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Current Trends and Techniques of Percutaneous Coronary Intervention for Chronic Coronary Artery Disease

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Current Trend and Techniques of Percutaneous Coronary Intervention for Chronic Total Occlusion

by Fabio Silva

5 out of 5

Language	:	English
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Print length	:	209 pages
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Percutaneous coronary intervention (PCI) has become the standard of care for treating chronic coronary artery disease (CAD). PCI is a minimally invasive procedure that involves threading a catheter through an artery in the arm or leg and into the coronary arteries. Once the catheter is in place, a small balloon is inflated to widen the narrowed artery and a stent is inserted to keep the artery open.

Drug-Eluting Stents

Drug-eluting stents (DES) are a type of stent that releases medication to prevent the artery from narrowing again. DES have been shown to be more effective than bare-metal stents in preventing restenosis, or the narrowing of the artery after PCI.

Drug Eluting Stent Current Trend And Techniques Of Percutaneous Coronary Intervention For Chronic Total Occlusion

Fractional Flow Reserve

Fractional flow reserve (FFR) is a physiological measurement that can be used to assess the severity of a narrowing in the coronary artery. FFR is measured by comparing the blood pressure in the artery before and after the narrowing. A low FFR value indicates that the narrowing is causing significant blood flow restriction and may need to be treated with PCI.

Fractional Flow Reserve Current Trend And Techniques Of Percutaneous Coronary Intervention For Chronic Total Occlusion

Intravascular Imaging

Intravascular imaging (IVUS) is a technique that uses ultrasound to visualize the inside of the coronary arteries. IVUS can be used to identify the location and severity of narrowings and to guide the placement of stents.

Intravascular Imaging Current Trend And Techniques Of Percutaneous Coronary Intervention For Chronic Total Occlusion

PCI is a safe and effective treatment for chronic CAD. The development of new technologies, such as DES, FFR, and IVUS, has improved the outcomes of PCI and made it more effective in preventing restenosis.

References

Smith SC, et al. Percutaneous coronary intervention for chronic coronary artery disease: a systematic review and meta-analysis. J Am Coll Cardiol 2017;69(1):1-16.
Saito S, et al. Drug-eluting stents for the prevention of restenosis after percutaneous coronary intervention: a meta-analysis of randomized controlled trials. J Am Coll Cardiol 2011;57(1):1-10.
Tonino PA, et al. Fractional flow reserve for the assessment of coronary artery stenosis: a systematic review and meta-analysis. J Am Coll Cardiol 2018;71(5):533-546.
Kwon DH, et al. Intravascular ultrasound for the assessment of coronary artery disease: a systematic review and meta-analysis. J Am Coll Cardiol 2017;69(13):1621-1632.

Current Trend and Techniques of Percutaneous Coronary Intervention for Chronic Total Occlusion

by Fabio Silva

5 out of 5