Piraino Davide, Cimino Giuliana, Buccheri Dario, Dendramis Gregory, Andolina Giuseppe, Cortese Bernardo
Interventional Cardiology, "P. Giaccone" University Hospital of Palermo, Italy.
Interventional Cardiology, "P. Giaccone" University Hospital of Palermo, Italy.
Int J Cardiol. 2017 Mar 1;230:91-96. doi: 10.1016/j.ijcard.2016.12.073. Epub 2016 Dec 22.
Treatment of recurrent in-stent restenosis is a real brainteaser for the interventional cardiologist who cannot resort to the guidelines to have indications about the type of treatment to be preferred. The use of intracoronary imaging may provide insights into the underlying mechanisms of this complication and use of drug-coated balloons may be a valid alternative and especially a thoughtful treatment when the repeated and perseverant use of drug-eluting stents clearly fails. In this setting, we present a review of the literature about this interesting topic, going deep into the heart of the problem, its origin and possible treatment options.
对于无法依据指南来确定首选治疗类型的介入心脏病专家而言，复发性支架内再狭窄的治疗着实是个棘手难题。冠状动脉内成像的应用或许能为这一并发症的潜在机制提供见解，当药物洗脱支架的反复持续使用明显无效时，药物涂层球囊的应用可能是一种有效的替代方法，尤其是一种经过深思熟虑的治疗手段。在此背景下，我们针对这一有趣的话题展开文献综述，深入探讨问题的核心、其根源以及可能的治疗选择。
