The use of mechanical devices as adjuncts to intracoronary stenting

Citation
Dl. Walters et al., The use of mechanical devices as adjuncts to intracoronary stenting, CURR OPIN C, 16(5), 2001, pp. 300-305
Citations number
83
Language
INGLESE
art.tipo
Review
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
CURRENT OPINION IN CARDIOLOGY
ISSN journal
0268-4705 → ACNP
Volume
16
Issue
5
Year of publication
2001
Pages
300 - 305
Database
ISI
SICI code
0268-4705(200109)16:5<300:TUOMDA>2.0.ZU;2-0
Abstract
A number of mechanical adjuncts to intracoronary stenting are now available to the interventional cardiologist. These devices have assisted in the dev elopment of a safer and more effective stenting practice. Intravascular ult rasound-guided stenting has been shown to reduce the rate of subacute throm bosis and subsequent restenosis. It allows a greater appreciation of lesion structure and severity so that an appropriate intervention strategy can be devised. Debulking techniques may allow the optimal deployment of stents s o that restenosis is reduced; however, the results of large randomized stud ies are still awaited. The use of thrombectomy and distal embolization prot ection devices is emerging as a safer alternate to stenting alone in diffic ult patient subsets, such as those with thrombus-laden lesions and degenera ted vein grafts. Doppler and pressure wires may be useful in determining op timal stent deployment and predict subsequent patient outcomes. An understa nding of the indications and limitations of these devices is of increasing importance to the interventional cardiologist as the coming decade threaten s to yield an impressive array of high-tech innovations. (C) 2001 Lippincot t Williams & Wilkins, Inc.