أنشئ حسابًا أو سجّل الدخول للانضمام إلى مجتمعك المهني.
many factors should be kept in mind to prevent ISR or new llesion: *pt risk factors should be controlled *pt compliance to medications specially Statin AND antiplat.(any drug resistance). *lasion factors: by avoid long lesion ,consider that small lesions may increase the rate of ISR and well prepreparations of lesions. *procedural factors are vital,the perocedure must perform in proper way and optimized to decrease the risk of ISR.(apposition,sizing,barotruama,adge dissection and etc) *Use of new generations of DES *once IRS occured use similar DES TO TREAT (or newer one at least).consider the role of DEB.
Treating in-stent restenosis by drug eluting balloon with strict control of cardiovascular risk factors especially diabetes. Objective of LDL less than 0.7g/l with statins.
If there is recurrence, stent in stent by drug elting stents with other limus.
After that we can consider intra-stent laser therapy.
By using new dual antiplatelet therapy for longer duration ,
by implanting new generation drug eluting stents, drug coated balloons
intra coronary radiation therapy which has proven to be effective especially in diabetic patients
هل تحتاج لمساعدة في كتابة سيرة ذاتية تحتوي على الكلمات الدلالية التي يبحث عنها أصحاب العمل؟