Coronary restenosis: What have we learned from angiography?

David Holmes, Robert S. Schwartz, Mark W.I. Webster

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Coronary restenosis remains a major problem for interventional cardiology not only by virtue of its frequency, but also because of the current inability to prevent it. Symptomatic status and noninvasive evaluation have been used to study restenosis, but both lack specificity and sensitivity, particularly in patients with multivessel disease. Angiography remains the reference standard. Several arbitrary definitions have been used, some related to visual estimates of coronary stenosis and others to quantitative angiographic techniques. In another approach, linear modeling is used to assess minimal luminal diameter of lesions on restudy. Although angiographic studies have been essential in the study of restenosis, questions concerning the underlying mechanism and pathophysiology remain. The development of animal models that closely resemble human restenosis should allow evaluation of pathophysiologic mechanisms and development of new strategies to prevent the problem.

Original languageEnglish (US)
Pages (from-to)14-22
Number of pages9
JournalJournal of the American College of Cardiology
Volume17
Issue number6 SUPPL. 2
DOIs
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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