scholarly journals Treatment for in-stent restenosis requiring rotational atherectomy

2018 ◽  
Vol 31 (6) ◽  
pp. 747-754 ◽  
Author(s):  
Daisuke Hachinohe ◽  
Yoshifumi Kashima ◽  
Kazuya Hirata ◽  
Daitaro Kanno ◽  
Ken Kobayashi ◽  
...  
1998 ◽  
Vol 82 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Sang-Gon Lee ◽  
CheolWhan Lee ◽  
Sang-Sig Cheong ◽  
Myeong-Ki Hong ◽  
Jae-Joong Kim ◽  
...  

1998 ◽  
Vol 32 (5) ◽  
pp. 1358-1365 ◽  
Author(s):  
Samin K. Sharma ◽  
Srinivas Duvvuri ◽  
George Dangas ◽  
Annapoorna Kini ◽  
Raghuraman Vidhun ◽  
...  

2020 ◽  
Author(s):  
Masayuki Motohiro ◽  
Hiroshi Sugita ◽  
Hiroki Shibutani ◽  
Syun Morishita ◽  
Masami Tanaka ◽  
...  

Abstract Background: Recently, drug-eluting stents have been widely adopted rather than bare-metal stents in patients on chronic hemodialysis (HD) based on the extrapolation of data from patients on non-HD. However, whether DES implantation is associated with a reduced rate of in-stent restenosis (ISR) is unclear. We investigated the incidence of ISR and its predictors in patients on HD after drug-eluting stent implantation.Methods and Results: We analyzed 194 consecutive patients (331 lesions) on HD who underwent follow-up angiography after drug-eluting stent implantation. ISR was observed in 74 lesions (22.4%). Angiographically, the relative incidence of AHA/ACC type C lesion was increased (47% vs. 32%; P=0.043), the minimal lumen diameter (MLD) before DES implantation was smaller (0.82±0.49 vs. 0.97±0.45mm; P<0.01) and the lesion length (LL) was increased (30.2±16.1 vs. 24.4±12.1mm; P=0.023) in lesions with ISR compared to those without ISR. The rate of rotational atherectomy use was also increased in lesions with ISR compared to those without ISR (50% vs. 25%; P<0.01). In a multivariate analysis, the MLD before drug-eluting stent implantation (odds ratio [OR] =0.50, 95% confidence interval [CI] 0.27-0.91, P=0.024), LL (OR=1.02, 95% CI 1.00-1.04, P=0.030) and the use of rotational atherectomy (OR=2.71, 95% CI 1.55-4.72, P<0.01) were independent predictors of ISR. The incidence of ISR was similar between lesions treated with the first-generation (25.8%) and the second-generation DESs (20.4%).Conclusion: ISR was observed in 74 lesions (22.4%). A small MLD, long LL and the use of rotational atherectomy were independent predictors of ISR after drug-eluting stent implantation in patients on HD. There was no significant difference in ISR rate between the first- and the second-generation drug-eluting stents.


2003 ◽  
Vol 58 (2) ◽  
pp. 155-161 ◽  
Author(s):  
Pedro L. Sanchez ◽  
Maximo Rodriguez-Alemparte ◽  
Pedro J. Colon-Hernandez ◽  
Eugene Pomerantsev ◽  
Ignacio Inglessis ◽  
...  

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