الفهرس | Only 14 pages are availabe for public view |
Abstract Plain balloon angioplasty is the first-line treatment option for instent restenosis, yet its results have often been disappointing with a recurrence rate above 40% . Repeated use of bare stents appears to further exacerbate the risk of recurrencef”. Alternative interventional options, including rotational atherectomy, directional coronary atherectomy, and cutting balloon, have not provided additional benefits”. Although brachytherapy is currently the treatment approach most supported by evidence for in-stent restenosis. the complexity of its application, concerns about the prolonged risk of vessel occlusion, and the decrease in benefit overtitne214 have limited use of this strategy. The aim of the work was to compare both the immediate and long term (18 months) results of cutting balloon angioplasty (CBA), sirolimus eluting stents (SES), plain old balloon angioplasty (POBA), rotational atherectomy (RO’fA) and directional coronary atherectomy (D’CA) in the treatment of first time in-stent restenosis with regards to major adverse cardiac events and target lesion revascularization. |