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      In-stent Restenosis

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      Interventional Cardiology Clinics

      Elsevier BV

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          Abstract

          In-stent restenosis (ISR) is the narrowing of a stented coronary artery lesion. The mean time from percutaneous coronary intervention (PCI) to ISR was 12 months with drug-eluting stents (DES) and 6 months with bare metal stents (BMS). ISR typically presents as recurrent angina. The use of DES has significantly reduced the rate of ISR compared with BMS. Predictors of ISR include patient, lesion, and procedural characteristics. Intravascular ultrasound, optical coherence tomography, and fractional flow reserve are important tools for the anatomic and hemodynamic assessment of ISR. Treatment options for ISR include percutaneous coronary intervention with DES.

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          Author and article information

          Journal
          Interventional Cardiology Clinics
          Interventional Cardiology Clinics
          Elsevier BV
          22117458
          April 2016
          April 2016
          : 5
          : 2
          : 211-220
          Article
          10.1016/j.iccl.2015.12.006
          28582205
          e891016a-10be-4273-b5d3-f0f2d5bed6c6
          © 2016

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