A Chicken in Every Pot and a Drug-Eluting Stent in Every Lesion

A chicken in every pot and a drug-eluting stent in every lesion.

A78-year-old man is admitted with episodes of severe angina associated with hypotension. Urgent angiography finds critical left main stenosis with wellpreserved left ventricular function (Figure 1). While discussing the treatment plan with the physician, the patient suddenly manifests sustained ventricular fibrillation. Prompt electrocardioversion restores sinus rhythm, but there is electromech...

Drug-eluting stents: effective and safe for every patient and every lesion?

When Andreas Grüntzig performed the first percutaneous transluminal coronary angioplasty in 1978, he did not expect that this procedure would become one of the most often performed interventions in medicine worldwide. The Achilles’ heels of balloon angioplasty were early reocclusions and restenosis. However, .60% of the patients after plain old balloon angioplasty did well without any need for ...

Lateral chest radiography or a chicken in every pot.

Overview of Intracoronary Brachytherapy for in-Stent Restenosis of a Drug-Eluting Stent

Percutaneous coronary intervention with stenting is considered recently as the most common procedure for the treatment of symptomatic coronary. The article reviewed 41 studies published during 1997-2019 on intracoronary brachytherapy for in-stent restenosis of a drug-eluting stent. Intracoronary radiation therapy was finally confirmed in the setting of in-stent restenosis using as adjunctive th...

A chicken (nugget?) in every pot: what's at stake in the budget debate.