2007, Number S1
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Rev Mex Anest 2007; 30 (S1)
Perioperative management of patients with intracoronary drug-eluting stents undergoing noncardiac surgery
Lobato EB
Language: English
References: 18
Page: 335-337
PDF size: 65.71 Kb.
Text Extraction
INTRODUCTION
Since the introduction of percutaneous transluminal coronary angioplasty (PTCA) by Gruntzig in 1977, major advancements have been made in the clinical practice of percutaneous coronary intervention (PCI).
Despite the widespread use of these devices, bare metal stents (BMS) have been associated with a 20-30% restenosis rate requiring reintervention. Restenosis occurs as a result of neointimal hyperplasia–growth of scar tissue within the stent–due to the proliferation and migration of vascular smooth muscle cells. This phenomenon is clinically evident within the first 6-9 months after stent placement, and occurs in response to strut-associated injury and inflammation.
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