Provisional stenting in small vessels

F. Airoldi, C. Di Mario, T. Takagi, G. Stankovic, R. Albiero, A. Colombo

Research output: Contribution to journalArticlepeer-review

Abstract

Based on the currently available data, the strategy of routine stent placement in unselected lesions located in small coronary arteries provides good immediate results but is still associated with a high incidence of in-stent restenosis. Randomized trials comparing elective stenting with balloon angioplasty have not provided the demonstration that routine stenting is the best strategy for percutaneous intervention in coronary arteries with a reference diameter smaller than 2.75-3.0 mm. This paper describes the rationale for provisional stenting in this clinical setting and reviews the role of quantitative coronary angiography, intracoronary ultra-sound and intracoronary Doppler measurements in the identification of lesions that would benefit from adjunctive stent placement after balloon angioplasty and in guiding stent implantation.

Original languageEnglish
Pages (from-to)91-98
Number of pages8
JournalInternational Journal of Cardiovascular Interventions
Volume4
Issue number2
DOIs
Publication statusPublished - 2001

Keywords

  • Intracoronary Doppler
  • Intracoronary ultrasound
  • Provisional stenting
  • Small vessels

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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