Generalized model of restenosis after conventional balloon
angioplasty, stenting and directional atherectomy
Kuntz RE, Gibson CM, Nobuyoshi M, Baim DS
The demonstration that stenosis after
angioplasty, minimal lumen diameter (MLD),
or change in MLD are all continuous
variables—and not divided into a bimodal
population representing restenosis or no
restenosis—produced a profound change in the thinking
behind the restenosis process...
Randomized trial of coronary intervention with antibody against
platelet IIb/IIIa integrin for reduction of clinical restenosis:
results at six months
Topol EJ, Califf RM, Weisman HF, et al, on behalf of the EPIC Investigators
Numerous studies have used antiplatelet agents
to prevent restenosis...
Restenosis after successful percutaneous transluminal coronary
angioplasty: serial angiographic follow-up of 229 patients
Nobuyoshi M, Kimura T, Nosaka H, Mioka S, Ueno K, Yokoi H, Hamasaki N, Horiuchi H, Ohishi H
Angioplasty results in overexpansion of the
vessel, with dissection of the intimal plaque,
often extending into the media...
Inhibition of vascular smooth muscle cell proliferation in vitro
and in vivo by c-myc antisense oligodeoxynucleotides
Bennett MR, Anglin S, McEwan JR, Jagoe R, Newby AC, Evan GI
The failure of conventional pharmacological
agents to inhibit restenosis has spawned a
whole series of studies dedicated to using
gene therapy to prevent restenosis...
Lumen narrowing after percutaneous transluminal coronary balloon
angioplasty follows a near-Gaussian distribution: a quantitative
angiographic study in 1445 successfully dilated lesions
Rensing BJ, Hermans WRM, Deckers JW, de Feyter PJ, Tijssen JGP, Serruys PW
Clinical classifications of restenosis are based
on a number of criteria; primarily, the patient
has a return of symptoms, with demonstrable
narrowing of the previously dilated vessel...
Proliferation in primary and restenotic coronary atherectomy
tissue: implications for antiproliferative therapy
O’Brien ER, Alpers CE, Stewart DK, Ferguson M, Tran N, Gordon D, Benditt EP, Hinohara T,
Simpson JB, Schwartz SM
For the last 20 years, vascular smooth muscle
cell proliferation has been considered to be an
indispensable part of the pathogenesis of
atherosclerosis, and more recently,
of angioplasty restenosis...
A randomized comparison of coronary stent placement and
balloon angioplasty in the treatment of coronary artery disease
Fischman DL, Leon MB, Bairn DS, et al, for the STent REStenosis Study Investigators
Restenosis following angioplasty has been the
Achilles’ heel of the technique since its
inception...
A comparison of directional atherectomy with coronary
angioplasty in patients with coronary artery disease
Topol EJ, Leya F, Pinkerton CA, et al, for the CAVEAT Study Group
The high rate of restenosis following balloon
angioplasty has acted as a driving force for
the development of a number of different
interventions in an attempt to improve
overall long-term patency rates...
Arterial remodeling after coronary angioplasty:
a serial intravascular ultrasound study
Mintz GS, Popma JJ, Pichard AD, Kent KM, Satler LF, Wong SC, Hong MK, Kovach JA, Leon MB
The emerging viewpoint over recent years has
been that human angioplasty restenosis is
attributable to a number of processes,
specifically, neointima formation, subacute
recoil, and geometric remodeling...
A comparison of balloon-expandable–stent implantation with
balloon angioplasty in patients with coronary artery disease
Serruys PW, de Jaegere P, Kiemeneij F, et al, for the BENESTENT Study Group
As the STRESS trial (see page 164) was being
conducted, an almost identical European
trial was also recruiting, and the results of both
STRESS and BENESTENT were published
back to back in the New England Journal of
Medicine...
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