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REVIEW ARTICLE

Restenosis related to percutaneous coronary intervention has been solved?

&
Pages 173-187 | Published online: 26 Aug 2009
 

Abstract

Percutaneous coronary intervention (PCI) has become the most important revascularization method in the treatment of coronary artery disease. The major problem in PCI has been renarrowing of the dilated vessel after the procedure (restenosis). The best results in the prevention of restenosis have been obtained by covering the stent with drugs that inhibit cellular growth, thus limiting excessive scar formation inside of the stent. With drug‐eluting stents, restenosis has been reduced to one‐tenth compared with balloon angioplasty and to one‐fourth compared to bare metal stents. Due to drug‐eluting stents, PCI is an alternative to bypass surgery. However, restenosis will remain a challenge due to the increased number of procedures and more difficult disease treated with PCI.

Abbreviations
ACC/AHA=

American College of Cardiology/American Heart Association

ACE=

angiotensin‐converting enzyme

AT II=

angiotensin II

bFGF=

basic fibroblast growth factor

CABG=

coronary artery bypass gratting

CRP=

C‐reactive protein

EC=

endothelial cell

IGF=

insulin‐like growth factor

MAC‐1=

a member of beta2‐integrin family of cellular adhesion molecules

MACE=

major adverse clinical event

MAPK=

mitogen‐activated protein kinases

NO=

nitric oxide

PCI=

percutaneous coronary intervention

PDGF=

platelet‐derived growth factor

QTc=

corrected QT‐interval

SMC=

smooth muscle cell

TGFβ=

transforming growth factor beta

TLR=

target lesion revascularization

TVR=

target vessel revascularization

VEGF=

vascular endothelial growth factor

Abbreviations
ACC/AHA=

American College of Cardiology/American Heart Association

ACE=

angiotensin‐converting enzyme

AT II=

angiotensin II

bFGF=

basic fibroblast growth factor

CABG=

coronary artery bypass gratting

CRP=

C‐reactive protein

EC=

endothelial cell

IGF=

insulin‐like growth factor

MAC‐1=

a member of beta2‐integrin family of cellular adhesion molecules

MACE=

major adverse clinical event

MAPK=

mitogen‐activated protein kinases

NO=

nitric oxide

PCI=

percutaneous coronary intervention

PDGF=

platelet‐derived growth factor

QTc=

corrected QT‐interval

SMC=

smooth muscle cell

TGFβ=

transforming growth factor beta

TLR=

target lesion revascularization

TVR=

target vessel revascularization

VEGF=

vascular endothelial growth factor

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