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Lesion Morphology and Composition: Risk of Restenosis Following Coronary Interventions

  • Chapter
Coronary Stenosis Morphology: Analysis and Implication

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 190))

Abstract

In the past 10 years, there has been significant progress in our understanding of the clinical problem of restenosis following balloon angioplasty. This is due to a combined approach to determine the pathophysiology and complex biologic mechanisms that contribute to restenosis and the introduction and use of measurement systems in documenting and assessing the process. It should be recalled that in the early angioplasty years (1980-1985), angiographic assessment of restenosis was entirely on a categorical basis, the value of angiographic follow-up questionnable and clinical cardiologists were largely unaware of the use of quantitative angiography. Although quantitative coronary angiography (QCA) has been predominantly a research tool in interventional cardiology, it has raised the standards of interventional practice from purely “an art” to a more scientific level that can be evaluated by evidence-based medicine. QCA has altered our perceptions of restenosis and has served as the gold standard for comparing restenosis therapies (drugs and devices).

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  1. Division of Cardiology, Terrence Donnelly Heart Center, St. Michael’s Hospital, University of Toronto, 30 Bond Street, Toronto, Ontario, Canada

    Bradley H. Strauss MD, FRCP(C), PhD & Madhu K. Natarajan MD, FRCP(C)

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  1. Bradley H. Strauss MD, FRCP(C), PhD
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  2. Madhu K. Natarajan MD, FRCP(C)
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  1. Department of Cardiology, Rush-Presbyterian-St. Luke’s Medical Center Rush Medical School, Chicago, IL, USA

    Lloyd W. Klein M.D.

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Strauss, B.H., Natarajan, M.K. (1997). Lesion Morphology and Composition: Risk of Restenosis Following Coronary Interventions. In: Klein, L.W. (eds) Coronary Stenosis Morphology: Analysis and Implication. Developments in Cardiovascular Medicine, vol 190. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6287-0_13

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