scholarly journals Drug-Coated Balloon and In-Stent Restenosis: A Clinical Strategy to Manage Coronary Artery Diseases

2021 ◽  
Author(s):  
Prima Hapsari Wulandari
2021 ◽  
Author(s):  
Prima Hapsari Wulandari

Cardiovascular events are the most common cause of morbidity and mortality worldwide. Coronary artery diseases, including myocardial infarctions, are prevalent among all populations. There are multiple management strategies for coronary artery diseases, but stent implantation is among the most effective interventions. Nevertheless, some patients develop restenosis of the intervened vessel, and the number constitutes about 10%-20% of all patients. In-stent restenosis leads to adverse effects that might end in sudden cardiac death. Restenosis forges a clinical challenge for practicing physicians. A drug-coated balloon has propitious potential and is showing results comparable to stents implantation to overcome in-stent restenosis. This review aims to evaluate the effectiveness and advancement of drug-coated balloons in treating in-stent restenosis as a coronary intervention, along with its benefits and drawbacks.


Sensors ◽  
2020 ◽  
Vol 20 (15) ◽  
pp. 4303
Author(s):  
Mokhalad Alghrairi ◽  
Nasri Sulaiman ◽  
Saad Mutashar

In-stent restenosis concerning the coronary artery refers to the blood clotting-caused re-narrowing of the blocked section of the artery, which is opened using a stent. The failure rate for stents is in the range of 10% to 15%, where they do not remain open, thereby leading to about 40% of the patients with stent implantations requiring repeat procedure within one year, despite increased risk factors and the administration of expensive medicines. Hence, today stent restenosis is a significant cause of deaths globally. Monitoring and treatment matter a lot when it comes to early diagnosis and treatment. A review of the present stent monitoring technology as well as the practical treatment for addressing stent restenosis was conducted. The problems and challenges associated with current stent monitoring technology were illustrated, along with its typical applications. Brief suggestions were given and the progress of stent implants was discussed. It was revealed that prime requisites are needed to achieve good quality implanted stent devices in terms of their size, reliability, etc. This review would positively prompt researchers to augment their efforts towards the expansion of healthcare systems. Lastly, the challenges and concerns associated with nurturing a healthcare system were deliberated with meaningful evaluations.


2019 ◽  
Vol 60 (5) ◽  
pp. 1070-1076 ◽  
Author(s):  
Hiroyuki Kiriyama ◽  
Satoshi Kodera ◽  
Shun Minatsuki ◽  
Hidehiro Kaneko ◽  
Hironobu Kikuchi ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Dai-Min Zhang ◽  
Shaoliang Chen

Coronary heart disease is a major cause of death and disability in developed countries. Stent implantation has become an efficacious treatment for a culprit lesion vessel of the coronary artery. However, 10%–20% restenosis is still an important complication that restricts the clinical safety and efficacy of drug-eluting stents. In-stent restenosis may lead to the recurrence of major cardiovascular adverse events, including angina pectoris, acute myocardial infarction, and even sudden cardiac death. These events are currently serious problems that occur after coronary stent implantation. Clinical physicians face a difficult choice for in-stent restenosis treatment. Recent studies indicate that a drug-coated balloon has promising clinical efficacy similar to the drug-eluting stents for treating coronary in-stent restenosis. Therefore, in this study, we highlight the progress of coronary intervention and the use of drug-coated balloons in the treatment of in-stent restenosis (ISR).


2021 ◽  
Vol 77 (14) ◽  
pp. S19
Author(s):  
Hendy Bhaskara Perdana Putra ◽  
Quri Meihaerani Savitri ◽  
Wally Wahyu Mukhammad ◽  
Atiyatum Billah ◽  
Alan Dharmasaputra ◽  
...  

2010 ◽  
Vol 25 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Sang-Hoon Chung ◽  
Young Jin Kim ◽  
Jin Hur ◽  
Hye Jeong Lee ◽  
Kyu Ok Choe ◽  
...  

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