Access the full text.
Sign up today, get DeepDyve free for 14 days.
R. Agarwal, U. Kaul, P. Jain (1996)
Technical considerations in deploying the sheathed Palmaz-Schatz stent in distal coronary artery and bypass graft lesions.Catheterization and cardiovascular diagnosis, 37 1
B. Strauss, V. Umans, R. Suylen, P. Feyter, J. Marco, G. Robertson, J. Renkin, G. Heyndrickx, V. Vuzevski, F. Bosman, P. Serruys (1992)
Directional atherectomy for treatment of restenosis within coronary stents: clinical, angiographic and histologic results.Journal of the American College of Cardiology, 20 7
D. Baim, M. Levine, M. Leon, S. Levine, S. Ellis, R. Schatz (1993)
Management of restenosis within the Palmaz-Schatz coronary stent (the U.S. multicenter experience. The U.S. Palmaz-Schatz Stent Investigators.The American journal of cardiology, 71 4
Straws Straws, Umans Umans, Suylen Suylen (1992)
Directional atherectomy for treatment within coronary stents: Clinical, angiographic and histologic resultsJ Am Coll Cardiol, 20
Pathan Pathan, Butte Butte, Harrell Harrell (1997)
Directional coronary atherectomy is superior to PTCA for the treatment of Palmaz‐Schatz stent restenosisJ Am Coll Cardiol, 29
Fischman Fischman, Leon Leon, Baim Baim (1994)
A randomized comparison of coronary‐stent placement and balloon angioplasty in treatment of coronary artery diseaseN Engl J Med, 331
H. Dauerman, D. Baim, D. Cutlip, Anthony Sparano, C. Gibson, R. Kuntz, J. Carrozza, Gary Garber, David Cohen (1998)
Mechanical debulking versus balloon angioplasty for the treatment of diffuse in-stent restenosis.The American journal of cardiology, 82 3
R. Mehran, G. Mintz, L. Satler, A. Pichard, K. Kent, T. Bucher, J. Popma, M. Leon (1997)
Treatment of in-stent restenosis with excimer laser coronary angioplasty: mechanisms and results compared with PTCA alone.Circulation, 96 7
C. Bauters, J. Banos, E. Belle, E. Fadden, J. Lablanche, M. Bertrand (1998)
Six-month angiographic outcome after successful repeat percutaneous intervention for in-stent restenosis.Circulation, 97 4
Baim Baim, Levine Levine, Leon Leon (1993)
Management of restenosis within the Palmaz‐Schatz coronary stent (the U.S. multicenter experience)Am J Cardiol, 71
P. Macander, G. Roubin, G. Roubin, S. Agrawal, A. Cannon, L. Dean, W. Baxley (1994)
Balloon angioplasty for treatment of in-stent restenosis: feasibility, safety, and efficacy.Catheterization and cardiovascular diagnosis, 32 2
R. Mehran, G. Mintz, J. Popma, A. Pichard, L. Satler, K. Kent, J. Griffin, M. Leon (1996)
Mechanisms and results of balloon angioplasty for the treatment of in-stent restenosis.The American journal of cardiology, 78 6
R. Bowerman, C. Pinkerton, Beth Kirk, B. Waller (1991)
Disruption of a coronary stent during atherectomy for restenosis.Catheterization and cardiovascular diagnosis, 24 4
Sermys Sermys, De Jaeger De Jaeger, Kiemeneeij Kiemeneeij (1994)
A comparison of balloon‐expandable‐stent implantation with balloon angioplasty in patients with coronary heart diseaseN Engl J Med, 331
P. Gordon, C. Gibson, D. Cohen, J. Carrozza, R. Kuntz, D. Baim (1993)
Mechanisms of restenosis and redilation within coronary stents--quantitative angiographic assessment.Journal of the American College of Cardiology, 21 5
D. Fischman, M. Leon, D. Baim, R. Schatz, M. Savage, I. Penn, K. Detre, L. Veltri, D. Ricci, M. Nobuyoshi (1994)
A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. Stent Restenosis Study Investigators.The New England journal of medicine, 331 8
Stone Stone (1996)
Rotational atherectomy for treatment of in‐stent restenosis: Role of intracoronary ultrasound guidanceCath Cardiovasc Diagn, 37
Rainer Hoffmann, G. Mintz, G. Dussaillant, J. Popma, A. Pichard, L. Satler, K. Kent, J. Griffin, M. Leon (1996)
Patterns and mechanisms of in-stent restenosis. A serial intravascular ultrasound study.Circulation, 94 6
B. Reimers, I. Moussa, T. Akiyama, G. Tucci, M. Ferraro, G. Martini, S. Blengino, C. Mario, A. Colombo (1997)
Long-term clinical follow-up after successful repeat percutaneous intervention for stent restenosis.Journal of the American College of Cardiology, 30 1
P. Serruys, P. Jaegere, F. Kiemeneij, C. Macaya, W. Rutsch, G. Heyndrickx, H. Emanuelsson, J. Marco, V. Legrand, P. Materne, J. Belardi, U. Sigwart, A. Colombo, J. Goy, P. Heuvel, J. Delcán, M. Morel (1994)
A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. Benestent Study Group.The New England journal of medicine, 331 8
A. Schömig, Franz‐Josef Neumann, A. Kastrati, H. Schühlen, R. Blasini, M. Hadamitzky, H. Walter, E. Zitzmann-Roth, G. Richardt, E. Alt, C. Schmitt, K. Ulm (1996)
A randomized comparison of antiplatelet and anticoagulant therapy after the placement of coronary-artery stents.The New England journal of medicine, 334 17
A. Schömig, A. Kastrati, R. Dietz, B. Rauch, Franz‐Josef Neumann, Hugo Katus, U. Busch (1994)
Emergency coronary stenting for dissection during percutaneous transluminal coronary angioplasty: angiographic follow-up after stenting and after repeat angioplasty of the stented segment.Journal of the American College of Cardiology, 23 5
Background: Tissue proliferation is the major cause of in‐stent restenosis (ISR). Thus, debulking of material should be the most favorable method to treat ISR. The present study was performed to test the clinical and angiographic outcome of directional coronary atherectomy (DCA) in the treatment of restenosis within different stents. Methods and Results: Fifty patients with ISR in single stents (12 Palrnaz‐Schatz stents, 8 Pura stents, 10 Multilink stents, 10 NIR stents, 8 Wallstents, and 2 Microstents) underwent DCA with adjunctive balloon angioplasty in 38 patients. Primary success was achieved in 48 patients (96%). Two patients developed CK‐MB elevations, one with a Q‐wave infarction. Some minor technical problems occurred with respect to the different stent types. The percent diameter stenosis decreased from 76 ± 7% at baseline to 29 ± 6% after atherectomy (P < 0.0001) and 20 ± 4% after adjunctive PTCA, and it increased to 45 ± 19% at 4‐month angiography (P < 0.0001). Angiographic restenosis occurred in 14 (29.2%) of 48 patients who were reevaluated after 4 months. Conclusion: While DCA is able to remove u significant amount of intimal tissue in selected patients with in‐stent restenosis, new atherectomy catheter designs are required to make this a feasible and safe procedure.
Journal of Interventional Cardiology – Wiley
Published: Apr 1, 2000
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.