Stents / Q000009:adverse effects
chemical_list: D010975:Platelet Aggregation Inhibitors