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A coronary stent placed by percutaneous coronary intervention. Older bare-metal stents (BMS) provide a mechanical framework that holds the artery wall open, preventing stenosis, or narrowing, of coronary arteries. Newer drug-eluting stents (DES) are traditional stents with a polymer coating containing drugs that prevent cell proliferation. The ...
Coronary angiography and angioplasty in acute myocardial infarction (left: Right Coronary Artery [RCA] closed, right: successfully dilated) Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases.
Bare metal stents were found to cause in-stent restenosis as a result of neointimal hyperplasia and stent thrombosis, which led to the invention of drug-eluting stents with anti-proliferative drugs to combat in-stent restenosis. [1] The first coronary angioplasty with a drug delivery stent system was performed by Stertzer and Luis de la Fuente ...
Coronary artery stents, typically a metal framework, can be placed inside the artery to help keep it open. However, as the stent is a foreign object (not native to the body), it incites an immune response. This may cause scar tissue (cell proliferation) to rapidly grow over the stent and cause a neointimal hyperplasia.
Coronary stents are placed during a coronary angioplasty. The most common use for coronary stents is in the coronary arteries, into which a bare-metal stent, a drug-eluting stent, a bioabsorbable stent, a dual-therapy stent (combination of both drug and bioengineered stent), or occasionally a covered stent is inserted. [1]
From the time of the initial percutaneous balloon angioplasty, it was theorized that devices could be placed inside the arteries as scaffolds to keep them open after a successful balloon angioplasty. [14] This did not become a reality in the cardiac realm until the first intracoronary stents were successfully deployed in coronary arteries in 1986.
Rx catheters nowadays are about 90% of the Coronary Intervention market. While OTW Catheters may still be useful in highly tortuous vascular pathways, they sacrifice deflation time and pushability. When a balloon catheter is used to compress plaque within a clogged coronary artery, it is referred to as a plain old balloon angioplasty or POBA. [1]
Infarct area and arterial calcium can also be observed (however those require a somewhat higher radiation exposure). That said, one advantage retained by Catheter angiography is the ability of the physician to perform procedure such as balloon angioplasty or insertion of a stent to improve blood flow to the artery. [8]
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