<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Mortality rates from acute myocardial infarctions have been declining in the past 4 decades since percutaneous coronary interventions (PCIs) became a valid therapeutical option. PCI is a non-surgical revascularization procedure in which blood flow in an occluded or narrowed epicardial coronary artery is re-established by inflating an angioplasty balloon in order to remove the blockage, followed by the insertion of a stent in order to maintain the patency of the artery. Since the late ‘70s when the first bare metal stents (BMS) became available, progress has been made in developing new types of stents in order to lower the incidence of two important and feared complications: and <italic>thrombosis restenosis.</italic></p><p>While thrombosis is manageable and preventable with antithrombotic therapy, restenosis is a more complex issue of which many clinicians may not be aware or underestimate. The review would like to summarize the current knowledge from the literature on stent restenosis and present to clinicians some tools for recognizing, or at least suspecting, restenosis in their patients.</p></abstract>

Mortality rates from acute myocardial infarctions have been declining in the past 4 decades since percutaneous coronary interventions (PCIs) became a valid therapeutical option. PCI is a non-surgical revascularization procedure in which blood flow in an occluded or narrowed epicardial coronary artery is re-established by inflating an angioplasty balloon in order to remove the blockage, followed by the insertion of a stent in order to maintain the patency of the artery. Since the late ‘70s when the first bare metal stents (BMS) became available, progress has been made in developing new types of stents in order to lower the incidence of two important and feared complications: and thrombosis restenosis.While thrombosis is manageable and preventable with antithrombotic therapy, restenosis is a more complex issue of which many clinicians may not be aware or underestimate. The review would like to summarize the current knowledge from the literature on stent restenosis and present to clinicians some tools for recognizing, or at least suspecting, restenosis in their patients.

From Stenosis to Restenosis - The New Coronary Artery Disease Continuum in the PCI Era

“Dr. Carol Davila” Central Military Emergency University Hospital

Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mortality rates from acute myocardial infarctions have been declining in the past 4 decades since percutaneous coronary interventions (PCIs) became a valid...

From Stenosis to Restenosis - The New Coronary Artery Disease Continuum in the PCI Era

Published Online: Oct 14, 2020

Page range: 61 - 68

DOI: https://doi.org/10.2478/inmed-2020-0125

Keywords
STEMI, stent, PCI, restenosis, coronary artery disease (CAD)

© 2020 Alice Elena Munteanu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

From Stenosis to Restenosis - The New Coronary Artery Disease Continuum in the PCI Era

Published Online: Oct 14, 2020

Page range: 61 - 68

DOI: https://doi.org/10.2478/inmed-2020-0125

KeywordsSTEMI, stent, PCI, restenosis, coronary artery disease (CAD)

© 2020 Alice Elena Munteanu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
STEMI, stent, PCI, restenosis, coronary artery disease (CAD)