A Randomized Comparison of Sirolimus-Eluting Stent With Balloon Angioplasty in Patients With In-Stent Restenosis
نویسندگان
چکیده
ernando Alfonso, MD,* Maria-José Pérez-Vizcayno, MD,* Rosana Hernandez, MD,* rmando Bethencourt, MD,† Vicens Martí, MD,‡ Jose R. López-Mínguez, MD,§ Juan Angel, MD, amón Mantilla, MD,¶ Cesar Morís, MD,# Angel Cequier, MD,** Manel Sabaté, MD,* avier Escaned, MD,* Raúl Moreno, MD,* Camino Bañuelos, MD,* Alfonso Suárez, MD,* arlos Macaya, MD,* for the RIBS-II Investigators adrid, Palma de Mallorca, Barcelona, Badajoz, Vigo, and Oviedo, Spain
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Background: Cardiovascular diseases alone have become the leading cause of death worldwide. One of the treatment methods cardiovascular disease is angioplasty. This study aimed to investigate the clinical results after coronary artery angioplasty, based on the incidence of major cardiovascular events with emphasis on stent types. Methods: In this retrospective cross-sectional study, the preval...
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CONTEXT In patients with de novo coronary lesions, drug-eluting stents have drastically reduced restenosis risk compared with bare metal stents and conventional balloon angioplasty. It is less clear whether drug-eluting stents are superior to conventional balloon angioplasty for the treatment of patients with in-stent restenosis. OBJECTIVES To assess if drug-eluting stents are a more effectiv...
متن کاملEfficacy of various percutaneous interventions for in-stent restenosis: comprehensive network meta-analysis of randomized controlled trials.
BACKGROUND In-stent restenosis (ISR) remains a difficult problem in interventional cardiology. The relative efficacy and safety of available interventions is not clear. We aimed to perform a network meta-analysis using both direct evidence and indirect evidence to compare all available interventions. METHODS AND RESULTS We systematically searched electronic databases for randomized trials com...
متن کاملEverolimus-eluting coronary stents
Bare metal stents enabled a reduction in the risk of early procedural complications and restenosis in comparison with balloon angioplasty alone, but introduced a new and device-specific iatrogenic condition, ie, in-stent restenosis due to increased neointimal hyperplasia. Sirolimus- and paclitaxel-eluting stents reduce restenosis and the need for new revascularizations in comparison with bare m...
متن کاملDrug-eluting stents for acute myocardial infarction.
Routine stent-implantation in primary coronary intervention (PCI) for acute myocardial infarction (AMI) has been shown to have a better clinical outcome than balloon angioplasty mainly because of reduction in restenosis rate and reocclusion. Drug eluting stents (DES) have recently been proven to further reduce restenosis and revascularization rate in comparison to bare metal stent (BMS) in elec...
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