Intravascular imaging in coronary stent restenosis: Prevention, characterization, and management.

ABSTRACT: Despite the introduction of drug-eluting stents to combat the neointimal hyperplasia that occurred after BMS implantation, in-stent restenosis is still encountered in a significant number of patients, particularly as increasingly complex lesions are tackled by percutaneous coronary intervention. Many biological and mechanical factors interplay to produce restenosis, some of which are avoidable. Intravascular imaging provided unique insights into various forms of stent-related mechanical issues that contribute to this phenomenon. From a practical perspective, intravascular imaging can therefore help to optimize the stenting procedure to avert these issues. Moreover, once the problem of restenosis eventuates, imaging can guide the management by tackling the underlying identified mechanism. F

SUBMITTER: Abouelnour A 

PROVIDER: S-EPMC9395642 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature