Abstract
Percutaneous coronary intervention (PCI) with stent implantation is the primary form of coronary revascularization. Stents are positioned to resolve obstructing lesions by balloon inflation. Balloon inflation represents an injury for the vessel wall and leads to a healing response. An excessive healing response can cause narrowing of the stent lumen and be associated with recurrent chest pain. Recurrent chest pain however is not invariably secondary to stent occlusion or restenosis. The availability of a noninvasive technique able to diagnose and rule out the presence of restenosis would be very desirable.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Steen H, Andre F, Korosoglou G et al (2011) In vitro evaluation of 56 coronary artery stents by 256-slice multi-detector coronary CT. Eur J Radiol 80:143–150
Rixe J, Achenbach S, Ropers D, et al. Assessment of coronary artery stent restenosis by 64-slice multi-detector computed tomography. Eur Heart J 27:2567–2572
Schuijf JD, Pundziute G, Jukema JW et al (2007) Evaluation of patients with previous coronary stent implantation with 64-section CT. Radiology 245:416–423
Maintz D, Burg MC, Seifarth H et al (2009) Update on multidetector coronary CT angiography of coronary stents: in vitro evaluation of 29 different stent types with dual-source CT. Eur Radiol 19:42–49
Maintz D, Seifarth H, Raupach R et al (2006) 64-slice multidetector coronary CT angiography: in vitro evaluation of 68 different stents. Eur Radiol 16:818–826
Pugliese F, Cademartiri F, van Mieghem C et al (2006) Multidetector CT for visualization of coronary stents. Radiographics 26:887–904
Achenbach S, Anders K, Kalender WA (2008) Dual-source cardiac computed tomography: image quality and dose considerations. Eur Radiol 18:1188–1198
Cademartiri F, Schuijf JD, Pugliese F et al (2007) Usefulness of 64-slice multislice computed tomography coronary angiography to assess in-stent restenosis. J Am Coll Cardiol 49:2204–2210
Carbone I, Francone M, Algeri E et al (2008) Non-invasive evaluation of coronary artery stent patency with retrospectively ECG-gated 64-slice CT angiography. Eur Radiol 18:234–243
Carrabba N, Bamoshmoosh M, Carusi LM et al (2007) Usefulness of 64-slice multidetector computed tomography for detecting drug eluting in-stent restenosis. Am J Cardiol 100:1754–1758
Das KM, El-Menyar AA, Salam AM et al (2007) Contrast-enhanced 64-section coronary multidetector CT angiography versus conventional coronary angiography for stent assessment. Radiology 245:424–432
Ehara M, Kawai M, Surmely JF et al (2007) Diagnostic accuracy of coronary in-stent restenosis using 64-slice computed tomography: comparison with invasive coronary angiography. J Am Coll Cardiol 49:951–959
Hecht HS, Zaric M, Jelnin V et al (2008) Usefulness of 64-detector computed tomographic angiography for diagnosing in-stent restenosis in native coronary arteries. Am J Cardiol 101:820–824
Manghat N, Van Lingen R, Hewson P et al (2008) Usefulness of 64-detector row computed tomography for evaluation of intracoronary stents in symptomatic patients with suspected in-stent restenosis. Am J Cardiol 101:1567–1573
Oncel D, Oncel G, Tastan A et al (2008) Evaluation of coronary stent patency and in-stent restenosis with dual-source CT coronary angiography without heart rate control. AJR Am J Roentgenol 191:56–63
Pugliese F, Weustink AC, Van Mieghem C et al (2008) Dual source coronary computed tomography angiography for detecting in-stent restenosis. Heart 94:848–854
de Graaf FR, Schuijf JD, van Velzen JE et al (2010) Diagnostic accuracy of 320-row multidetector computed tomography coronary angiography to noninvasively assess in-stent restenosis. Investigative radiology 45:331–340
Van Mieghem CA WA, PuglieseF, Meijboom WB et al Clinical value of dual-source CT coronary angiography in symptomatic patients after previous percutaneous coronary stent implantation. Submitted for publication.
Takagi T, Stankovic G, Finci L et al (2002) Results and long-term predictors of adverse clinical events after elective percutaneous interventions on unprotected left main coronary artery. Circulation 106:698–702
Smith SC, Jr., Feldman TE, Hirshfeld JW, Jr. et al (2006) ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention—summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention). Circulation 113:156–175
Van Mieghem CA, Cademartiri F, Mollet NR et al (2006) Multislice spiral computed tomography for the evaluation of stent patency after left main coronary artery stenting: a comparison with conventional coronary angiography and intravascular ultrasound. Circulation 114:645–653
Hamon M, Champ-Rigot L, Morello R et al (2008) Diagnostic accuracy of in-stent coronary restenosis detection with multislice spiral computed tomography: a meta-analysis. Eur Radiol 18:217–225
Sun Z, Almutairi AM (2010) Diagnostic accuracy of 64 multislice CT angiography in the assessment of coronary in-stent restenosis: A meta-analysis. Eur J Radiol 73:266–273
Vanhoenacker PK, Decramer I, Bladt O et al (2008) Multidetector computed tomography angiography for assessment of in-stent restenosis: meta-analysis of diagnostic performance. BMC Med Imaging 31:8–14
Ormiston JA, Webster MW, Armstrong G (2007) First-in-human implantation of a fully bioabsorbable drug-eluting stent: the BVS poly-L-lactic acid everolimus-eluting coronary stent. Catheter Cardiovasc Interv 69:128–131
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Italia
About this chapter
Cite this chapter
Pugliese, F., Gruszczynska, K., Baron, I., Davies, C.L., Petersen, S.E. (2012). Coronary Artery Stents. In: Cademartiri, F., Casolo, G., Midiri, M. (eds) Clinical Applications of Cardiac CT. Springer, Milano. https://doi.org/10.1007/978-88-470-2522-6_13
Download citation
DOI: https://doi.org/10.1007/978-88-470-2522-6_13
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2521-9
Online ISBN: 978-88-470-2522-6
eBook Packages: MedicineMedicine (R0)