Latest developments in coronary interventions

Česká verzia

Authors: O. Aschermann; M. Mates; K. Kopřiva
Authors place of work: Kardiocentrum, Nemocnice Na Homolce, Praha
Published in the journal: Kardiol Rev Int Med 2015, 17(3): 207-213
Category: Cardiology Review

Summary

Due to progress made in coronary interventions, we have seen over the last 20 years a dramatic improvement in early results and subsequent long‑term prognosis of patients treated with percutaneous coronary interventions. New generations of drug‑eluting stents (DES) and a wider use of new modalities for a more detailed imaging of the character of lesions in coronary arteries, as well as the concept of functional revascularization, have all brought about significant benefits. These new methods are used mainly in situations where angiography and stress tests cannot provide adequate information on actual haemodynamic significance of a coronary artery stenosis. This paper summarises the current state of knowledge about DES. We present key modalities to optimise PCI performance and provide a brief summary of recommendations for antithrombotic therapy after stent implantation in selected clinical settings.

Keywords:
coronary artery disease – intravascular ultrasound – fractional flow reserve – optical coherence tomography – drug‑eluting stents – polymer – antiaggregation

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